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Fiber intake and risk of chronic obstructive pulmonary disease: A systematic review and dose response meta-analysis.
Valisoltani, Neda; Ghoreishy, Seyed Mojtaba; Imani, Hossein; Rajabi Harsini, Asma; Jowshan, Mohammadreza; Travica, Nikolaj; Mohammadi, Hamed.
Afiliación
  • Valisoltani N; Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics Tehran University of Medical Sciences Tehran Iran.
  • Ghoreishy SM; Department of Nutrition, School of Public Health Iran University of Medical Sciences Tehran Iran.
  • Imani H; Student Research Committee, School of Public Health Iran University of Medical Sciences Tehran Iran.
  • Rajabi Harsini A; Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics Tehran University of Medical Sciences Tehran Iran.
  • Jowshan M; Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics Tehran University of Medical Sciences Tehran Iran.
  • Travica N; Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics Tehran University of Medical Sciences Tehran Iran.
  • Mohammadi H; Food and Mood Centre, IMPACT-The Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Barwon Health Deakin University Geelong Victoria Australia.
Food Sci Nutr ; 11(11): 6775-6788, 2023 Nov.
Article en En | MEDLINE | ID: mdl-37970426
This systematic review and dose-response meta-analysis examined the risk of chronic obstructive pulmonary disease (COPD) following dietary fiber intake. Relevant articles were retrieved from a variety of databases, including Scopus, Embase, and Medline, until March 2023. Spirometry was the most frequently used method for determining the presence of COPD. Based on the search, there were a total of 213,912 participants across five separate studies. Random effects model was used to combine the data and a dose-response analysis was further conducted. Five distinct cohort studies were identified. Based on highest versus lowest analysis, there was an inverse correlation between the intake of total fiber (RR, 0.72; 95%, CI: 0.64-0.80), cereal fiber (RR: 0.76, 95% CI 0.68, 0.86), and fruit fiber (RR: 0.75, 95% CI: 0.68, 0.83). Although this result was not significant for vegetable fiber (RR, 0.95; 95% CI, 0.84-1.07). Dose-response analysis revealed that daily increase of 10 g of total dietary fiber, cereal fiber, or fruit fiber reduced the risk of COPD by 26%, 21%, and 37%, respectively. The ROBINS-E tool classified all cohort studies as having a moderate risk of bias. Total fiber, cereal fiber, and fruit fiber intake were found to have low credibility using the NutriGrade tool. Additionally, there is a lack of scientific evidence supporting the use of vegetable fiber. Larger, more comprehensive studies are required to confirm these findings.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Systematic_reviews Idioma: En Revista: Food Sci Nutr Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Systematic_reviews Idioma: En Revista: Food Sci Nutr Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos