Abstract
The most common description of dietary fiber uses this term to refer to remnants of plant cells that are not digested by the enzymes of the human alimentary tract (Trowell, 1974). This is a convenient but somewhat misleading description. The term dietary fiber encompasses a variety of substances of different chemical composition and diverse physiological function. In the strictest definition, dietary fiber can be divided into three categories: cellulose, the principal fibrillar component of the plant cell wall; noncellulosic polysaccharides, including pectic substances and hemicelluloses, which form the cell wall matrix; and lignin, an encrusting substance present in the mature plant wall. However, the definition of fiber has been broadened to include plant gums such as guar or tragacanth, agar, and some chemically modified materials such as methylcellulose. All of these substances except lignin are carbohydrate in nature, and all except lignin are degradable (partially or totally) by colonic microflora. The degradation products include hydrogen, methane, carbon dioxide, and short-chain fatty acids—acetic, propionic, and butyric.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Anderson, J. W., 1986, Dietary fiber in nutrition management of diabetes, in: Dietary Fiber: Basic and Clinical Aspects (G. V. Vahouny and D. Kritchevsky, eds.), Plenum Press, New York, pp. 343–360.
Andersson, H., Nävert, B., Bingham, S. A., Englyst, H. N., and Cummings, J. H., 1983, The effects of breads containing similar amounts of phytate but different amounts of wheat bran on calcium, zinc and iron balance in man, Br. J. Nutr. 50:503–510.
Behall, K. M., Scholfield, D. J., Lee, K., Powell, A. S., and Moser, P. B., 1987, Effect of four refined fibers on apparent mineral balance in adult men, Am. J. Clin. Nutr. 46:307–314.
Bhantumnavin, K., and Schuster, M., 1977, Aging and gastrointestinal function, in: Handbook of the Biology of Aging (C. E. Finch and L. Hayflick, eds.), Van Nostrand-Reinhold, New York, pp. 709–723.
Brandes, J. W., and Lorenz-Meyer, H., 1981, Zuckerfreie Diät: Eine neue Perspektive zur Behandlung des Morbus Crohn: Eine randomisierte, kontrollierte Studie, Z. Gastroenterol. 19:1–12.
Brandt, L. J., Boley, S. J., and Mitsudo, S., 1982, Clinical characteristics and natural history of colitis in the elderly, Am. J. Gastroenterol. 77:382–386.
Brodribb, A. J. M., 1979, The treatment of diverticular disease with dietary fibre, in: Dietary Fibre: Current Developments of Importance to Health (K. W. Heaton, ed.), Technomic Publishing Company, West-port, CT, pp. 63–73.
Brodribb, A. J. M., 1980, Dietary fiber in diverticular disease of the colon, in: Medical Aspects of Dietary Fiber (G. A., Spiller and R. M. Kay, eds.), Plenum Press, New York, pp. 43–66.
Bryson, E., Dore, C., and Garrow, J. S., 1980, Wholemeal bread and satiety, J. Hum. Nutr. 34:113–116.
Burkitt, D. P., Walker, A. R. P., and Painter, N. S., 1972, Effect of dietary fibre on stools and transit times and its role in the causation of disease, Lancet 2:1408–1412.
Clark, A. N. G., and Scott, J. F., 1976, Wheat bran in dyschezia in the aged, Age Aging 5:149–154.
Committee on Diet, Nutrition and Cancer, 1982, Diet, Nutrition and Cancer, National Academy Press, Washington.
Connell, A. M., 1975, Applied physiology of the colon: Factors relevant to diverticular disease, Clin. Gastroenterol. 4:23–26.
Connell, A. M., Hilton, C., Lennard-Jones, J. E., and Misiewicz, J. J., 1965, Variation of bowel habits in two population samples, Br. Med. J. 2:1096–1099.
Crowther, J. S., Drasar, B. S., Hill, M. J., Mac Lennan, R., Magnin, D., Peck, S., and Teah-Chan, C. H., 1976, Fecal steroids and bacteria and large bowel cancer in Hong Kong by socioeconomic groups, Br. J. Cancer 34:191–198.
Cummings, J., 1985, Cancer of the large bowel, in: Dietary Fibre, Fibre-Depleted Foods and Disease (H. Trowell, D. Burkitt, and K. Heaton, eds.), Academic Press, London, pp. 161–189.
Cummings, J. H., 1986, The effect of dietary fiber on fecal weight and composition, in: CRC Handbook of Dietary Fiber in Human Nutrition (G. A. Spiller, ed.), CRC Press, Boca Raton, FL, pp. 211–280.
Cummings, J. H., Southgate, D. A. T., Branch, W. J., Wiggins, H. S., Houston, H., Jenkins, D. J. A., Jivraj, T., and Hill, M. J., 1979a, The digestion of pectin in the human gut and its effect on calcium absorption and large bowel function, Br. J. Nutr. 41:477–485.
Cummings, J. H., Hill, M. J., Jivraj, T., Houston, H., Branch, W. J., and Jenkins, D. J. A., 1979b, The effect of meat protein and dietary fiber on colonic function and metabolism. I. Changes in bowel habit, bile acid excretion, and calcium absorption, Am. J. Clin. Nutr. 32:2086–2093.
Cutler, C. W., Jr., 1958, Clinical patterns of peptic ulcer after sixty, Surg. Gynecol. Obstet. 107:23–30.
Eastwood, M. A., Smith, A. N., Brydon, W. G., and Pritchard, J., 1978, Comparison of bran, ispaghula and lactulose on colon function in diverticular disease, Gut 19:1144–1147.
Expert Advisory Committee, 1985, Report of the Expert Advisory Committee on Dietary Fibre to the Health Protection Branch, Health and Welfare, Canada, Ottawa.
Fischer, M., Adkins, W., Hall, L., Scaman, P., Hsi, S., and Marlett, J., 1985, The effects of dietary fibre in a liquid diet on bowel function of mentally retarded individuals, J. Ment. Defic. Res. 29:373–381.
Freiman, R., and Johnston, F. A., 1963, Iron absorption in the healthy aged, Geriatrics 18:716–720.
Glen, F., 1981, Surgical management of acute cholecystis in patients 65 years of age and older, Ann. Surg. 193:56–59.
Graham, D. Y., Moser, S. E., and Estes, M. K., 1982, The effect of bran on bowel function in constipation, Am. J. Gastroenterol. 77:599–603.
Greger, J. L., 1984, Zinc and copper requirements of the elderly, in: Annual Conference on Trace Substances in Environmental Health 13 (D. Hemphill, ed.), University of Missouri, Columbia, pp. 463–475.
Grossman, M. I., 1981, Peptic Ulcer: Guide for the Practicing Physician, Yearbook Publications, Chicago, pp. 10–11.
Haber, G. B., Heaton, K. W., Murphy, D., and Burroughs, L. F., 1977, Depletion and disruption of dietary fibre: Effects on satiety, plasma-glucose and serum insulin, Lancet 2:679–682.
Hansen, W. E., Maurer, H., Vollmer, J., and Bräuning, C., 1983, Guar gum and bile: Effects on Postprandial gallbladder contraction and on serum bile acids in man, Hepatogastroenterology 30:131–133.
Harju, E. J., and Larmi, T. K., 1985, Effect of guar gum added to the diet of patients with duodenal ulcer, J. Parent. Ent. Nutr. 9:496–500.
Heath, M. R., 1972, Dietary selection by elderly persons related to dental state, Br. Dent. J. 132:145–148.
Heaton, K. W., 1983, Dietary fibre in perspective, Hum. Nutr. Clin. Nutr. 37C:151–170.
Hill, M. J., Drasar, B. S., Aries, V. C., Crowther, J. S., Hawksworth, G., and Williams, R. E. D., 1971, Bacteria and the aetiology of cancer of the large bowel, Lancet 1:95–100.
Hillman, L. C., Peters, S. G., Fisher, C. A., and Pomare, E. W., 1986, Effects of the fibre components pectin, cellulose, and lignin on bile salt metabolism and biliary lipid composition in man, Gut 27:29–36.
Holt, S., Heading, R. C., Carter, D. C., Prescott, L. F., and Tothill, P., 1979, Effect of gel fibre on gastric emptying and absorption of glucose and paracetamol, Lancet 1:636–639.
Hope, A. K., and Down, E. C., 1986, Dietary fibre and fluid in the control of constipation in a nursing home population, Med. J. Aust. 144:306–307.
Horowitz, M., Maddern, G. J., Chatterton, B. E., Collins, P. J., Harding, P. E., and Shearman, D. J. C., 1984, Changes in gastric emptying rates with age, Clin. Sci. 67:213–218.
Horwitz, D. L., 1982, Diabetes and aging, Am. J. Clin, Nutr. 36:803–808.
Jenkins, D. J. A., Wolever, T. M. S., Jenkins, A. L., Thompson, L. U., Rao, A. V., and Francis, T., 1986, The glycemie index: Blood glucose response to foods, in: Dietary Fiber: Basic and Clinical Aspects (G. V. Vahouny and D. Kritchevsky, eds.), Plenum Press, New York, pp. 167–179.
Jensen, O. M., MacLennan, R., and Wahrendorf, J., 1982, Diet, bowel function, fecal characteristics and large bowel cancer in Denmark and Finland, Nutr. Cancer 4:5–19.
Kaspar, H., Eilles, C., Reiners, C., and Schrezenmeir, J., 1985, The influence of dietary fiber on gastric transit time, Hepatogastroenterology 32:69–71.
Kelsay, J. L., Behall, K. M., and Prather, E. S., 1978, Effect of fiber from fruits and vegetables on metabolic response of human subjects. I. Bowel transit time, number of defecations, fecal weight, urinary excretions of energy and nitrogen and apparent digestibilities of energy, nitrogen and fat, Am. J. Clin. Nutr. 31:1149–1153.
Kelsay, J. L., Clark, W. M., Herbst, B. J., and Prather, E. S., 1981, Nutrient utilization by human subjects consuming fruits and vegetables as sources of fiber, J. Agric. Food Chem. 29:461–465.
Kies, C., Fox, H. M., and Beshgetoor, D., 1979, Effect of various levels of dietary hemicellulose on zinc nutritional status of men, Cereal Chem. 56:133–136.
Krotkiewski, M., 1984, Effect of guar gum on body-weight, hunger ratings and metabolism in obese subjects, Br. J. Nutr. 52:97–105.
Kuratsune, M., Honda, T., Englyst, H. N., and Cummings, J. H., 1986, Dietary fiber in the Japanese diet as investigated in connection with colon cancer risk, Jpn. J. Cancer Res. 77:736–738.
Leeds, A. R., Ralphs, D. N. L., Ebred, F., Metz, G., and Dilwari, D. B., 1981, Pectin and the dumping syndrome: Reduction of symptoms and plasma volume change, Lancet 1:1075–1078.
Levenstein, S., Prantera, C., Luzi, C., and D’Ubaldi, A., 1985, Low residue or normal diet in Crohn’s disease: A prospective controlled study in Italian patients, Gut 26:989–993.
Lowenstein, F. W., 1982, Nutritional status of the elderly in the United States of America 1971-1974, J. Am. Coll. Nutr. 1:165–177.
Lowenstein, F. W., 1986, Nutritional requirements of the elderly, in: Nutrition, Aging and Health (E. A. Young, ed.), Alan R. Liss, New York, pp. 61–89.
Manning, A. P., Heaton, K. W., Harvey, R. F., and Uglow, P., 1977, Wheat fibre and irritable bowel syndrome: A controlled trial, Lancet 2:417–418.
McCance, R. A., Prior, K. M., and Widdowson, E. M., 1953, A radiological study on the rate of passage of brown and white bread through the digestive tract of man, Br. J. Nutr. 7:98–104.
McKeown-Eyssen, G. E., and Bright-See, E., 1984, Dietary factors in colon cancer: International relationships, Nutr. Cancer 6:160–170.
Mendeloff, A. I., 1986, Thoughts on the epidemiology of diverticular disease, Clin. Gastroenterol. 15:855–877.
Meyer, J. E., and Pudel, V., 1983, Das Essverhalten im Alter und seine Konsequenzen für die Ernahrung, Z. Gerontol. 16:241–247.
Mitchell, W. D., and Eastwood, M. A., 1976, Dietarv fiber and colon function, in: Fiber in Human Nutrition (G. A., Spiller and R. J. Amen, eds.), Plenum Press, New York, pp. 185–206.
Moore, J. G., Tweedy, C., Christian, P. E., and Datz, F. L., 1983, Effect of age on gastric emptying of liquid-solid meals in man, Dig. Dis. Sci. 28:340–344.
O’Hanlon, P., and Kohrs, M. B., 1978, Dietary studies of older Americans, Am. J. Clin. Nutr. 31:1257–1269.
Painter, N. S., Almeida, A. Z., and Colebourne, K. W., 1972, Unprocessed bran in treatment of diverticular disease of the colon, Br. Med. J. 2:137–140.
Parks, T. G., 1975, Natural history of diverticular disease of the colon, Clin. Gastroenterol. 4:53–69.
Pomare, E. W., Heaton, K. W., Low-Beer, T. S., and Espiner, H. J., 1976, The effect of wheat bran upon bile salt metabolism and upon the lipid composition of bile in gallstone patients, Am. J. Dig. Dis. 21:521–536.
Reddy, B. S., Hedges, A. R., Laakso, K., and Wynder, E. L., 1978, Metabolic epidemiology of large bowel cancer: Fecal bulk and constituents of high-risk North American and low-risk Finnish populations, Cancer 43:2832–2838.
Rogers, A. I., 1975, Colonic Diverticular Disease, Hoechst-Roussel Pharmaceuticals, Somerville, NY, pp. 1–20.
Rydning, A., Berstad, A., Aadland, E., and Odegaard, B., 1982, Prophylactic effect of dietary fibre in duodenal ulcer disease, Lancet 2:736–739.
Rydning, A., Berstad, A., Berstad, I., and Hertzenberg, L., 1985, The effect of guar gum and fiberenriched wheat bran on gastric emptying of a semisolid meal in healthy subjects, Scand. J. Gastroenterol. 20:330–334.
Rydning, A., Weberg, R., Lange, O., and Berstad, A., 1986, Healing of benign gastric ulcer with low-dose antacids and fiber diet, Gastroenterology 91:56–61.
Sandberg, A. S., Andersson, H., Hallgren, B., Hasselblad, K., and Isaksson, B., 1981, Experimental model for in vivo determination of dietary fibre and its effect on the absorption of nutrients in the small intestine, Br. J. Nutr. 45:283–294.
Sandberg, A. S., Ahderinne, R., Andersson, H., Halgren, B., and Hulten, L., 1983, The effect of citrus pectin on the absorption of nutrients in the small intestine, Hum. Nutr. Clin. Nutr. 37C:171–183.
Sandstead, H. H., Munoz, J. M., Jacob, R. A., Klevay, L. M., Reck, S. J., Logan, G. M., Jr., Dintzis, F. R., Inglett, G. E., and Shuey, W, C., 1978, Influence of dietary fiber on trace element balance, Am. J. Clin. Nutr. 31:S180–S184.
Sandstead, H. H., Henricksen, L. K., Greger, J. L., Prasad, A. S., and Good, R. A., 1982, Zinc nutriture in the elderly in relation to taste acuity, immune response and wound healing, Am. J. Clin. Nutr. 36:1046–1059.
Seelig, M. S., 1981, Magnesium requirements in human nutrition, Magnesium Bull. 1:26–47.
Shapiro, P. A., Peppercorn, M. A., Antionoli, D. A., Joffe, N., and Goldman, H., 1981, Crohn’s disease in the elderly, Am. J. Gastroenterol. 76:132–137.
Slavin, J. L., and Marlett, J. A., 1980, Influence of refined cellulose on human bowel function and calcium and magnesium balance, Am. J. Clin. Nutr. 33:1932–1939.
Smith, R. G., Rowe, M. J., Smith, A. N., Eastwood, M. A., Drummond, E., and Brydon, W. G., 1980, A study of bulking agents in elderly patients, Age Aging 9:267–271.
Soltoft, J., Gudmand-Hoyer, E., Krag, B., Kristensen, E., and Wulff, H. R., 1976, A double-blind trial of the effect of wheat bran on symptoms of irritable bowel syndrome, Lancet 1:270–272.
Taylor, I., and Duthie, H. L., 1976, Bran tablets and diverticular disease, Br. Med. J. 1:988–990.
Trowell, H. C., 1974, Definitions of fibre, Lancet 1:503.
Walker, A. R. P., 1976, Gastrointestinal diseases and fiber intake with special reference to South African populations, in: Fiber in Human Nutrition (G. A. Spiller and R. J. Amen, eds.), Plenum Press, New York, pp. 241–261.
Walker, A. R. P., Walker, B. F., and Walker, A. J., 1986, Faecal pH, dietary fibre intake, and proneness to colon cancer in four South African populations, Br. J. Cancer 53:489–495.
Watts, J. M., Jablonski, P., and Toouli, J., 1978, The effect of added bran to the diet in the saturation of bile in people without gallstones, Am. J. Surg. 135:321–324.
Wechsler, J. G., Swobodnik, W., Wenzel, H., Heuchemer, T., Nebelung, W. Hutt, V., and Ditschuneit, H., 1984, Ballaststoffe vom Typ Weizenkleie senken Lithogenität der Galle, Deutsch. Med. Wochenschr. 109:1284–1288.
Widdowson, E. M., 1983, Age, sex and nutrition, Nutr. Bull. 8:117–121.
Williams, R. D., and Olmsted, W. H., 1936, The effect of cellulose, hemicellulose and lignin on the weight of the stool: A contribution to the study of laxation in man, J. Nutr. 11:433–449.
Young, E. A., and Urban, E., 1986, Aging, the aged and the gastrointestinal tract, in: Aging and Health (E. A. Young, ed.), Alan R. Liss, New York, pp. 91–131.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1989 Springer Science+Business Media New York
About this chapter
Cite this chapter
Kritchevsky, D. (1989). Role of Fiber in the Diet of the Elderly. In: Munro, H.N., Danford, D.E. (eds) Nutrition, Aging, and the Elderly. Human Nutrition, vol 6. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-2537-4_11
Download citation
DOI: https://doi.org/10.1007/978-1-4899-2537-4_11
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4899-2539-8
Online ISBN: 978-1-4899-2537-4
eBook Packages: Springer Book Archive