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Dietary fiber does not displace energy but is associated with decreased serum cholesterol concentrations in healthy children.
Am J Clin Nutr 2010; 91(3):651-61AJ

Abstract

BACKGROUND

Dietary fiber has health benefits, but fiber recommendations for children are controversial because fiber may displace energy.

OBJECTIVE

The objective was to longitudinally evaluate dietary fiber intake in children and to study associations between growth variables, serum cholesterol concentrations, and intakes of fiber, energy, and nutrients.

DESIGN

Altogether, 543 children from a prospective randomized atherosclerosis prevention trial (the Special Turku Coronary Risk factor Intervention Project; STRIP) participated in this study between the ages of 8 mo and 9 y. The intervention children (n = 264) were counseled to replace part of saturated fat with unsaturated fat. Nutrient intakes, weight, height, and serum total, HDL-, and LDL-cholesterol and triglyceride concentrations were analyzed. Children were divided into 3 groups according to mean dietary fiber intake in foods: low (lowest 10%), high (highest 10%), and average (middle 80%) fiber intakes.

RESULTS

Fiber intake associated positively with energy intake and inversely with fat intake. Children with a high fiber intake received more vitamins and minerals than did children in other groups. In longitudinal growth analyses, weights and heights were similar in all 3 fiber intake groups, and fiber intake (g/d) associated positively with weight gain between 8 mo and 2 y. Serum cholesterol concentrations decreased with increasing fiber intakes. Children in the intervention group had a higher fiber intake than did the control children during the entire follow-up period.

CONCLUSION

Fiber intake did not displace energy or disturb growth between 13 mo and 9 y of age. Serum cholesterol values correlated inversely with fiber intake, which indicated that part of the cholesterol-lowering intervention effect in the STRIP project may have been explained by dietary fiber.

Authors+Show Affiliations

Research Centre of Applied Preventive Cardiovascular Medicine, University of Turku, Turku Finland. soile.ruottinen@utu.fi

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20071642

Citation

Ruottinen, Soile, et al. "Dietary Fiber Does Not Displace Energy but Is Associated With Decreased Serum Cholesterol Concentrations in Healthy Children." The American Journal of Clinical Nutrition, vol. 91, no. 3, 2010, pp. 651-61.
Ruottinen S, Lagström HK, Niinikoski H, et al. Dietary fiber does not displace energy but is associated with decreased serum cholesterol concentrations in healthy children. Am J Clin Nutr. 2010;91(3):651-61.
Ruottinen, S., Lagström, H. K., Niinikoski, H., Rönnemaa, T., Saarinen, M., Pahkala, K. A., ... Simell, O. (2010). Dietary fiber does not displace energy but is associated with decreased serum cholesterol concentrations in healthy children. The American Journal of Clinical Nutrition, 91(3), pp. 651-61. doi:10.3945/ajcn.2009.28461.
Ruottinen S, et al. Dietary Fiber Does Not Displace Energy but Is Associated With Decreased Serum Cholesterol Concentrations in Healthy Children. Am J Clin Nutr. 2010;91(3):651-61. PubMed PMID: 20071642.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary fiber does not displace energy but is associated with decreased serum cholesterol concentrations in healthy children. AU - Ruottinen,Soile, AU - Lagström,Hanna K, AU - Niinikoski,Harri, AU - Rönnemaa,Tapani, AU - Saarinen,Maiju, AU - Pahkala,Katja A, AU - Hakanen,Maarit, AU - Viikari,Jorma Sa, AU - Simell,Olli, Y1 - 2010/01/13/ PY - 2010/1/15/entrez PY - 2010/1/15/pubmed PY - 2010/3/31/medline SP - 651 EP - 61 JF - The American journal of clinical nutrition JO - Am. J. Clin. Nutr. VL - 91 IS - 3 N2 - BACKGROUND: Dietary fiber has health benefits, but fiber recommendations for children are controversial because fiber may displace energy. OBJECTIVE: The objective was to longitudinally evaluate dietary fiber intake in children and to study associations between growth variables, serum cholesterol concentrations, and intakes of fiber, energy, and nutrients. DESIGN: Altogether, 543 children from a prospective randomized atherosclerosis prevention trial (the Special Turku Coronary Risk factor Intervention Project; STRIP) participated in this study between the ages of 8 mo and 9 y. The intervention children (n = 264) were counseled to replace part of saturated fat with unsaturated fat. Nutrient intakes, weight, height, and serum total, HDL-, and LDL-cholesterol and triglyceride concentrations were analyzed. Children were divided into 3 groups according to mean dietary fiber intake in foods: low (lowest 10%), high (highest 10%), and average (middle 80%) fiber intakes. RESULTS: Fiber intake associated positively with energy intake and inversely with fat intake. Children with a high fiber intake received more vitamins and minerals than did children in other groups. In longitudinal growth analyses, weights and heights were similar in all 3 fiber intake groups, and fiber intake (g/d) associated positively with weight gain between 8 mo and 2 y. Serum cholesterol concentrations decreased with increasing fiber intakes. Children in the intervention group had a higher fiber intake than did the control children during the entire follow-up period. CONCLUSION: Fiber intake did not displace energy or disturb growth between 13 mo and 9 y of age. Serum cholesterol values correlated inversely with fiber intake, which indicated that part of the cholesterol-lowering intervention effect in the STRIP project may have been explained by dietary fiber. SN - 1938-3207 UR - https://www.unboundmedicine.com/medline/citation/20071642/Dietary_fiber_does_not_displace_energy_but_is_associated_with_decreased_serum_cholesterol_concentrations_in_healthy_children_ L2 - https://academic.oup.com/ajcn/article-lookup/doi/10.3945/ajcn.2009.28461 DB - PRIME DP - Unbound Medicine ER -