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Letters
JAMA. 1997;277(22):1761. doi: 10.1001/jama.1997.03540460027022

Fiber Intake and Risk of Developing Non—insulin-dependent Diabetes Mellitus

  1. Kevin C. Maki, MS;
  2. Michael H. Davidson, MD;
  3. Arline McDonald, PhD;
  4. Kathleen C. Malik, MS
  1. Chicago Center for Clinical Research Chicago, Ill

Since this article does not have an abstract, we have provided the first 150 words of the full text.

Excerpt

To the Editor. —In their article, Dr Salmerón and colleagues1 present data that support the concept that consumption of a diet with a high glycemic load and/or low in fiber is associated with increased risk for the development of non—insulin-dependent diabetes mellitus (NIDDM) (type II) in women. In their analyses, the authors considered total dietary fiber, as well as fiber from fruits, vegetables, and cereals.

In a previous report, written by some members of the same research group, men in the highest quintile of total dietary fiber intake had a relative risk (RR) of 0.69 (95% confidence interval [CI], 0.54-0.88) for coronary mortality.2 This relationship remained statistically significant after adjustment for several potential confounders. In addition, soluble dietary fiber intake was somewhat more strongly associated with coronary events (RR, 0.63; 95% CI, 0.50-0.80, for the highest vs lowest quintile) than total or insoluble fiber consumption. Thus, a 3-g/d

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