Journal Article

Dietary fiber intake and metabolic syndrome in postmenopausal African American women with obesity

Hicks, Jennifer, Lepping, Krista, Adams-Campbell, Lucile L., Mills, Mary, Dash, Chiranjeev

2022

Overview

Fiber intake may be associated with lower risk of metabolic syndrome (MetS) but data from metabolically unhealthy African American women is sparse. We examined the association of dietary fiber intake and MetS among postmenopausal African American women with obesity. Baseline cross-sectional data from the Focused Intervention on Exercise to Reduce CancEr (FIERCE) trial of 213 women (mean age 58.3 years) were used. Dietary intake was assessed by Food Frequency Questionnaires (FFQs). Multivariate linear and logistic regressions were performed to estimate associations of MetS with fiber intake and adherence to dietary fiber intake guidelines, respectively. Mean daily fiber intake was (10.33 g/1000kcal) in women with impaired metabolic health. We observed an inverse association of total fiber intake with MetS. One unit increase in energy-adjusted fiber intake was associated with a 0.10 unit decrease in the MetS z-score (p = 0.02). Similar results were obtained for both soluble and insoluble fiber. In multivariate-adjusted analyses, participants not adherent to fiber intake recommendations were more likely to have MetS as compared to those reporting intakes in the recommended range (adjusted odds ratio 4.24, 95% CI: 1.75, 10.30). Of the MetS components, high fasting glucose and high triglycerides were all associated with lower intake of fiber. Study participants who consumed a higher amount of fiber had a better overall metabolic profile and were less likely to have MetS in our cross-sectional analysis of postmenopausal African American women with obesity and unhealthy metabolic profiles.

• Publisher: Public Library of Science,Public Library of Science (PLoS)
• Subject: African American women / African Americans / Analysis / Biology and Life Sciences / Black or African American / Blood Glucose - metabolism / Clinical Trials as Topic / Cross-Sectional Studies / Demographic aspects / Development and progression / Diabetes / Diet / Dietary Fiber / Dietary intake / Exercise / Female / Fiber in human nutrition / Food and nutrition / Food intake / Health aspects / High density lipoprotein / Humans / Insulin resistance / Medicine and Health Sciences / Metabolic disorders / Metabolic syndrome / Metabolic Syndrome - complications / Metabolic syndrome X / Middle Aged / Multivariate analysis / Obesity / Obesity - complications / People and places / Post-menopause / Postmenopausal women / Postmenopause / Risk Factors / Triglycerides / Womens health