Poster Topical Area: Nutritional Epidemiology

Location: Hall D

Poster Board Number: 804

P20-116 - Dietary Fiber Intake on Reducing the Incidence of Type 2 Diabetes Mellitus: A Review of the Meta-analyses

Monday, Jun 11
8:00 AM – 3:00 PM

Objective: The purpose of this study was to review previously published meta-analyses on the effectiveness of dietary fiber on type 2 diabetes.


Methods:
An umbrella review of all published meta-analyses was performed. A PubMed search from January 1, 1980 to October 30, 2017 was conducted using the following search strategy: (fiber OR glucan OR psyllium) AND (meta-analysis OR systematic review). Only English language publications that provided quantitative statistical analysis on type 2 diabetes, fasting blood glucose concentrations or glycosylated hemoglobin were retrieved.


Results:
Sixteen meta-analyses were retrieved for inclusion in this umbrella review. In the meta-analyses comparing highest versus lowest dietary fiber intake, there was a statistically significant reduction in the relative risk (RR) of type 2 diabetes (RR=0.81-0.85), with the greatest benefit coming from cereal fibers (RR=0.67-0.87). However, statistically significant heterogeneity was observed in all of these meta-analyses. In the meta-analyses of supplementation studies using β-glucan or psyllium fibers on type 2 diabetic participants, statistically significant reductions were observed in both fasting blood glucose concentrations and glycosylated hemoglobin percentages.


Conclusion:
This review suggests that those consuming the highest amounts of dietary fiber, especially cereal fiber, may benefit from a reduction in the incidence of developing type 2 diabetes. There also appears to be a small reduction in fasting blood glucose concentration, as well as a small reduction in HbA1c percentage for individuals with type 2 diabetes who add β-glucan or psyllium to their daily dietary intake.




Funding Source: None

Marc McRae

Professor
National University of Health Sciences
Lombard, Illinois