Fiber May Prevent Colon Cancer After All
2 Studies Contradict Earlier Research Showing No Benefit of Fiber on Colon Cancer Risk
WebMD News Archive
Fiber is believed to help reduce risk in two ways: It keeps you regular to remove toxins from the intestines, and bacteria living in the gut feeds on it -- producing beneficial byproducts to keep the colon healthy.
So why so many conflicting results over the years?
Most of the trials that show no benefit to a high-fiber diet -- at least four well-publicized studies in 1999 and 2000 -- looked at either cereal fibers or fiber supplements such as Metamucil. "Bran fibers may be not be in the same proportions or even be the same type of fiber that might occur in a natural diet," McCullough tells WebMD. "And it may be that supplemental fiber is not helpful at all." In fact, one study published in The Lancet in October 2000 found that these fiber supplements actually increased the risk of colon polyps. Meanwhile, most studies that show a protective benefit investigated fiber that comes from fruits and vegetables, as well as whole grains.
And while the "bottom line" findings may differ, there are similarities between these new Lancet results and even some studies to indicate no benefit from fiber: Measurable protection in the 30 grams-plus range.
"Actually, we found that there was a 35% reduced lower risk in people who ate something like 33 grams a day vs. those who had 14," says Edward Giovannucci, MD, of Harvard Medical School, a researcher on the ongoing Health Professionals and Nurses Health studies, whose findings suggested no benefit from a high-fiber diet. "But we statistically controlled for other factors, including smoking, aspirin use, red meat, alcohol. And when those factors were taken into account, the benefit from fiber went entirely away. That's why our studies suggested no benefit."
So what should you do? As these new studies suggest -- both done by well-respected researchers and carefully controlled, says McCullough -- increase your fiber intake, as long as it's mostly from fruits, vegetables, and whole grains. McCullough, Giovannucci, and Bingham advise against fiber supplements.
"Foods high in fiber have lot of other nutrients that benefit health in many ways, and possibly phytochemicals we haven't identified yet," says McCullough. "Most of the studies that indicate a reduced risk of colon cancer find the benefit at 30 to 35 grams, so I would recommend you aim at that level. Even if fiber isn't proven to prevent colon cancer, you can't go wrong with a plant-based diet that's high in fruits, vegetables, and whole grains."