title: Role of water-soluble dietary fiber in the management of elevated plasma cholesterol in healthy subjects.
abstract: Guidelines for the use of water-soluble dietary fibers (WSDF) in the dietary management of elevated plasma cholesterol are not well-established. Consequently, 4 studies were conducted to explore the plasma lipid-lowering effects of a variety of WSDF. Studies were randomized, double-blind, placebo-controlled trials involving healthy men and women (plasma cholesterol greater than 5.17 mmol/liter; greater than 200 mg/dl). Study duration ranged from 4 to 12 weeks. The WSDF acacia gum yields a low viscosity, palatable beverage when mixed in water. However, despite its WSDF classification, acacia gum consumed for 4 weeks as the sole WSDF source (15 g of WSDF/day) or primary source in a WSDF mixture (17.2 g of WSDF/day; 56% derived from acacia gum) did not produce a significant lipid-lowering effect versus placebo. When 15 g of WSDF/day consisting of psyllium hust, pectin, and guar and locust bean gums (medium viscosity) was consumed for 4 weeks, significant reductions in cholesterol resulted (total cholesterol 8.3%, low-density lipoprotein cholesterol 12.4%; p less than 0.001) that were comparable to changes achieved with 10 g of WSDF/day from high-viscosity guar gum. The magnitude of the lipid-lowering effect was related to intake of WSDF ranging from 5 to 15 g/day (low-density lipoprotein cholesterol +0.8% [placebo], -5.6% [5 g/day], -6.8% [10 g/day], -14.9% [15 g/day]; p less than 0.01 for trend). The effects of WSDF on plasma lipids were similar for men and women. A diet rich in selected WSDF may be a useful adjunct to the dietary management of elevated plasma cholesterol.
authors.affiliation: Stanford Center for Research in Disease Prevention, Stanford University School of Medicine, Palo Alto, California 94304.
authors.forename: W L
authors.initials: WL
authors.lastname: Haskell
authors.forename: G A
authors.initials: GA
authors.lastname: Spiller
authors.forename: C D
authors.initials: CD
authors.lastname: Jensen
authors.forename: B K
authors.initials: BK
authors.lastname: Ellis
authors.forename: J E
authors.initials: JE
authors.lastname: Gates
mesh_terms: D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D004043:Dietary Fiber / Q000627:therapeutic use*; D004311:Double-Blind Method; D005260:Female; D005685:Galactans; D006170:Gum Arabic / Q000627:therapeutic use; D006801:Humans; D006937:Hypercholesterolemia / Q000178:diet therapy*; D008297:Male; D008351:Mannans; D008875:Middle Aged; D010368:Pectins / Q000627:therapeutic use; D053149:Plant Gums; D011134:Polysaccharides / Q000627:therapeutic use; D012995:Solubility; D014783:Viscosity; D014867:Water
chemical_list: D004043:Dietary Fiber; D005685:Galactans; D008351:Mannans; D053149:Plant Gums; D011134:Polysaccharides; D014867:Water; D010368:Pectins; D006170:Gum Arabic; C017471:locust bean gum