The Association of Dietary Fiber and Cancer Development in Rural Post-menopausal Women of Nebraska. (7th June 2021)

• Record Type: Journal Article
• Authors: Jackson, Mariah; Wu, Ruiqian; Smith, Lynette; Lappe, Joan; Hanson, Corrine
• Is Part Of: Current developments in nutrition. Volume 5(2021)Supplement 2
• Page Start: 268
• Page End: 268
• Publication Date: 2021-06-07
• Subjects: Nutrition -- Periodicals; Nutritional Physiological Phenomena; Nutrition; Periodicals; Periodicals; Fulltext; Internet Resources; Periodicals; 612.3
• DOI: 10.1093/cdn/nzab036_010
• Languages: English
• ISSNs: 2475-2991

Abstract

Abstract: Objectives: Determine the extent to which diets with higher fiber intakes (g) at baseline are independently associated with cancer development by final study visit in a cohort of rural post-menopausal women. Methods: This study was a secondary analysis of participants in a four-year randomized controlled trial evaluating the effect of vitamin D and calcium supplementation (2000 IU/d vitamin D3 and 1500 mg/d calcium) on cancer development in rural post-menopausal women in Nebraska (June 2009-August 2015). Diets, including fiber intake (total, soluble, fruit-vegetable, grain and bean fiber), were evaluated via a 2005 Block Food Frequency Questionnaire at baseline. T-tests were used to evaluate the difference in dietary fiber intakes between all-type cancer and non-cancer groups. Logistic regression models, controlling for pertinent covariates, were used to determine if dietary fiber intake at baseline is associated with the cancer development. Dietary fiber variables were log-transformed and stratified by treatment group. Results: There were 1977 participants available for analysis. Median total fiber intake was 14.35 g or 65% of the Dietary Reference Intake. There was no significant difference between dietary fiber intakes at baseline between the cancer group and non-cancer group. For people on vitamin D and calcium supplementation, higher dietary soluble fiber and fruit-vegetable fiber intakes at baseline were protective against cancer development [Soluble OR: 0.50; 95% CI (0.26, 0.96); Fruit-vegetable OR: 0.56; 95% CI (0.33, 0.94)]. In participants without vitamin D and calcium supplementation, the odds of having higher bean fiber intake was 1.62 times higher in those with cancer [OR: 1.62 (95% CI (1.07, 2.47)]. Total fiber and grain fiber intakes were not significantly associated with cancer development. Conclusions: While low fiber intake is prevalent among rural post-menopausal women, those with higher intakes of soluble and fruit-vegetable fiber may be more protected against development of all-type cancer when supplemented with calcium and vitamin D. Further analysis should examine the relationship between supplementation and bean fiber intake on the development of cancer. Funding Sources: The original study was funded by the National Cancer Institute and Creighton University internal funding. No additional funding was used for the secondary analysis.