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HARVARD GAZETTE ARCHIVES
Fiber Found Not to Protect Against Cancer
By William J. Cromie
Gazette Staff
Diets high in fiber do not reduce the likelihood of colon and rectal
cancer, Harvard researchers have concluded.
The researchers followed 88,757 women for 16 years without
finding evidence that fiber in whole-grain bread, cereals, fruits, and
vegetables protect against colorectal cancers, as commonly believed.
This was the largest study of this kind to date and the results were
unexpected.
Another Harvard study of more than 47,000 men, done in 1994,
also failed to find that high-fiber diets reduce the risk of these
cancers.
"After adjustment for age, established risk factors, and total
energy intake, we found no association between the intake of dietary
fiber and the risk of colorectal cancer," says Charles Fuchs,
assistant
professor of medicine. Fuchs and his colleagues at the Harvard
Medical School and Harvard School of Public Health report their
findings in today's issue of The New England Journal of
Medicine.
But don't give up on eating the recommended 25 to 35
grams of
fiber a day, the scientists add. They found "strong
associations"
between dietary fiber and reductions in coronary heart disease, high
blood pressure, non-insulin dependent diabetes, and diverticular
disease.
In the early 1970s, the rarity of colorectal cancer in Africa led
some scientists to propose that the high-fiber diets of Africans
protected them against this malady. As appealing as the idea sounds,
however, a conclusive link never was established. Most studies were
not thorough enough to make a clear distinction between the effects
of fiber and other ingredients of fruits, vegetables, and cereals, such
as vitamins and minerals.
The Harvard team selected 88,757 women who participated in an
ongoing study of nurses and followed them by questionnaires from
1980 through 1996. During this time, 787 cases of colorectal cancer
occurred among the women, but the investigators found no evidence
that a diet low in fiber offered any significant protection against that
cancer or benign tumors in the colorectal area.
Despite the unexpected lack of protection, however, the
researchers note that "there are cogent reasons for increasing
fiber
intake," particularly the association between fiber intake diets
and a
reduction in heart disease seen in many other studies.
Copyright
1998 President and Fellows of Harvard College
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