Dietary Fiber

DietaryFiber

Many articles have been reported about the relation between insufficient intake of dietary fiber and lifestyle disease, i.e. myocardial infarction, ischemic stroke, cardiovascular disease, diabetes, breast cancer and gastric cancer. Then the target amount has been set. But the reports about the relation between the intake of dietary fiber and colorectal cancer do not match. It’s unclear that which the intake of dietary fiber in daily life has relation with constipation or not.

In the meta-analysis with trial study, negative correlation has been suggested between the intake amount of dietary fiber and blood pressure, LDL cholesterol and fasting plasma glucose.

In 2015 edition, in order to calculate the dietary reference intakes of dietary fiber, they have compromised of ideal value and reality. Based on the National Health and Nutrition Examination Survey in 2010 and 2011, the median is 13.7 g/d. On the other hand, ideal value besed on the pooled analysis is 24 g/d. The intermediate of them is 18.9 g/d. They have extrapolated body surface area from the ratio of reference weight in each the gender and age groups to reference weight in adult and have set the target amount for each gender and age groups. They have not set the additional amount for pregnant and lactation and they have not set the target amount for child between 1 and 5 years old because it’s difficult to quantify the intake. They don’t ensure the effect of dietary fiber by supplements.

\displaystyle 18.9\ \mathrm{(g/d)}\times [\mathrm{Reference\ Weight\ (kg)}/57.8\ \mathrm{(kg)}]^{0.75}
The Dietary Reference Intakes of Dietary Fiber (g/d) (2015 edition)
Gender Male Female
Age Target Amount Target Amount
0-5 M
6-11 M
1-2
3-5
6-7 ≥ 11 ≥ 10
8-9 ≥ 12 ≥ 12
10-11 ≥ 13 ≥ 13
12-14 ≥ 17 ≥ 16
15-17 ≥ 19 ≥ 17
18-29 ≥ 20 ≥ 18
30-49 ≥ 20 ≥ 18
50-69 ≥ 20 ≥ 18
70- ≥ 19 ≥ 17
Pregnant
Lactation

The Dietary reference Intakes of dietary fiber in 2010 edition is based on the article, Dietary Fiber and Risk of Coronary Heart Disease, in which the reduction of the mortality has been suggested in more than 24 g/d intake group and the increase of mortality has been suggested in less than 12 g/d group. They had set the intermediate value, 18 g/d, as reference. In the National Health and Nutrition Examination Survey in 2005 and 2006, the median intake is 12.3-16.3 g/d in adult male and 11.8-16.1 g/d in adult female, respectively. Then it seems to be determined that the ideal value 24 g/d is not practical for most Japanese.

The Dietary Reference Intakes of Dietary Fiber (g/d) (2010 edition)
Gender Male Female
Age Target Amount Target Amount
0-5 M
6-11 M
1-2
3-5
6-7
8-9
10-11
12-14
15-17
18-29 ≥ 19 ≥ 17
30-49 ≥ 19 ≥ 17
50-69 ≥ 19 ≥ 17
70- ≥ 19 ≥ 17
Pregnant
Lactation

References:
The Dietary Reference Intakes for Japanese (2015 edition) Carbohydrate (pdf)
The Dietary Reference Intakes for Japanese (2010 edition) Carbohydrate (pdf)

食物繊維

DietaryFiber

 食物繊維の摂取不足と生活習慣病との関連の報告は多く,目標量が設定されています.心筋梗塞,脳卒中,循環器疾患,糖尿病,乳がんや胃がんなどです.しかし大腸がんとの関連についての報告は一致していません.日常生活で摂取可能な食物繊維の量と便秘についての関連は明らかではありません.

介入試験によるメタアナリシスでは食物繊維摂取量と血圧, LDL コレステロールおよび空腹時血糖との間に負の相関が示唆されています.

 2015 年版において食物繊維の食事摂取基準を算定するにあたっては理想値と実態とのすり合わせがなされています.平成 22 年および 23 年の国民健康・栄養調査に基づく中央値は 13.7 g/d ですが,プール解析による理想値は 24 g/d です.この中間値が 18.9 g/d であり,成人における参照体重と性別・年令階級ごとの参照体重との比から体表面積を外挿し,性別・年齢階級ごとの目標量としています.妊婦・授乳婦については付加量は算定していません.1 歳から 5 歳の小児については摂取量の評価が困難であり算定していません.サプリメントによる食物繊維の摂取による効果は保証していません.

\displaystyle 18.9\ \mathrm{(g/d)}\times [\mathrm{Reference\ Weight\ (kg)}/57.8\ \mathrm{(kg)}]^{0.75}
食物繊維の食事摂取基準 (g/d)(2015 年版)
性別 男性 女性
年齢 目標量 目標量
0-5 M
6-11 M
1-2
3-5
6-7 ≥ 11 ≥ 10
8-9 ≥ 12 ≥ 12
10-11 ≥ 13 ≥ 13
12-14 ≥ 17 ≥ 16
15-17 ≥ 19 ≥ 17
18-29 ≥ 20 ≥ 18
30-49 ≥ 20 ≥ 18
50-69 ≥ 20 ≥ 18
70- ≥ 19 ≥ 17
妊婦
授乳婦

 2010 年版における食物繊維の食事摂取基準を算定する根拠となったのは Dietary Fiber and Risk of Coronary Heart Disease という論文ですが,ここで摂取量 24 g/d 以上で死亡率の低下,摂取量 12 g/d 未満で死亡率の上昇が観察されており,その中間値の 18 g/d を基準としています.平成17年および18年の国民健康・栄養調査では成人の摂取量の中央値は男性 12.3-16.3 g/d, 女性 11.8-16.1 g/d であり 24 g/d は現実的でないと判断されたものと推測されます.

食物繊維の食事摂取基準 (g/d)(2010 年版)
性別 男性 女性
年齢 目標量 目標量
0-5 M
6-11 M
1-2
3-5
6-7
8-9
10-11
12-14
15-17
18-29 ≥ 19 ≥ 17
30-49 ≥ 19 ≥ 17
50-69 ≥ 19 ≥ 17
70- ≥ 19 ≥ 17
妊婦
授乳婦

参照:
日本人の食事摂取基準(2015 年版)炭水化物 (pdf)
日本人の食事摂取基準(2010 年版)炭水化物 (pdf)