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Nutrients - How Fiber Helps Protect
Against Cancer
You don't usually see it or taste it, but fiber works wonders for your body. Dietary
fiber, or roughage is a known cancer fighter found only in the cell walls of plant foods.1 For years, studies have pointed to the fact that increased fiber
intake decreases the risk of colorectal cancer. This protective effect may be due to
fiber's tendency to add bulk to your digestive system, shortening the amount of time that
wastes travel through the colon.2 As this waste often
contains carcinogens, it is best if it is removed as quickly as possible; so, increased
fiber decreases chances for intestinal cells to be affected. In addition, when bacteria in
the lower intestine break down fiber, a substance called butyrate is produced which may
inhibit the growth of tumors of the colon and rectum.3
Fiber may also help protect against breast cancer, an effect noted especially with
consumption of whole grains and wheat bran.4,5 The fact
that high-fiber diets are often lower in fat may partially explain this benefit of eating
fiber-rich grains, beans, vegetables, and fruits, since dietary fat is believed to
increase the risk of breast cancer. Additionally, studies suggest that high amounts of
fiber may also prevent breast cancer by binding to estrogen. High amounts of estrogen can
be potentially cancer causing. Your liver filters these estrogens out of the blood by
passing them into the digestive tract where fiber escorts them away.6
As such, increased fiber in the diet expedites the removal of potentially harmful excess
estrogens.
Fiber may also have a protective effect against mouth, throat,
and esophageal cancers.7 And, fiber
may be part of the reason that vegetarian diets have been shown
to result in low risk of prostate cancer. Of course, vegetarian
diets are also rich in cancer-protective antioxidants.8
(To learn more about antioxidants, follow these links: carotenoids,
vitamin E, and lycopene.)
Food Sources
If you're like most North Americans, you take in only 10 to 15 grams of fiber per day.
However, most studies have shown that optimal intake for cancer prevention is at least 30
to 35 grams per day.9 Recent studies suggest that small
increases in fiber, such as adding vegetables to a chicken stir-fry or having a hamburger
on a whole wheat bun, do not offer much protection. On the other hand, when we replace
high-fat, animal products such as chicken, fish, cheese, and eggs with plant foods, we
easily boost fiber to levels where real protection is possible.
There are two types of dietary fibersoluble and insoluble.1
Soluble fiber dissolves in water and is found in a variety of fruits, vegetables, legumes,
and grains. It cuts cholesterol, adds to your feeling of fullness, and slows the release
of sugars from food into the blood. These actions reduce your risk for health problems
including heart disease, obesity, and diabetes. Good sources of soluble fiber are oats,
oat bran, oatmeal, apples, citrus fruits, strawberries, dried beans, barley, rye flour,
potatoes, raw cabbage, and pasta.1
As you may have guessed, insoluble fiber does not dissolve in water and is found
in grain brans, fruit pulp, and vegetable peels and skins. It is the type of fiber most
strongly linked to cancer protection and improved waste removal. Good sources of insoluble
fiber are wheat bran, whole wheat products, cereals made from bran or shredded wheat,
crunchy vegetables, barley, grains, whole wheat pasta, and rye flour.1
It is best to choose fiber-rich foods over fiber supplements in order to get the full
range of cancer-fighting phytochemicals ("phyto" means plant so phytochemicals
are simply plant-compounds) that fruits, vegetables, legumes, and grains contain. The
following table shows the fiber content of some common foods. It is not a complete list;
fiber is found in all vegetables, fruits, grains, and legumes.
| Food |
Dietary Fiber |
Soluble |
Insoluble |
| Fruits |
Apple, 1 medium |
2.9 |
0.9 |
2.0 |
| Banana, 1 medium |
2.0 |
0.6 |
1.4 |
| Orange, 1 medium |
2.0 |
1.3 |
0.7 |
| Vegetables |
Broccoli, 1 stalk |
2.7 |
1.3 |
1.4 |
| Carrots, 1 large |
2.9 |
1.3 |
1.6 |
| Corn, 2/3 cup |
1.6 |
0.2 |
1.4 |
| Potato, 1 medium |
1.8 |
1.0 |
0.8 |
| Tomato, 1 small |
0.8 |
0.1 |
0.7 |
| Grains |
All-Bran, 1/2 cup |
9.0 |
1.4 |
7.6 |
| Cornflakes, 1 cup |
0.5 |
0 |
0.5 |
| Macaroni, 1 cup cooked |
0.8 |
0.5 |
0.3 |
| Oat Bran, 1/2 cup |
4.4 |
2.2 |
2.2 |
| Rolled oats, 3/4 cup cooked |
3.0 |
1.3 |
1.7 |
| White bread, 1 slice |
0.4 |
0.3 |
0.1 |
| Whole-wheat bread, 1 slice |
1.4 |
0.3 |
1.1 |
| Legumes |
Green peas, 2/3 cup cooked |
3.9 |
0.6 |
3.3 |
| Kidney beans, 1/2 cup cooked |
6.5 |
1.6 |
4.9 |
| Lentils, 2/3 cup cooked |
4.5 |
0.6 |
3.9 |
| Pinto beans, 1/2 cup cooked |
5.9 |
1.2 |
4.7 |
| Sources: Anderson JW, Bridges SR. Dietary fiber content
of selected foods. Am J Clin Nutr 1988;47:440-7; Pennington JAT. Bowes and Church's Food
Values of Portions Commonly Used. 17th ed. New York: Harper & Row, 1998. |
Tips for Increasing Fiber in Your Diet
- Choose products that are minimally processed, like whole-wheat
bread instead of white bread and brown rice instead of white rice.
- Whenever possible, do not remove the fiber-rich peels and skins
of fruits and vegetables. Just be sure to wash them thoroughly
before eating.
- Plan each of your meals to include whole grains, fruits, vegetables,
and legumes.
- To avoid intestinal discomfort when increasing fiber intake,
it is best to increase gradually and drink plenty of water.
- Snack on baby carrots, apples, strawberries, oranges, and other
fiber-rich fruits and vegetables.
- Top your breakfast cereals with dried fruits like raisins or
dates, or fresh fruits like strawberries or peaches.
- Sprinkle garbanzo beans or peas on your salad.
- Add a handful of grated carrots to spaghetti sauce.
References
1. Tran M. High-Fiber Diet. Gale Encyclopedia of Alternative Medicine 2001.
Retrieved on May 24, 2001, from research database http://www.findarticles.com.
2. Fuchs CS, Giovannucci EL, Colditz GA, et al. Dietary fiber and the risk of
colorectal cancer and adenoma in women. N Engl J Med 1999;340:169-76.
3. Avivi-Green C, Polak-Charcon S, Madar Z, et al. Apoptosis cascade proteins are
regulated in vivo by high intracolonic butyrate concentration: correlation with colon
cancer inhibition. Oncol Res 2000;12:83-95.
4. Ferguson LR, Harris PJ. Protection against cancer by wheat bran: role of dietary
fiber and phytochemicals. Eur J Cancer Prev 1999;8:17-25.
5. Slavin JL, Martini MC, Jacobs DR Jr, et al. Plausible mechanisms for the
protectiveness of whole grains. Am J Clin Nutr 1999;70:459S-63S.
6. Bagga D, Ashley JM, Geffrey SP, et al. Effects of a very low fat, high fiber
diet on serum hormones and menstrual function. Implications for breast cancer prevention.
Cancer 1999;76:2491-6.
7. Soler M, Bosetti C, Franceschi S, et al. Fiber intake and the risk of oral,
pharyngeal and esophageal cancer Int J Cancer 2001;91:283-7.
8. de la Taille A, Katz A, Vacherot F, et al. [Cancer of the prostate: influence of
nutritional factors. A new nutritional approach]. [Article in French] Presse Med 2001 Mar
24;30:561-4.
9. American Dietetic Association. Colorectal cancer (preventative effects of
dietary fiber). J Am Diet Assoc 2001 (Jan). Retrieved May 25, 2001, from the research
database http://www.findarticles.com.
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