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Dietary Bran Fibre Increases Cancer Risk
Part 3: Other adverse effects from fibre
Tests into the supposed benefits of increasing dietary intake of fibre soon
showed that there
could be other harmful side-effects:
-
Because it is indigestible, bran ferments in the gut and can induce or
exacerbate
flatulence, distension and abdominal pain.
(19)
-
Although it is supposed to travel through the gut at a faster rate, it does not
always do so
and it has been shown to cause blockages.
(20)
-
All the nutrients in food are absorbed through the gut wall and this takes
time. It should
be obvious, therefore, that if the food travels through faster, less will be
absorbed. And,
indeed, this is the case. Fibre is found to inhibit the absorption of zinc,
(21)
iron, calcium,
phosphorus, magnesium, energy, proteins, fats and vitamins A, D, E and K.
(22)
-
Phytate associated with cereal fibre (bran) also binds with calcium, iron,
(23)
and zinc,
(24)
causing malabsorption. For example, subjects absorbed more iron from white
bread than from
wholemeal bread even though their intakes of iron were fifty percent higher
with the
wholemeal bread.
(25)
Also, while white bread must have added calcium, the law does not
require it of wholemeal bread.
-
Bran fibre has also been shown to cause faecal losses,
(26)
and negative balances of
calcium,
(27)
iron, zinc, phosphorus,
(28)
nitrogen, fats, fatty acids and sterols thus depleting the
body of these materials.
(29)
(A negative balance is where more is lost from the body than is
absorbed, i.e. the body's stores are depleted.)
The findings, particularly in sub-paragraphs c. to e. above are a cause for
concern in several
sections of the population who are at considerable risk from eating too much
fibre - and bran
fibre in particular:
-
Post-menopausal women stand a 1 in 2 chance of suffering from osteoporosis
(brittle
bone disease) and 1 in 5 of them will die as a direct result.
(30)
That is twice as many as many
fractures as there were in the 1950s.
(31)
Osteoporosis is caused by a number of things, but it is
basically a calcium deficiency which is at the heart of the disease. Very few
surveys have
concentrated on intake of any nutrient other than calcium and more research is
needed on this
subject. However, as the eating of bran both inhibits the absorption of calcium
from food
and
depletes the body of the calcium it has, is it coincidence that the incidence
of osteoporosis has
increased by about ten percent a year for the past two decades? In England
alone, a fifth of all
orthopaedic beds are now occupied by patients with broken hips and the direct
hospital costs
alone amounted to more than £160,000,000 a year over a decade ago.
(32)
That figure did not
include other breakages, personal costs and, of course, the pain and hardship
brought on by
the disease. Broken bones also require zinc for their repair, and zinc is
another mineral whose
absorption is adversely affected by cereal fibre.
-
Calcium also plays an important role in the processes that keep normal body
cells normal.
Imbalances in these processes can have such adverse consequences as acute
disruption leading
to rapid cell death, and start other processes which lead to the deregulation
we call cancer.
Recent studies have shown that increases in dietary calcium may protect against
cancer of the
colon.
(33)
From this must follow that if calcium is not available because of the amount
of bran
in the diet, the risk of such cancer may be enhanced.
-
Patients with Alzheimer's disease (senile dementia) have been found to have
abnormal
amounts of aluminium in their brains. Tests on the people of Guam and parts of
New Guinea
and Japan, who get the disease at a much younger age, have linked it too with a
lack of
calcium. It is suggested that the lack of calcium causes a hormonal imbalance
which allows
the aluminium to penetrate the brain.
(34)
-
Infants can suffer a similar brain damage if fed soya based baby milk.
(35)
Soya based milk
has a high phytate content which, as we have seen, inhibits the absorption of
some minerals.
(36)
It is believed that a zinc deficiency so caused enhances the uptake and
deposition of
aluminium in the milk.
-
Depression, anorexia,
(37)
low birth weight,
(38)
slow growth,
(39)
mental retardation,
(40)
and
amenorrhoea are also associated with deficiencies of zinc and the first five of
these are also
associated with a deficiency of iron (see below).
-
Vitamin deficiency diseases such as rickets are also increasing. Such diseases
are
common in communities where a nutrient poor, fibre rich diet is consumed, and
rickets was
so common in this country early in the century, that it was called the 'English
disease'. All
such diseases in this country should have been relegated to the past but now
they are on the
increase again.
(41)
Studies of UK Asians, in which the incidence of rickets is high, cite as the
cause the Asians' low-calcium, high-cereal diet.
(42)
-
If there is a large intake of 'anti-nutrients' such as phytate, dietary fibre
and tannins,
which impair the absorption of iron,
(43)
and a low intake of flesh foods (another result of the
diet-heart recommendations), there is a real risk of iron deficiency anaemia.
And sub-optimal
iron nutriture is already found in UK, USA, Canada and South Africa.
(44)
-
Lastly, there is an apparent relation between dietary fibre and reproductive
function in
the female. It affects the onset of menstruation and retards uterine growth.
(45)
Later it is
associated with menstrual dysfunction.
(46)
Although most of the experimental studies conducted using fibre consumption of
30-40g/person/day and with supplements added in the range ten to thirty grams
per day (which are
broadly around the levels recommended) had little adverse effect, tests on
mineral availability
do suggest that excessive consumption would have significant undesirable
effects on mineral
status. It would appear, therefore, that although a modest increase of
vegetable fibre would
probably not have any significant adverse effects, provided that there were
adequate amounts
of proteins, minerals, etc in the diet, any advice must be given in such a way
as to prevent the
excessive intake of phytate associated with cereal fibre (bran). Incidentally,
as a breaker of teeth,
Granary Bread is second only to a punch in the mouth.
References
19.
Editorial. The Bran Wagon.
Lancet
. 1987; i: 782.
20.
Kelsay J L. A review of research on effect of fibre intake on man.
Am J Clin
Nutr
. 1978; (31): 142.
21.
Sandstrom B,
et al.
The effects of vegetables and beet fibre on the absorption of
zinc in humans from composite meals.
Br J Nutr
. 1987; 58 (1): 49.
22.
Kelsay J L. Op cit.
23.
Hallberg L,
et al.
Phytates and the inhibitory effect of bran on iron absorption in
man.
Am J Clin Nutr
. 1987; 45(5): 988.
24.
Turnlund J R,
et al.
A stable isotope study of zinc absorption in young men:
effects of phytate and alpha-cellulose.
Am J Clin Nutr
. 1984; 40: 1071.
25.
Kelsay J L. Op cit.
26.
Stevens J,
et al.
Effect of psyllium gum and wheat bran on spontaneous energy
intake.
Am J Clin Nutr
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27.
Balasubraminian R,
et al.
Effect of wheat bran on bowel function and fecal
calcium in older adults.
J Am Coll Nutr
. 1987; 6(3): 199.
28.
Hallfisch J,
et al.
Mineral balances of men and women consuming high fibre
diets with complex or simple carbohydrate.
J Nutr
. 1987; 117(2): 403.
29.
Kesaniemi Y A, Tarpila S, Miettinen T A. Low vs high dietary fiber and serum,
biliary, and fecal lipids in middle-aged men.
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30.
Fractured neck of femur: prevention and management.
A report of the Royal
College of Physicians, London. 1989.
31.
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30-year period: A study of 2125 fractures.
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1988; 231: 179-82.
32.
Fehily A M. Dietary determinants of bone mass and fracture risk: a review.
J
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34.
BBC. Horizon:
The Poison That Waits
. BBC2 broadcast 16 Jan. 1989.
35.
Bishop N, McGraw M, Ward N. Aluminium in infant formulas.
Lancet
. 1989; i:
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36.
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of tissue deposition in children recovering from malnutrition on cows' milk or a
soya protein based diet.
Am J Clin Nutr
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37.
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Lancet
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38.
Meadows N,
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Lancet
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39.
Lifshitz F,
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. Nutritional dwarfing in adolescents.
Semin Adolesc Med
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3: 255-66.
40.
Lozoff B, Jimenez E, Wolf AW. Long-term developmental outcome of infants
with iron deficiency.
N Eng J Med
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41.
Luk'ianova E M. Diagnosis of vitamin D deficiency rickets.
Pediatriia
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Am J Dis Child
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42.
Clements M R. The problem of rickets in UK Asians.
J Hum Nutr Diet
, 1989; 2:
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43.
Addy D. Happiness is: iron.
Br Med J
. 1986; 292: 969
44.
Bindra G S, Gibson R S. Iron status of predominantly lacto-ovo-vegetarian East
Indian immigrants to Canada: a model approach.
Am J Clin Nutr
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45.
Hughes R E, Johns E. Apparent relation between dietary fibre and reproductive
function in the female.
Ann Hum Biol.
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Hum Nutr Clin Nutr
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46.
Lloyd T,
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