Abstract
The most important problem that becomes apparent when discussing the effect of dietary fiber on colonic function is the limited procedures for assessing colonic function. Unlike the measurement of respiratory, cardiac, or renal function in physiology and medicine, no comparable methods exist to assess colon function. The clinician usually asks only if an individual’s bowels move regularly, partly because colon function is so poorly defined. The role of the colon is somewhat belittled, as it is possible to live in good health with an ileostomy, i.e., with the colon totally removed. The ileostomy situation, however, does not sufficiently emphasize the absorptive and functional changes that must occur in the ileum to compensate for the loss of the colon. The functions of the colon (Fig. 1) can be summarized as follows.
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References
Debongnie, J. C., and S. F. Phillips. Capacity of the human colon to absorb fluid. Gastroenterology 74: 698, 1978.
Drasar, B. S., and M. J. Hill. Human Intestinal Flora. London, Academic Press, 1974.
Moxey, P. C. Is the human colon an endocrine organ? Gastroenterology 75: 147, 1978.
Smith, R. L. Excretory Function of Bile. London, Chapman and Hall, 1973.
Norman, A. Faecal excretion products of cholic acid in man. Br. J. Nutr. 18: 173, 1964.
Eastwood, M. A., and R. M. Kay. An hypothesis for the action of dietary fiber along the gastrointestinal tract. Am. J. Clin. Nutr. 32: 364, 1979.
Finegold, S. M., and V. L. Sutter. Fecal flora in different populations, with special reference to diet. Am. J. Clin. Nutr. 31:S116, 1978.
Southgate, D. A. T., B. Bailey, E. Collinson, and A. Walker. A guide to calculating intakes of dietary fibre. J. Hum. Nutr. 30: 303, 1976.
van Soest, P. J., and R. W. McQueen. The chemistry and estimation of fibre. Proc. Nutr. Soc. 32: 123, 1973.
Paul, A. A., and D. A. T. Southgate. McCance and Widdowson’s The Composition of Foods, 4th edition. London, H.M.S.O., 1978.
Kelsay, J. L. A review of research on the effects of fiber on man. Am. J. Clin. Nutr. 31: 142, 1978.
Eastwood, M. A., and W. D. Mitchell. Physical properties of fiber: A biological evaluation. In: Fiber in Human Nutrition, G. A. Spiller and R. J. Amen (eds.). New York, Plenum Press, 1976, p. 109.
Eastwood, M. A. The role of vegetable dietary fibre in human nutrition. Medical Hypotheses 1: 46, 1975.
Southgate, D. A. T. The definition, analysis and properties of dietary fibre. In: Dietary Fibre, Current Developments of Importance to Health, K. W. Heaton (ed.). London, Libbey, 1978, p. 9.
Eastwood, M. A., and J. A. Robertson. The place of dietary fibre in our diet. J. Hum. Nutr. 32: 53, 1978.
Willemse, M. T. M., R. W. den Outer, W. L. H. Veonendaal, F. M. Engels, J. L. van Went, A. C. van Aelst, H. B. Tenklooster, H. J. Wilms, and J. H. N. Schel. Personal communication, 1979.
Ørskov, E. R. The effect of processing on digestion and utilization of cereals by ruminants. Proc. Nutr. Soc. 35: 245, 1976.
Osbourn, D. F., D. E. Beever, and D. J. Thomson. The influence of physical processing on the intake, digestion and utilization of dried herbage. Proc. Nutr. Soc. 35: 191, 1976.
Wyman, J. B., K. W. Heaton, A. P. Manning, and A. C. B. Wicks. The effect on intestinal transit time and the feces of raw and cooked bran in different doses. Am. J. Clin. Nutr. 29: 1474, 1976.
Brodribb, A. J. M., and C. Groves. Effect of bran particle size on stool weight. Gut 19: 60, 1978.
Cummings, J. H., M. J. Hill, D. J. A. Jenkins, J. R. Pearson, and H. S. Wiggins. Changes in fecal composition and colonic function due to cereal fibre. Am. J. Clin. Nutr. 29: 1468, 1976.
Raymond, T. L., W. E. Connor, D. S. Lin, S. Warner, M. M. Fry, and S. L. Connor. The interaction of dietary fibres and cholesterol upon the plasma lipids and lipoproteins, sterol balance, and bowel function in human subjects. J. Clin. Invest. 60: 1429, 1977.
Kelsay, J. L., K. M. Behall, and E. S. Prather. Effect of fibre from fruits and vegetables on metabolic responses of human subjects. 1. Bowel transit time, number of defecations, fecal weight, urinary excretions of energy and nitrogen, and apparent digestibilities of energy, nitrogen and fat. Am. J. Clin. Nutr. 31: 1149, 1978.
Durrington, P. N., C. H. Bolton, A. P. Manning, and M. Hartog. Effect of pectin on serum lipids and lipoproteins, whole gut transit time and stool weight. Lancet 2: 394, 1976.
Kay, R. M., and A. S. Truswell. Effect of citrus pectin on blood lipids and fecal steroid excretion in man. Am. J. Clin. Nutr. 30: 171, 1977.
McLean Baird, I., R. L. Walters, P. S. Davies, M. J. Hill, B. S. Drasar, and D. A. T. Southgate. The effects of two dietary fibre supplements on gastrointestinal transit, stool weight, and frequency, and bacterial flora, and faecal bile acids in normal subjects. Metabolism 26: 117, 1977.
Cummings, J. H., W. Branch, D. J. A. Jenkins, D. A. T. Southgate, H. Houston, and W. P. T. James. Colonic response to dietary fibre from carrot, cabbage, apple, bran, and guar gum. Lancet 1: 5, 1978.
Kay, R. M., and A. S. Truswell. The effect of wheat fibre on plasma lipids and fecal steroid excretion in man. Br. J. Nutr. 37: 227, 1977.
Ismail-Beigi, F., J. G. Reinhold, B. Faraji, and P. Abadi. Effects of cellulose added to diets of low and high fibre content upon the metabolism of calcium, magnesium, zinc and phosphorus by man. J. Nutr. 107: 510, 1977.
Jenkins, D. J. A., M. S. Hill, and J. H. Cummings. Effect of wheat fibre on blood lipids, fecal steroid excretion, and serum iron. Am. J. Clin. Nutr. 28: 1408, 1975.
Maver, H. F., R. M. Ray, G. N. Stemmermann, A. Nomura, and G. A. Glober. Analysis of fecal bile acids and diet among the Japanese in Hawaii. J. Nutr. 108: 1289, 1978.
Fuchs, H. M., S. Dorfman, and M. H. Floch. The effect of dietary fibre supplementation in man. II. Alteration in fecal physiology and bacterial flora. Am. J. Clin. Nutr. 29: 1443, 1976.
International Agency for Research on Cancer—Intestinal Microecology Group. Dietary fibre, transit time, fecal bacteria, steroids and colon cancer in two Scandinavian populations. Lancet 2: 207, 1977.
Rendtorff, R. C., and M. Kashgarian. Stool patterns of healthy adult males. Dis. Colon Rectum 10: 222, 1967.
Wyman, J. B., K. W. Heaton, A. P. Manning, and A. C. B. Wicks. Variability of colonic function in healthy subjects. Gut 19: 146, 1978.
Spiller, G. A., M. C. Cernoff, E. A. Shipley, M. A. Bergher, and G. M. Briggs. Can fecal weight be used to establish a recommended intake of dietary fiber (plantix)? Am. J. Clin. Nutr. 30: 659, 1977.
Exton-Smith, A. N., M. J. Bendall, and F. Kent. A new technique for measuring the consistency of faeces. A report on its application to the assessment of Senokot therapy in the eldery. Age Ageing 4: 58, 1975.
Williams, R. D., and W. H. Olmsted. The effect of cellulose, hemicellulose and lignin on the weight of the stool. A contribution to the study of laxation in man. J. Nutr. 11: 433, 1936.
Floch, M. H., and H. M. Fuchs. Modification of stool content by increased bran intake. Am. J. Clin. Nutr. 31: S185, 1978.
Weinreich, J., O. Pederson, and K. Dinesen. Role of bran in normals. Acta. Med. Scand. 202: 125, 1977.
Pihl, B. G., D. J. Glotzer, and J. F. Patterson. Absorption of medium chain fatty acids by dog colon. J. Appl. Physiol. 21: 1059. 1966.
McNeil, N. I., J. H. Cummings, and W. P. T. James. Short chain fatty acid absorption by the human large bowel. Gut 18: A425, 1977.
McConnell, A. A., M. A. Eastwood, and W. D. Mitchell. Physical characteristics of vegetable foodstuffs that could influence bowel function. J. Sci. Food Agric. 25: 1457, 1974.
Williams, A. E., M. A. Eastwood, and R. Cregeen. SEM and light microscope study of the matrix structure of human feces. Scanning Electron Microsc. 2: 707, 1978.
Bornside, G. H. Stability of human flora. Am. J. Clin. Nutr. 31:S141, 1978.
James, W. P. T., W. J. Branch, and D. A. T. Southgate. Calcium binding by dietary fibre. Lancet 1: 638, 1978.
Ismail-Beigi, F., B. Faraji, and J. G. Reinhold. The binding of zinc and iron to wheat bread, wheat bran, and their components. Am. J. Clin. Nutr. 30: 1721, 1977.
Robertson, J. A., W. G. Brydon, K. Tadesse, P. Wenham, A. Walls, and M. A. Eastwood. The effect of raw carrot on serum lipids and colon function. Am. J. Clin. Nutr. 32: 1889, 1979.
Sandstead, H. H., J. M. Munoz, R. A. Jacob, L. M. Klevay, S. J. Peck, G. M. Logan, F. R. Dintzis, G. E. Inglett, and W. C. Shuey. Influence of dietary fiber on trace element balance. Am. J. Clin. Nutr. 31:S180, 1978.
Story, J. A., and D. Kritchevsky. Dietary fiber and lipid metabolism. In: Fiber in Human Nutrition, G. A. Spiller and R. J. Amen (eds.). New York, Plenum Press, 1976, p. 171.
Eastwood, M., and L. Mowbray. The binding of components of mixed micelle to dietary fiber. Am. J. Clin. Nutr. 29: 1461, 1976.
Eastwood, M. A., R. Anderson, W. D. Mitchell, J. Robertson, and S. Pocock. A method to measure the adsorption of bile salts to vegetable fiber of differing water-holding capacity. J. Nutr. 106: 1429, 1976.
Oakenfull, D. G., and D. E. Fenwick. Adsorption of bile salts from aqueous solution by plant fibre and cholestyramine. Br. J. Nutr. 40: 299, 1978.
Hill, M. J., B. S. Drasar, R. E. O. Williams, T. W. Meade, A. G. Cos, J. E. P. Simpson, and B. C. Morson. Faecal bile acids and Clostridia in patients with cancer of the large bowel. Lancet 1: 535, 1975.
Bentley, D. W., R. L. Nichols, R. E. Condon, and S. L. Gorbach. The microflora of the human ileum and colon. J. Lab. Clin. Med. 79: 421, 1972.
Borriello, P., M. Hudson, and M. Hill. Investigation of the gastrointestinal bacterial flora. Clin. Gastroenterol. 7: 329, 1978.
Moore, W. E., E. P. Cato, and L. V. Holdman. Anaerobic bacteria of the gastrointestinal flora and their occurrence in clinical infections. J. Infect. Dis. 119: 641, 1969.
Bacon, J. S. D. The digestion and metabolism of polysaccharides by man and other animals. J. Plant Foods 3: 27, 1978.
Prins, R. A. Biochemical activities of gut micro-organisms. In: Microbiology of the Gut, R. T. Clarke and T. Bauchop (eds.). New York, Academic Press, 1977, p. 73.
Berg, B. B., B. Van Hofston, and G. Petterson. Electron microscopic observations on the degradation of cellulose fibres by Cellvibro fulvus and Sporocytophaga myxococcoides. J. Appl. Bacteriol. 35: 215, 1972.
Southgate, D. A. T. The chemistry of dietary fiber. In: Fiber in Human Nutrition, G. A. Spiller and R. J. Amen (eds.). New York, Plenum Press, 1976, p. 31.
Cummings, J. H. What is fiber? In: Fiber in Human Nutrition, G. A. Spiller and R. J. Amen (eds.). New York, Plenum Press, 1976, p. 1.
Gorbach, S. L., Z. L. Nahas, P. I. Lerner, and L. Weinstein. Studies of intestinal microflora. I. Effects of diet, age and periodic sampling on numbers of fecal micro-organisms in man. Gastroenterology 53: 845, 1967.
Borriello, P., B. Drasar, and A. Tomkins. Diet and fecal flora. A comparison of rural northern Nigeria and London. Proc. Nutr. Soc. 37: 40A, 1978.
Gray, T., and H. Gest. Biological formation of molecular hydrogen. Science 14: 186, 1965.
Hungate, R. E. Microbial activities related to mammalian digestion and absorption of food. In: Fiber in Human Nutrition, G. A. Spiller and R. J. Amen (eds.). Plenum Press, New York, 1976, p. 131.
Cummings, J. H. Dietary fibre and colon function. J. R. Soc. Med. 71: 81, 1978.
Clark, R. T. J. The gut and its micro-organisms. In: Microbial Ecology of the Gut, R. T. Clarke and T. Bauchop (eds.). New York, Academic Press, 1977, p. 36.
Nottingham, P. M., and R. E. Hungate. Isolation of methanogenic bacteria from feces of man. J. Bacteriol. 96: 2178, 1968.
Hickey, C. A., D. H. Calloway, and E. L. Murphy. Intestinal gas production following ingestion of fruits and fruit juices. Am. J. Dig. Dis. 17: 383, 1972.
Calloway, D. H. Gas in the alimentary canal. In: Handbook of Physiology. Alimentary Canal, C. F. Code (ed.). Washington, American Physiological Society, 1969, p. 2839.
Calloway, D. H., and E. L. Murphy. The use of expired air to measure intestinal gas formation. Ann. NY Acad. Sci. 150: 82, 1968.
Bond, J. H., and M. D. Levitt. Use of pulmonary hydrogen (H2) measurements to quantitate carbohydrate absorption. J. Clin. Invest. 51: 1219, 1974.
Tadesse, K., A. Smith, W. G. Brydon, and M. A. Eastwood. Gas chromatographic technique for combined measurement of hydrogen and methane using thermal conductivity detector. J. Chromatogr. 171: 416, 1979.
Tadesse, K., and M. A. Eastwood. Metabolism of dietary fibre components in man assessed by breath hydrogen and methane. Br. J. Nutr. 40: 393, 1978.
Levitt, M. D., and J. H. Bond. Volume, composition and source of intestinal gas. Gastroenterology 59: 921, 1970.
Hungate, R. E. Interrelationships in rumen microbiota. In: Physiology and Digestion and Metabolism in the Ruminant, A. T. Phillipson (ed.). Newcastle upon Tyne, Onel Press, 1970, pp. 292–305.
Steggerda, F. R., W. C. Clarke, and I. E. Danhof. Motility and tone of the human colon at various simulated altitudes. J. Aviation Med. 26: 189, 1955.
Wicks, A. C. B., J. Yeates, and K. W. Heaton. Bran and bile: Time course of changes in normal young men given a standard dose. Scand. J. Gastroenterol. 13: 289, 1978.
Martelli, H., G. Devroede, P. Arhan, C. Dugnay, C. Domic, and C. Faverdin. Some parameters of large bowel motility in normal man. Gastroenterology 75: 612, 1978.
Kern, F., H. J. Birkner, and V. S. Ostrover. Binding of bile acids by dietary fiber. Am. J. Clin. Nutr. 31:S175, 1978.
Glober, G. A., A. Nomura, S. Kamiyama, A. Shimada, and B. C. Abba. Bowel transit time and stool weight in populations with different colon cancer risks. Lancet 2: 110, 1977.
Manousos, O. N., A. Nicolaon, A. Zografos, D. Trichopoulos, and G. Merikas. Intestinal transit in rural and urban population of Greece. Digestion 15: 77, 1977.
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Eastwood, M.A., Brydon, W.C., Tadesse, K. (1980). Effect of Fiber on Colon Function. In: Spiller, G.A., Kay, R.M. (eds) Medical Aspects of Dietary Fiber. Topics in Gastroenterology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-9176-4_1
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