Summary
Dietary fibre is a heterogeneous group of substances which have only one common characteristic: the non-digestability in the small bowel. With one exception all fibres are carbohydrates (poly- or disaccharides). Some fibres are water-soluble, others are unsoluble. This property is associated with physiological effects. Soluble (viscous) fibres can bind water and thus form hydrocolloids or gels, unsoluble ones cannot. Dietary fibres play an essential role in the physiology of the gastrointestinal tract. They modify the absorption of nutrients (particularly carbohydrates and lipids) in the small bowel. They accelerate the gut transit time and determine stool composition and quantity. They are the main nutritional source for the colonic microflora. During the bacterial fermentation short-chain fatty acids are formed which are essential for nutrition and integrity of the colonocytes and for colonic function. Moreover gases, detoxicating enzymes, antioxidants and carcinogen-inactivating compounds arise. The most important fibres are cellulose, hemicellulose, pectin, guar, psyllium, β-glucan, Klason lignin and digestion-resistant starch; they are present in varying amounts in plant foods and in fibre preparations. The usual daily intake of dietary fibre in Europe and the USA amounts to only 15–20g, while health authorities and nutrition societies recommend a reference value of at least 30 g. Dietary fibres are applied as food-integrated, as supplement and as purified substances.
Zusammenfassung
Ballaststoffe sind eine heterogene Gruppe von Substanzen, die nur eine Eigenschaft gemeinsam haben: die Nicht-Verdaulichkeit im Dünndarm. Mit einer Ausnahme sind alle Ballaststoffe Kohlenhydrate vom Typ der Poly- oder Oligosaccharide. Einige Ballaststoffe sind wasserlöslich, die anderen unlöslich. Dieses Kriterium korreliert mit ihrer physiologischen Wirkung. Lösliche (visköse) Ballaststoffe haben im Gegensatz zu den unlöslichen die Fähigkeit zu quellen und Hydrokolloide oder Gele zu bilden. Ballaststoffe spielen eine wesentliche Rolle in der Physiologie des Gastrointestinaltrakts. Sie modifizieren die Absorption von Nährstoffen (besonders Kohlenhydraten und Fetten) im Dünndarm. Sie beschleunigen die Darmpassage und bestimmen die Zusammensetzung und Quantität der Faeces. Sie stellen das hauptsächliche Nahrungssubstrat für die Colonflora dar. Bei ihrer Verwertung durch die Darmbakterien (Fermentation) kommt es zu bedeutsamen symbiotischen Effekten: Es werden kurzkettige Fettsäuren, die das Colonepithel ernähren und das Fließgleichgewicht von Zellbildung und_-elimination steuern, gebildet. Außerdem entstehen Gase, entgiftende Enzyme, Antioxidantien und carcinogen-inaktivierende Stoffe. Die wesentlichen Ballaststoff-Substanzen sind Cellulose, Hemicellulose, Pektin, Guar, Lignin und verdauungsresistente Stärke; sie kommen in unterschiedlichem Gehalt in pflanzlichen Lebensmitteln und in Ballaststoffpräparaten vor. Der durchschnittliche Ballaststoffkonsum in Europa und den USA liegt heute mit 15–20 g weit unter dem von den Fachgesellschaften empfohlenen Richtwert von mindestens 30g/Tag. Ballaststoffe werden in drei Applikationsformen — als komplexes Lebensmittel, als angereichertes Präparat und als isolierte Substanzen — eingesetzt.
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Literatur
Rubner M (1883) Versuche über den Einfluss der Ausmahlung des Weizens auf die Verdaulichkeit beim Menschen. Zeitschr Biol, zit. nach Rubner M: Arch Anat Physiol (1917) 245–372
Somogyi JC (1980) Einführung in die Bedeutung und Problematik von Nahrungsballaststoffen. In: Rottka H (Hrsg) Pflanzenfasern-Ballaststoffe in der menschlichen Ernährung. Thieme, Stuttgart New York, S 1–9
Feldheim W (1989) Verwertbare und nicht verwertbare Kohlenhydrate — Definition und chemische Bestimmungsverfahren. Ermähr Umschau 36: 40–44
Aldoori WH (1997) The protective role of dietary fiber in diverticular disease. In: Kritchevsky D, Bonfield C (eds) Dietary fiber in health an disease. Plenum Press, New York, pp 291–308
Burkitt DP, Trowell HC (eds) (1975) Refined carbohydrate foods and disease. Academic Press, London
Trowell HC (1972) Ischaemic heart disease and dietary fiber. Am J Clin Nutr 25: 926–932
Deutsche, Oesterreichische, Schweizerische Gesellschaften für Ernährung (2000) Referenzwerte für die Nährstoffzufuhr. Umschau-Braus, Frankfurt
AAAC report (2001) The definition of dietary fiber. Cereal Foods World 46: 112–125
National Academy of Sciences, Panel on the definition of dietary fiber and the standing committee on the scientific evaluation of dietary references intakes (2001) Proposed definition of dietary fiber. National Academies Press, Washington, DC
McCleary BV (2003) Dietary fibre analysis. Proc Nutr Soc 62: 3–9
Eisenbrand G, Schreier P (Hrsg) (1995) Roempp Lexikon Lebensmittelchemie, Thieme, Stuttgart New York
Fugmann B, Lang-Fugmann S, Steglich W (Hrsg) (1997) Roempp Lexikon Naturstoffe. Thieme, Stuttgart New York
Zapasalis C, Beck RA (1986) Food chemistry and nutritional biochemistry. Wiley, New York
Edwards CA, Rowland IR (1992) Bacterial fermentation in the colon and its measurement. In: Schweizer TF, Edwards CA (eds) Dietary fibre — a component of food. Nutritional function in health and disease. Springer, London, pp 118–136
Wrick KL, Robertson JB, Van Soest PJ, Lewis BA, Rivers, JM, Roe DA, et al (1983) The influence of dietary fiber source on human intestinal transit and stool output, J Nutr 113: 1464–1479
Thomas B (1980) Definition, Zusammensetzung und Eigenschaften von Ballaststoffen. In: Rottka H (Hrsg) Pflanzenfasern-Ballaststoffe in der menschlichen Ernährung. Thieme, Stuttgart New York, S 10–19
Ferguson LR, Chavan RR, Harris PJ (2001) Changing concepts of dietary fiber: implications for carcinogenesis. Nutr Cancer 39: 155–169
Ha MA, Jarvis MC, Mann JI (2000) A definition for dietary fibre. Eur J Clin Nutr 54: 861–864
Topping DL, Clifton PM (2001) Short chain fatty acids and human colonic function: roles of resistant starch and nonstarch polysaccharides. Physiol Rev 81: 1031–1064
Würsch P, Pi-Sunyer FX (1997) The role of viscous soluble fiber in the metabolic control of diabetes. Diab Care 20: 1774–1780
Tomlin J, Read NW (1988) The relation between bacterial degradation of viscous polysaccharides and stool output in human beings. Br J Nutr 60: 467–475
Rigaud D, Paycha F, Meulemans A, Merrouche M, Mignon M (1998) Effect of psyllium on gastric emptying, hunger feeling and food intake in normal volunteers: a double blind study. Eur J Clin Nutr 52: 239–245
Flamm G, Glinsmann W, Kritchevsky D, Prosky L, Roberfroid M (2001) Inulin and oligofructose as dietary fiber: a review of the evidence. Crit Rev Food Sci Nutr 41: 353–362
Rubner M (1917) Die Verwertung aufgeschlossenen Strohs für die Ernährung des Menschens. Arch Anat Physiol 74–88
Cummings JH, Englyst HN (1989) Measurement of starch fermentation in the human large intestine. Canad J Physiol Pharmacol 69: 121–129
Kasper H (2000) Ernährungsmedizin und Diätetik. Urban und Fischer, München Jena
Cummings JH, Beatty ER, Kingman SM, Bingham SA, Englyst NH (1996) Digestion and physiological properties of resistant starch in human large bowel. Br J Nutr 75: 733–747
Hylla S, Gostner A, Dusel G, Anger H, Bartram HP, Christl SU, et al (1998) Effect of resistant starch on the colon in healthy volumteers: possible implications for cancer prevention, Am J Clin Nutr 67: 136–142
Goodlad RA, Englyst HN (2001) Redefining dietary fibre: potentially a recipe for diseaster, Lancet 358: 1833–1834
Wasan H, Goodlad RA (1996) Fibre-supplemented foods may damage your health, Lancet 348: 319–320
Salminen S, Bouley C, Bourtron-Ruault MC, Cummings JH, Franck A, Gibson GR, et al (1998) Functional food science and gastrointestinal physiology and function. Br J Nutr 80 [Suppl 1]: 147–171
Leitzmann C, Müller C, Michel P, Brehme U, Hahn A, Laube H (2003) Ernährung in Prävention und Therapie. Hippokrates, Stuttgart
Morris, ER (1992) Physico-chemical properties of food polysaccharides. In: Schweizer TF, Edwards CA (eds) Dietary fibre — a component of food. Nutritional function in health and disease. Springer, London, pp 41–56
Thibault JF, Lahaye M, Guillon F (1992) Physico-chemical properties of food plant cell walls. In: Schweizer TF, Edwards CA (eds) Dietary fibre — a component of food. Nutritional function in health and disease. Springer, London, pp 21–34
Nyman EM (2003) Importance of processing for physicochemical and physiological properties of dietary fibre. Proc Nutr Soc 62: 187–192
Pechanek U, Pfannhauser W (1991) Beispiele für den Ballastsoffgehalt in Lebensmitteln heute. Z Ges Inn Med 46: 486–490
Pospisil E (1987) Lösliche und unlösliche Ballaststoffe. Fortschr Med 105: 675–677
Lairon D, Bertrais S, Vincent S, Arnault N, Galan P, Boutron MC, et al (2003) Dietary fibre in take and clinical indices in the French supplementation en vitamines et mineraux antioxydants adult cohort. Proc Nutr Soc 62: 11–15
Lanza E, Jones DY, Block G, Kessler L (1987) Dietary fiber intake in the US population. Am J Clin Nutr 46: 790–797
Howarth NC, Saltzman E, Roberts SB (2001) Dietary fiber and weight regulation. Nutr Rev 59: 129–139
Hulshof KF, Brussard JH, Kruizinga AG, Telman J, Lowik MR (2003) Socio-economic status, dietary intake and 10 y trends. The Dutch National Food Consumption Survey. Eur J Clin 57: 128–137
Dror Y, Berner YN, Stern F, Polyak Z (2002) Dietary intake analysis in institutionalized elderly: a focus on nutrient density. J Nutr Health Aging 6: 237–242
Edwards CA, Parrett AM (2003) Dietary fibre in infancy and childhood. Proc Nutr Soc 62: 17–23
National Academy of Sciences, Food and Nutrition Board, Institute for Medicine (2002) Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids (macronutrients). National Academies Press, Washington DC
Monnier L (1985) Intérêt des fibres alimentaires en thérapeutique gastroenterologique et nutritionelle. Ann Med Interne 136: 677–681
Marlett JA, Cheung TF (1997) Database and quick methods of assessing typical dietary fiber intakes using data for 228 commonly consumed foods. J Am Diet Ass 97: 1130–1149
Wisker E, Rabe E, Metzner C, Feldheim W (1999) Zur Wirksamkeit von Leinsamen. Ernähr Umschau 46: 76–81
Burkitt DP, Walker AR, Painter NS (1972) Effect of dietary fibre on stools and transit times, and its role in the causation of disease. Lancet 2: 1408–1411
Corinaldesi R, Stanghellini V, Bocci G, Galassi A, Pratico A, Migliolo M (1982) Dietary fibers and intestinal transit times. Curr Ther Res 31: 173–180
Cummings JH, Branch W, Jenkins DJ, Southgate DA, Houston H, James WP (1978) Colonic response to dietary fibre from carrot, cabbage, apple, bran and guar gum. Lancet 1: 5–9
Davies GJ, Crowder M, Reid B, Dickerson JW (1986) Bowel function measurements of individuals with different eating patterns. Gut 27: 164–169
Hamberg O, Rumessen JJ, Gudmand-Hoyer E (1989) Inhibition of starch absorption by dietary fibre. A comparative study of wheat-bran, sugar-beet fibre and pea fibre. Scand J Gastroenterol 24: 103–109
Schmidt RF, Thews G, Lang F (2000) Physiologie des Menschen, 28, Aufl. Springer, Berlin Heidelberg New York Tokyo
Vincent R, Roberts A, Frier M, Perkins AC, Macdonald JA, Spiller RC (1995) Effect of bran particel size on gastric emptying and small bowel transit in humans: a scintigraphic study. Gut 37: 216–219
DiLorenzo C, Williams CM, Hajnal F, Valenzuela JE (1988) Pectin delays gastric emptying and increases satiety in obese subjects. Gastroenterology 95: 1211–1215
Schwartz SE, Levine RA, Singh A, Scheidecker JR, Track NS (1982) Sustained pectin ingestion delays gastric emptying. Gastroenterology 83: 812–817
Stephen AM, Cummings JH (1980) Mechanism of action of dietary fibre in the human colon. Nature 284: 283–284
Tomlin J, Read NW (1988) Laxative properties of indigestible plastic particles. Br Med J 297: 1175–1176
Lupton JR, Morin JL, Robinson MC (1993) Barley bran flour accelerates gastrointestinal transit time. J Am Diet Ass 93: 881–885
Shetty PS, Kurpad MB (1986) Increasing starch intake in the human diet increases fecal bulking. Am J Clin Nutr 43: 210–212
Wisker E, Krumm K; Feldheim W (1986) Einfluss der Partikelgröße von Getreideprodukten auf das Stuhlgewicht von jungen Frauen, Akt Ernähr 11: 208–211
Reddy BS, Engle A, Simi B, Goldman M (1992) Effect of dietary fiber on colonic bacterial enzymes and bile acids in relation to colon cancer. Gastroenterology 102: 1475–1482
Van Nieuwenhoven MA, Kovacs EM, Brummer JR, Westerterp-Plantenga MS, Brouns F (2001) The effect of different dosages of guar gum on gastric emptying and small intestinal transit of consumed semisolid meal. J Am Coll Nutr 20: 87–91
Durrington PN, Manning AP, Boton HC, Hartog M (1976) Effect of pectin on serum lipids and lipoproteins, whole-gut transit time, and stool weight. Lancet 2: 394–396
Eastwood MA, Kirkpatrick JP, Mitchell WD, Bone A, Hamilton T (1973) Effect of dietary supplements with wheat bran and cellulose on feces and bowel function. Br Med J 4: 392–394
Wisker E, Feldheim W (1992) Faecal bulking and energy value of dietary fibre. In: Schweizer TF, Edwards CA, (eds) Dietary fibre — a component of food. Nutritional function in health and disease. Springer, London, pp 233–246
Rubner M (1917) Weitere Untersuchungen zur Verdaulichkeit des mit Säuren aufgeschlossenen Holzmehls. Arch Anat Physiol 19–29
Cummings JH, Macfarlane GT, Englyst HN (2001) Prebiotic digestion and fermentation. Am J Clin Nutr 73: 415S-420S
Heller SN, Hackler LR, Rivers JM, Van Soest PJ, Roe DA, Lewis BA, et al (1980) The effect of particle size of wheat bran on colonic function in young adult men. Am J Clin Nutr 33: 1734–1744
Bengmark S (2001) Pre-, pro- and synbioties. Curr Op Clin Nutr Metab Care 4: 571–579
Read NW, Eastwood MA (1992) Gastro-intestinal physiology and function. In: Schweizer TF, Edwards CA (eds) Dietary fibre — a component of food. Nutritional function in health and disease. Springer, London, pp 102–117
Andoh A, Tsujikawa T, Fujiyama Y (2003) Role of dietary fiber on short chain fatty acids in the colon. Curr Pharm Des 9: 347–358
Scheppach W (1994) Effects of short chain fatty acids on gut morphology and function. Gut [Suppl 1]: S35-S38
Livesay G (1990) Energy values of unavailable carbohydrates and diets: an inquiry and analysis. Am J Clin Nutr 51: 617–637
Cassidy A, Bingham SA, Cummings JH (1994) Starch intake and colorectal cancer risk: an international comparison. Br J Cancer 69: 937–942
Beyer-Sehlmeyer G, Glei M, Hartmann E, Hughes R, Persin C, Bohm V, et al (2003) Butyrate is only one of several growth inhibitors produced during gut flora-mediated fermentation of dietary fibre sources. Br J Nutr 90: 1057–1070
Harris PJ, Ferguson LR (1999) Dietary fibres may protect or enhance carcinogenesis. Mut Res 443: 95–110
Scheppach W, Burghardt W, Bartram P, Kasper H (1990) Addition of dietary fiber to liquid formula diets: the pros and cons. J Parent Ent Nutr 14: 204–209
Homann HH, Kemen M, Fuessenich C, Senkal M, Zumtobel V (1994) Reduction in diarrhea incidence by soluble fiber in patients receiving total or supplemental enteral nutrition. J Par Ent Nutr 18: 486–490
Dormann A, Stehle P, Radziwill R, Löser C, Paul C, Keymling M, et al (2003) DGEM Leitlinie enterale Ernährung: Grundlagen. Aktuel Ernähr Med 28 [Suppl 1]: S26-S35
Glotzer DJ, Glick ME, Goldmann H (1981) Proctitis and colitis following diversion of the fecal stream. Gastroenterology 80: 438–441
Roediger WE (1990) The starved colon — diminished mucocal nutritition, diminished absorption, and colitis. Dis Col Rect 33: 858–862
Goodlad RA, Wright NA (1983) Effect of addition of kaolin or cellulose to an elemental diet on intestinal cell proliferation in the mouse. Br J Nutr 50: 91–98
Brownlee JA, Havler ME, Dettmar PW, Allen A, Pearson JP (2003) Colonic mucus: secretion and turnover in relation to dietary fibre intake. Proc Nutr Soc 62: 245–249
McCullough JS, Ratcliffe B, Mandir N, Carr KE, Goodlad RA (1998) Dietary fibre and intestinal microflora: effects on intestinal morphometry and crypt branching. Gut 42: 799–806
Whiteley LO, Purdon MP, Ridder GM, Bertram TA (1996) The interactions of diet and colonic microflora in regulating colonic mucosal growth. Toxicol Pathol 24: 305–314
Schmidt-Wittig U, Enss ML, Coenen M, Gartner K, Hedrich HJ (1996) Response of rat colonic mucosa to a high fiber diet. Ann Nutr Metab 40: 343–350
Flourié B (1992) The influence of dietary fibre on carbohydrate digestion and absorption. In: Schweizer TF, Edwards CA (eds) Dietary fibre — a component of food, Nutritional function in health and disease. Springer, London, pp 181–196
Johnson IT (1992) The influence of dietary fibre on lipid digestion and absorption. In: Schweizer TF, Edwards CA, (eds) Dietary fibre — a component of food. Nutritional function in health and disease. Springer, London, pp 167–180
Eggum BO (1992) The influence of dietary fibre on protein digestion and utilisation. In: Schweizer TF, Edwards CA (eds) Dietary fibre — a component of food, Nutritional function in health and disease. Springer, London, pp 153–165
Isakson G, Lundquist I, Ihse I (1982) Effect of dietary fiber on pancreate enzyme activity in vitro. The importance of viscosity, pH, ionic strength, adsorption and time of incubation. Gastroenterology 82: 918–924
Dutta SK, Hlasko J (1985) Dietary fiber in pancreatic disease: effect of high fiber diet on fat malabsortion in pancreatic insufficiency and in vitro study of the interaction of dietary fiber with pancreatic enzymes. Am J Clin Nutr 41: 517–525
Dunaif G, Schneemann BO (1981) The effect of dietary fiber on human pancreatic enzyme activity in vitro. Am J Clin Nutr 34: 1034–1035
Hansen WE, Schulz G (1982) The effect of dietary fiber on pancreatic activity in vitro. Hepato-Gastroenterology 29: 157–160
Monnier L, Colette C, Aguirre I, Mirouze J (1980) Evidence and mechanism of pectin-reduced intestinal inorganic iron absorption in idiopathic hemachromatosis. Am J Clin Nutr 33: 1225–1232
Rossander L, Sandberg AS, Sandström B (1992) The influence of dietary fibre on mineral absorption and utilisation. In: Schweizer TF, Edwards CA (eds) Dietary fibre — a component of food. Nutritional function in health and disease. Springer, London, pp 197–216
Hagander B, Asp NG, Efendic S, Nilsson-Ehle P, Lundquist I, Schersten B (1986) Reduced glycemic response to beet-fibre meal in non-insulin dependent diabetics and its relation to plasma levels of pancreatic and gastrointestinal hormones. Diabet Res 3: 91–96
Hagander B, Holm J, Asp NG, Efendic S, Lundquist J, Nilsson-Ehle P, et al (1986) Metabolic response to beet fibre test meals. J Hum Nutr Diabet 1: 239–246
Bourdon I, Olson B, Backus R, Richter BD, Davis PA, Schneemann BO (2001) Beans, as a source of dietary fiber, increase cholecystokinin and apolipoprotein B 48 response to test meals in men. J Nutr 131: 1485–1490
Flourié, B, Vidon N, Chayvialle JA, Palma R, Bernier JJ (1985) Effect of increased amounts of pectin on a solid-liquid meal digestion in healthy men. Am J Clin Nutr 42: 495–503
Piche T, de Varannes SB, Sacher-Huvelin S, Holsst JJ, Cuber C, Galmiche JP (2003) Colonic fermentation influences lower esophageal sphincter function in gastroesophageal reflux disease. Gastroenterology 124: 894–902
Nagengast FM (1992) Dietary fibre and bile acid metabolism. In: Schweizer TF, Edwards CA (eds) Dietary fibre — a component of food. Nutritional function in health and disease. Springer, London, pp 217–231
Story JA, Furomoto EJ, Buhmann KK (1997) Dietary fiber and bile acid metabolism — an update. In: Kritchevsky D, Bonfield C (eds) Dietary fiber in health and disease. Plenum Press, New York London, pp 259–266
Adiotomre J, Eastwood MA, Edwards CA, Brydon WG (1990) Dietary fibre: in vitro methods that anticipate nutrition and metabolic activity in humans. Am Clin Nutr 52: 123–134
Gallaher D, Schneeman BO (1986) Intestinal interaction of bile acids, phopholipids, dietary fibers, and cholestyramine. Am J Physiol 250: G420-G426
Langkilde AM, Anderson H, Bosaeus J (1993) Suger-beet fibre increases cholesterol and reduces bile acid excreation from the small bowel. Br J Nutr 70: 757–766
Christl SU, Bartram HP, Rückert A, Scheppach W, Kasper H (1995) Influence of starch fermentation on bile acid metabolism by colonic bacteria. Nutr Cancer 24: 67–75
Zumarraga L, Levitt MD, Suarez F (1997) Absence of gaseous symptoms during ingestion of commercial fibre preparations. Aliment Pharmacol Therapeut 11: 1067–1072
Cooper SG, Tracey EJ (1989) Small bowel obstruction caused by oat bran bezoar. N Engl J Med 320: 1148–1149
Kang JY, Doe WF (1979) Unprocessed bran causing intestinal obstruction. Br Med J 1: 1249–1250
Trepel F (2004) Ballaststoffe: mehr als ein Diätmittel. II. Präventive und therapeutische Anwendungen. Wien Klin Wochenschr 116 (in Druck)
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Trepel, F. Ballaststoffe: Mehr als ein Diätmittel. Wien Klin Wochenschr 116, 465–476 (2004). https://doi.org/10.1007/BF03040941
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DOI: https://doi.org/10.1007/BF03040941