High-fibre diet linked to lower death risk after heart attack

In a large US study of men and women with a heart attack in their past, those who had upped their fibre intake the most afterwards had the lowest risk of death.
The pattern held true even after researchers accounted for medications that lower cholesterol, suggesting it’s important not to rely just on drugs to cut future risks, the authors said.
“There are additional benefits that come from eating healthy,” said Shanshan Li, the study’s lead author and an epidemiologist at the Harvard School of Public Health in Boston.
Diet plays an important role in the development of heart and artery disease, Li and her co-authors write in the journal BMJ, but little is known about the difference dietary fibre might make after a heart attack.
The researchers analysed data from the Nurses’ Health Study and the Health Professionals Follow-up Study, two long-term studies that follow the health and risk factors of women and men across the United States.
At the beginning of the study period the 2,258 women and 1,840 men included in the analysis had survived a first heart attack and had never had a stroke. Before and after their heart attacks, all participants had filled out questionnaires about how often they ate common foods over the previous year, ranking them from “never” to “six or more times per day”.
Researchers used this information to calculate total fibre intake and kept track of whether each participant’s fibre came from grains, fruits or vegetables.
Participants were followed for a median of about nine years; in that time, 336 women and 451 men died from heart disease-related causes, such as a second heart attack, clogged arteries in the heart and stroke. A total of 682 women and 451 men died of any cause.
The study also took into account factors that could by themselves affect mortality, such as weight, exercise and taking medicines to lower cholesterol.
Li and her team found that for every 10-gramme increase in total fibre intake, the risk of death from any cause dropped by 15 percent. The recommended daily fibre intake for women is 25 grammes and 38 grammes for men. The authors point out that only fibre from grains, including cereals, was linked to lowered risk, and a high intake of this type of fibre was associated with a 28 percent lower risk of death compared to people who ate the least fibre. Notably, the amount of fibre participants ate regularly before the first heart attack was not related to the odds of dying later. However, the more a person boosted fibre intake after the heart attack, the lower their risk of death. 

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