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|Dr Dhanasekhar KesaveluM.B., MRCPCH, FRCPCH, CCT (UK)
Consultant pediatric gastroenterologist
Apollo Childrens hospital
Shafee Mohammed Road
+91 97911 71468
Introduction to Fibers
The universally accepted definition of dietary fibers “Dietary fiber is a type of carbohydrate that cannot be digested by our bodies enzymes”. Fiber is a very important non-nutrient. Foods rich in fiber improves satiety as it needs more clearing than other foods and it absorbs water and swells in the stomach and gives a feeling of fullness.
The types of fiber that are known are
Fibers have played an important role in the diet of our civilization and finds an inevitable role in all civilizations and all ages. The Indus, Aryan, Iron, Bronze, Neolithic all have quotes and food patterns where dietary fibers find a significant role in the diet.
The chart below quotes the role of fibers and documentation in the past eras.
Metabolism of Fibers
Dietary consumption of carbohydrates consists of absorbable and non-absorbable sugars. The absorbed sugars undergo a different pathway which involves the amylase (pancreatic enzyme) for digestion and conversion in the small intestine.
Let’s see an example of a food that is believed to “cure” or “treat” constipation in the Indian sub-continent: Banana.
Banana is not digested by the small intestine and escapes the “digestion” by Amylase resistant starch and is directly delivered to the colon which leads to formation of ‘SCFA” and also gives a trophic effect, with increased absorption of Increase salt, water absorption
Below are well known benefits of dietary fibers:
The Current Food Era
Most recently, nutrition has garnered prominent attention and commercially available foods have a label affixed on the top to highlight the nutritional value.
Fibers are also ‘highlighted” alongside sugars, protein, vitamins etc. The ‘FSSAI” has emphasized the labelling of foods to raise consumer awareness.
What should I know as a clinician-value of dietary fibers!
Daily Recommended Intake of Fiber by Age and Gender (age+5)
|Male & Female||19|
|Male & Female||25|
Scientific evidence for constipation
Let’s look at the review
Multiple studies have emphasized the role of fibers in primarily childhood constipation and various functional gastrointestinal disorders.
Diet and Fibers
The following are foods that are rich in fiber
A sample food list is given below for various meals of the day
Lunch sample menu
Snack sample menu
Dinner sample menu
The use of dietary fibers in clinical practice is expanding and the clinician has been enriched in the wider uses are yet to be discovered. The use of dietary fibers cannot be ruled out and they are here to stay for long term. Dietary fibers are safe with few or no side effects and they form a vital role in non-pharmacological treatment.
By:- Dr. Anuradha Khadilkar and Dr. Vaman Khadilkar HCJMRI, Jehangir Hospital, Pune
Calcium and vitamin D are critical for musculosketal health. One of the main actions of Vitamin D is for the absorption of calcium. The calcium that is absorbed is deposited in bones;
Dual protein combinations containing a blend of soy and dairy proteins (whey and casein) have sufficient essential amino acid content, various digestion rates and longer aminoacidemia compared to single protein isolates to offer unique advantage to health.
It is a well known fact that children are a vulnerable segment of population and also very susceptible to morbidity due to infections. Various short term and long term health outcomes are associated with under-nutrition such as impaired immune
Optimal nutrition intake is necessary for normal brain development.1 According to the UNICEF, the years from conception through birth till the age of eight years is a critical period for complete and healthy cognitive, emotional and physical growth of children.
Dr. Meghna Chawla DNB (Paediatrics), Fellowship in Paediatric Endocrinology (UK) Consultant Paediatric and Adolescent Endocrinologist, Ruby Hall Clinic, Pune Assistant Professor and In-charge, Paediatric Endocrine Clinic, SKN Medical College, Maharashtra
Children and adolescents form the backbone of future generations and their health and nutrition play a significant role in human resource development. In modern times, children in developing countries are exposed to poverty, unstimulating home environments, malnutrition
The information and references in this article are intended solely for the general information and do not constitute legal or other professional advice on any subject matter. The information contained herein is correct as the date of this document to the best of our knowledge. We suggest that you evaluate any recommendations and suggestions independently. It is based on scientific studies (human, animal, or in vitro), clinical experience, or traditional usage as referred in each article. The results reported may not necessarily occur in all individuals. Self-treatment is not recommended that require medical treatment under a doctor's care.The content of this article is not intended to offer personal medical advice, diagnose health problems or for treatment purposes. It is not a substitute for professional medical advice. Please consult your health care provider for any advice on medications. These articles have been created and curated by Signutra’s medical team and are property of the Company. Copyright of these articles vests with Company.