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Nutrition's Unsung Hero Is Having a Moment
With protein dominating the nutrition spotlight, fibre is finally getting overdue attention. Fibre does far more than support regularity. It can help lower cholesterol, reduce blood glucose spikes, nourish healthy gut bacteria, moderate appetite, and support long-term colon health.
Unlike most nutrients, fibre passes through the digestive tract largely undigested. Insoluble fibres found in vegetables, nuts, and whole grains help with regularity. Soluble fibres, like psyllium, oats, chia, and legumes, help stabilize blood glucose and cholesterol. Fermentable fibres, including resistant starches and inulin, feed gut bacteria, producing compounds like butyrate. These appear important for gut lining integrity, inflammation regulation, and overall metabolic health.
Fibre plays a role in four main areas. Let's break it down...
1) Weight management: High-fibre meals slow digestion and increase fullness, which can lead to weight loss. A meta-analysis of 62 randomized controlled trials found that viscous fibre added to an unrestricted diet produced a modest average weight loss (about 0.7 lbs), with greater effects seen in overweight individuals and those with diabetes. Effects were larger alongside calorie restriction (about 1.8 lbs of weight loss). In overweight and obese adults, soluble fibre supplementation has been associated with about 5.5 lbs of weight loss over 2–17 weeks, though results vary considerably between studies.
2) Blood glucose control: Consuming viscous fibre before or with a carb-heavy meal can blunt post-meal glucose spikes and reduce insulin demand.. We regularly observe this effect with continuous glucose monitoring. A meta-analysis of randomized controlled trials in people with type 2 diabetes, found that soluble fibre supplementation reduced HbA1c levels by approximately 0.5–0.6%. It is thought that a daily dose of about 7.5–8.5 g of soluble fibre is enough to trigger a glycemic benefit.
3) Cholesterol management: Soluble fibres can lower LDL cholesterol by binding bile acids in the gut, forcing the liver to use circulating cholesterol to make more bile acids. A large meta-analysis of 181 randomized controlled trials found that every 5g/day increase in soluble fibre was associated with a reduction in LDL cholesterol of approximately 0.14 mmol/L. Psyllium at a median dose of about 10 g/day reduced LDL cholesterol by about 0.33 mmol/L.
4) Colorectal cancer prevention: Butyrate produced from fermentable fibre may help protect colon health. Viscous fibres can also bind potentially harmful bile acids. A meta-analysis estimated a 10% reduction in colorectal cancer risk per 10 g/day increase in total dietary fibre. However, this was based on observational studies, so we can’t fully separate fibre from other healthy lifestyle factors. Randomized trials of fibre supplements have not shown a similar reduction in cancer risk. The American Cancer Society recommends consuming fibre from whole plant foods rather than supplements for cancer prevention.
Individuals tolerate fibre differently; more is not always better. For example, those with irritable bowel syndrome or FODMAP intolerance (difficulty digesting certain types of carbs) may experience gas, bloating, and abdominal discomfort from foods like beans, onions, and apples. These individuals may tolerate psyllium or resistant starches from cooled rice or potatoes more easily. Increasing fibre gradually and staying well hydrated can improve tolerance.
Note that viscous fibres can delay the absorption of certain medications, so it's important to consult your doctor about timing if you take fibre supplements alongside prescription drugs.
Current recommendations put adequate intake at 25 g/day for women and 38 g/day for men, though most people consume far less. A major Lancet review found that the greatest health benefits were seen at intakes of at least 25–29 g per day, with data suggesting additional benefits at higher intakes.
Here are some simple strategies to increase fibre intake:
- Add chia or flax to yogurt or oatmeal
- Include beans or lentils a few times per week
- Eat berries, apples, pears, and avocado more regularly
- Snack on nuts and seeds or add to salads
- Try overnight oats or cooled potatoes/rice for resistant starch
Different plants feed different gut bacteria, so variety is important. A good target is to eat30+ plant varieties a week. Fibre consumption may be one of nutrition’s simplest high-reward habits.