Les fibres alimentaires contre l’arthrose : quels éléments de preuve ?

Therapeutic Benefits and Dietary Restrictions of Fiber Intake: A State of the Art Review

Throughout history, malnutrition and deficiency diseases have been a problem for our planet’s population. A balanced diet significantly influences everyone’s health, and fiber intake appears to play a more important role than previously thought. The natural dietary fibers are a category of carbohydrates in the constitution of plants that are not completely digested in the human intestine. High-fiber foods, such as fruits, vegetables and whole grains, have consistently been highly beneficial to health and effectively reduced the risk of disease. Although the mode of action of dietary fiber in the consumer body is not fully understood, nutritionists and health professionals unanimously recognize the therapeutic benefits. This paper presents the fiber consumption in different countries, the metabolism of fiber and the range of health benefits associated with fiber intake. In addition, the influence of fiber intake on the intestinal microbiome, metabolic diseases (obesity and diabetes), neurological aspects, cardiovascular diseases, autoimmune diseases and cancer prevention are discussed. Finally, dietary restrictions and excess fiber are addressed, which can cause episodes of diarrhea and dehydration and increase the likelihood of bloating and flatulence or even bowel obstruction. However, extensive studies are needed regarding the composition and required amount of fiber in relation to the metabolism of saprotrophic microorganisms from the enteral level and the benefits of the various pathologies with which they can be correlated.

Health risk assessment of heavy metals exposure via consumption of crops grown in phosphogypsum-contaminated soils

The management of phosphogypsum (PG) heap, located south of the Sfax city in Tunisia, has been going on for decades. But dumping this solid waste still poses environmental problems. Even though valorized as amendment to agriculture soils, the sanitary impact of this practice is not seriously considered. To assess the risk of the transference of contaminants from PG to agricultural soil-plants food chain, a wild plant species Salicornia arabica grown in PG-contaminated field and tomato (Lycopersicon esculentum) and oat (Avena sativa) grown in laboratory using different rates (10, 20 and 30%) of PG amendment, were tested. The cadmium, lead, chromium, nickel, copper and zinc concentrations in soils and plants were determined by atomic absorption spectrometry and by inductively coupled plasma-mass spectrometry, respectively. Measurements showed that Ni, Cu and Pb levels in the amended soils were below international standards except for Cd and Cr which exceeded Chinese, FAO/WHO and European allowable standard limits. Gathered results showed that the more the PG rate increases, the more the bioconcentration factors of heavy metals increased in plants, particularly in the roots. This is a prospective study assuming direct or indirect exposure scenario of different human cohorts by consuming varied common food stuffs. The Human Exposure to Soil Pollutants evaluation and United State Environment Protection Agency models were adopted for the hazard quotient calculation to assess the acceptability of sanitary risk related to each metal. The direct and indirect health risk assessments varied in the decreasing order: children, adolescents and then adults. Therefore, the PG amendment must not exceed the rate of 10%.