In recent years, many health claims have been made about dietary and s
upplemental fiber. However, some reports (eg, those regarding oat bran
) have been controversial. A review of scientifically rigorous studies
shows that fiber has some preventive or therapeutic benefits in irrit
able bowel syndrome, diverticulosis, colorectal cancer. diabetes, and
hypercholesterolemia. However, it appears to have no direct benefit in
patients with inflammatory bowel disease, gallstones, or obesity. The
United States has one of the lowest per capita intakes of fiber in th
e world, Therefore, increasing daily fiber intake either through diet
or with supplements is recommended for most Americans, Consumer intere
st groups should lobby for more fiber-enriched foods. The challenge fo
r education and healthcare professionals alike is to remold the nation
's interest in and understanding of dietary fiber.