AUTHOR=Zhang Hao , Lin Zhibin , Chen Jun , Gan Daojing , Zhou Haobin , Ma Zhuang , Zeng Xianghui , Xue Yuting , Wang Xiao , Zhan Qiong , Zeng Qingchun , Xu Dingli 

TITLE=Association Between Dietary Fiber Intake and Heart Failure Among Adults: National Health and Nutrition Examination Survey 2009–2018

JOURNAL=Frontiers in Cardiovascular Medicine

VOLUME=Volume 9 - 2022

YEAR=2022

URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2022.893436

DOI=10.3389/fcvm.2022.893436

ISSN=2297-055X

ABSTRACT=Objective: To explore the association between dietary fiber and heart failure (HF).
Methods: Data were collected from the 2009–2018 National Health and Nutrition Examination Survey (NHANES). Dietary fiber intake data was obtained from two 24-h dietary recall interviews. Logistic regression and restricted cubic spline models were used to explore the association of dietary intakes of total, cereal, fruit, and vegetable fiber with HF prevalence.
Results: A total of 21869 adults were included in this study. After adjusting for multiple confounding factors, the odds ratios (OR) and 95% confidence intervals (CI) for HF was 0.55 (0.32 to 0.95, P for trend= 0.011) for the highest tertile versus lowest tertile of total fiber intake. Similar results were observed for cereal but not fruit and vegetable fiber intake. Dose-response analysis indicated that dietary intake of total and cereal fiber were inversely associated with HF in a linear manner. 
Conclusion: Intakes of total and cereal fiber were inversely associated with HF in US adults.