Melcher E A, Levitt M D, Slavin J L
Department of Food Science and Nutrition, University of Minnesota, St. Paul, 55108.
Nutr Cancer. 1991;16(2):85-92. doi: 10.1080/01635589109514147.
Colon cancer patients are more likely than healthy subjects to excrete breath methane, and methane production has been suggested as a screening method to predict risk of developing colon cancer. To assess whether methane production is related to fiber ingestion and bowel function, we measured end-alveolar breath methane in 126 healthy subjects; 36% produced methane (greater than 3 ppm). Fifteen methane producers and nine controls were selected to participate in a 17-day study: a self-selected diet for 7 days, followed by the same diet plus 24 g/day dietary fiber (Fiber One Cereal) for 10 days. Methane was measured three times per day on three days during each diet. Two subjects screened as methane producers stopped excreting methane during the study, and one control started to excrete methane. Radiopaque pellets were given at the start and end of each diet, and feces were collected, homogenized, and dried. Mean transit time (p less than 0.0001) and fecal pH (p less than 0.0003) were significantly decreased with fiber, whereas fecal hydration scale (p less than 0.003), fecal dry (p less than 0.0001) and wet (p less than 0.0001) weight, and frequency of defecation (p less than 0.0006) were significantly increased with fiber. No significant change in methane excretion (p less than 0.057) was seen with added fiber. Thus, in this study methane excretor status was not constant in healthy subjects and was not significantly changed by 24 g/day dietary fiber as Fiber One Cereal.
结肠癌患者呼出甲烷的可能性高于健康受试者,甲烷生成已被提议作为预测患结肠癌风险的一种筛查方法。为了评估甲烷生成是否与纤维摄入和肠道功能有关,我们测量了126名健康受试者肺泡末端呼出的甲烷;36%的人产生甲烷(大于3 ppm)。挑选了15名甲烷生成者和9名对照者参与一项为期17天的研究:先进行7天自选饮食,然后在接下来的10天里食用相同饮食并添加24克/天膳食纤维(纤维一号谷物)。在每种饮食期间的三天里,每天测量三次甲烷。在研究期间,两名筛查为甲烷生成者的受试者停止呼出甲烷,一名对照者开始呼出甲烷。在每种饮食开始和结束时给予不透X线的药丸,并收集粪便,进行均质化和干燥处理。膳食纤维使平均转运时间(p<0.0001)和粪便pH值(p<0.0003)显著降低,而膳食纤维使粪便水合程度(p<0.003)、粪便干重(p<0.0001)和湿重(p<0.0001)以及排便频率(p<0.0006)显著增加。添加膳食纤维后甲烷排泄无显著变化(p<0.057)。因此,在本研究中,健康受试者的甲烷排泄者状态并不稳定,并且每天24克纤维一号谷物膳食纤维并未使其发生显著改变。