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Role of cereal and grain products in the prevention of constipation. J. MARLETT. Department of
Nutritional Sciences, University of Wisconsin.
Increasing stool weight promotes laxation and bowel regularity by
stimulating colonic motility to propel residue distally. Most sources of insoluble fiber and fiber provided by
mixed-food diets significantly increase stool weight, although they do not always do so with equal
effectiveness. Concentrates of soluble fiber, with the exception of psyllium seed husk, have little effect on
bowel regularity. It is recommended for healthy individuals that fiber be provided by foods, which would
include cereal and grain products, legumes, fruits and vegetables. The major form of fiber in these foods is
insoluble, particularly in grain products. In addition, grain products are major sources of fiber in the US
diet. When food intake is inadequate, such as during disease or in the older adult, it may be necessary to
consume a fiber concentrate to achieve bowel regularity. The additional stool mass that occurs with large
fiber intakes is plant material, bacteria and water, and different fiber sources differ in the way in which they
alter the amounts of these constituents.
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