If You Really Want to Optimize Your Diet, Focus on Fiber

Fiber isn’t sexy, but it’s the key to health

Markham Heid
Elemental

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Photo: the_burtons/Getty Images

IIt’s a puzzle that doctors have long struggled to solve: Inflammatory bowel disease, a gut condition that was once vanishingly rare, now affects roughly three million Americans. Between 1999 and 2015 alone, rates of inflammatory bowel disease (IBD) surged by 44% in the U.S., according to the Centers for Disease Control and Prevention. No one is quite sure why.

The term “inflammatory bowel disease” encompasses two conditions — Crohn’s disease and ulcerative colitis. Both are associated with improper and damaging inflammation of the gastrointestinal tract. “IBD is a relatively new disease,” says Dr. Gilaad Kaplan, a gastroenterologist and professor of medicine and the University of Calgary’s Cumming School of Medicine. “We didn’t really begin to see it until the 1800s, and it’s almost exclusive to industrialized countries.”

Kaplan says the causes of America’s escalating IBD rates are almost certainly multiple and may include the injudicious use of bacteria-slaying antibiotics, which can disrupt the function of the human GI tract and microbiome. But while the harms of antibiotic overuse are on a lot of people’s radars, Kaplan says another, less talked about issue may be contributing to IBD’s rise: American’s paltry fiber

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Markham Heid
Elemental

I’m a frequent contributor at TIME, the New York Times, and other media orgs. I write mostly about health and science. I like long walks and the Grateful Dead.