This review explores dietary fibre impacts on health in adults, highlighting implications for public health policy.
Despite decades of dietary guidance, UK daily fibre intakes remain suboptimal, with adults averaging around 16 g/day—more than 10 g below recommended levels; with only 4% meeting dietary fibre guidelines. It is well recognised that inadequate fibre consumption contributes to elevated risk of non-communicable diseases including cardiovascular disease, type 2 diabetes, colorectal cancer, and increased healthcare costs. A recent convergence of scientific, cultural, and policy factors has renewed attention on fibre as a central element of health promotion and food innovation. Rising plant-based eating, advances in gut microbiome research, and improvements in fibre-rich food technology have created a unique translational opportunity. This review explores why fibre intake has historically lagged behind recommendations, the mechanisms and health impacts of soluble and insoluble fibre, the benefits of whole-grain consumption, and how policy and reformulation strategies could help to bridge substantial population-level gaps. Overall, it seems that the tide may finally be turning for fibre, and now it a critical moment for actionable dietary, food industry and public health measures, to help close the gaping fibre gap.
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Emma J. Derbyshire (2026) studied this question.
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