{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T22:08:00Z","timestamp":1790201280372,"version":"4.1.0"},"reference-count":75,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Res Protoc"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n One in 4 young adults has prediabetes, and improving diet is a key step to lowering the risk of diabetes. Existing standard-of-care diet approaches show short-term efficacy but lack long-term effectiveness, including in young adults. Greater fiber intake is associated with a reduced risk of diabetes; however, fiber is not well targeted using existing interventions. Many young adults may be reluctant to consume fiber given the coexistence with digestible carbohydrates and concerns over gastrointestinal effects. Targeting these factors more explicitly may improve uptake and lower diabetes risk, and doing so via a mobile health (mHealth) intervention may be particularly responsive to young adult demands.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aims to establish and preliminarily test the feasibility of a highly innovative and scalable mHealth-based intervention to improve fiber intake among young adults with prediabetes.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n This single-arm feasibility study includes 2 phases to preliminarily test an mHealth-based fiber intervention (phase 1) and elucidate factors that impact sustained behavior change and fiber intake after intervention end using ecological momentary assessment (EMA; phase 2). The intervention is 3 months in length and features daily EMAs with responsive text\u2013based coping messages to target key predictors of fiber intake. EMAs will also be paired with brief (ie, <1 minute) educational videos on fiber delivered once per day. Participants will also receive weekly home-delivered high-fiber food packages and wear a continuous glucose monitor at 2 time points during the intervention as a form of biofeedback. At the baseline and postintervention time points, fasting blood glucose, hemoglobin A\n 1c<\/jats:sub>\n , and insulin resistance (Homeostatic Model Assessment of Insulin Resistance) will be assessed. After the postintervention time point, participants will continue with daily EMAs to assess factors associated with sustained fiber intake. Diet will be assessed using Automated Self-Administered 24-hour dietary recalls at the baseline and postintervention time point and after the phase 2 EMA.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n This study was initiated in July 2025. As of March 2026, the mHealth intervention content is being built, with app completion and trial enrollment both slated to begin in April 2026.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The results of this study will provide pivotal evidence on the utility of a fiber-focused intervention delivered via mHealth with biofeedback and home-delivered foods to lower the risk of diabetes in young adults with prediabetes.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/97873","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T21:21:11Z","timestamp":1790198471000},"page":"e97873-e97873","source":"Crossref","is-referenced-by-count":0,"title":["Preliminary Examination of an Innovative mHealth-Based Dietary Fiber Intervention to Improve Outcomes in Young Adults With Prediabetes: Protocol for a Single-Arm Feasibility Study"],"prefix":"10.2196","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3538-6631","authenticated-orcid":false,"given":"Ashlea C","family":"Braun","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5697-9485","authenticated-orcid":false,"given":"Sarah","family":"Corcoran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1614-137X","authenticated-orcid":false,"given":"Dorsa","family":"Hosseininasab","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6706-1787","authenticated-orcid":false,"given":"Marah","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0797-3150","authenticated-orcid":false,"given":"Fetemeh","family":"Kochackpour","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5922-164X","authenticated-orcid":false,"given":"Emily T","family":"H\u00e9bert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4680-5440","authenticated-orcid":false,"given":"T Kent","family":"Teague","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7816-2865","authenticated-orcid":false,"given":"Martina J","family":"Jelley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0779-4926","authenticated-orcid":false,"given":"Summer G","family":"Frank-Pearce","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8555-930X","authenticated-orcid":false,"given":"Rachel","family":"Liebe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura J","family":"Chalmers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,9,23]]},"reference":[{"issue":"2","key":"R1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2019.4498","article-title":"Prevalence of prediabetes among adolescents and young adults in the United States, 2005-2016","volume":"174","author":"Andes","journal-title":"JAMA Pediatr"},{"issue":"7","key":"R2","doi-asserted-by":"publisher","first-page":"1394","DOI":"10.1007\/s00125-015-3585-9","article-title":"Dietary fibre and incidence of type 2 diabetes in eight European countries: the EPIC-InterAct Study and a meta-analysis of prospective studies","volume":"58","author":"InterAct Consortium","journal-title":"Diabetologia"},{"issue":"9702","key":"R3","doi-asserted-by":"publisher","first-page":"1677","DOI":"10.1016\/S0140-6736(09)61457-4","article-title":"10-year follow-up of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study","volume":"374","author":"Diabetes Prevention Program Research Group","journal-title":"Lancet"},{"key":"R4","unstructured":"Mobile fact sheet. Pew Research Center. 2025. URL: https:\/\/www.pewresearch.org\/internet\/fact-sheet\/mobile\/ [Accessed 15-08-2026]"},{"issue":"4","key":"R5","doi-asserted-by":"publisher","first-page":"248","DOI":"10.7326\/M14-0611","article-title":"Single-component versus multicomponent dietary goals for the metabolic syndrome: a randomized trial","volume":"162","author":"Ma","journal-title":"Ann Intern Med"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2024.107751","article-title":"\u201cIt just made sense to me!\u201d A qualitative exploration of individual motivation for time-restricted eating","volume":"204","author":"Rathomi","journal-title":"Appetite"},{"issue":"2","key":"R7","doi-asserted-by":"publisher","first-page":"103229","DOI":"10.1016\/j.cdnut.2024.103229","article-title":"A whole food dietary fiber-focused behavioral intervention decreases food addiction in adults with obesity","volume":"8","author":"Braun","journal-title":"Curr Dev Nutr"},{"issue":"1","key":"R8","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1177\/02601060251375130","article-title":"Fiber for improvement of behavior, eating, and risk: protocol for a randomized controlled trial examining a behavioral intervention focused on facilitating improved dietary fiber consumption, eating behavior, and cardiometabolic risk in adults with obesity","volume":"32","author":"Braun","journal-title":"Nutr Health"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2021.101511","article-title":"Fiber-rich foods delivered to low-income households: a feasibility study of children with prediabetes and spillover effect on their caregivers","volume":"24","author":"Tester","journal-title":"Prev Med Rep"},{"issue":"3","key":"R10","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003053","article-title":"Dietary fibre and whole grains in diabetes management: systematic review and meta-analyses","volume":"17","author":"Reynolds","journal-title":"PLoS Med"},{"issue":"1","key":"R11","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1093\/jn\/nxx008","article-title":"Impact of dietary fiber consumption on insulin resistance and the prevention of type 2 diabetes","volume":"148","author":"Weickert","journal-title":"J Nutr"},{"issue":"4","key":"R12","doi-asserted-by":"publisher","first-page":"596","DOI":"10.2337\/dc14-1986","article-title":"Dietary diabetes risk reduction score, race and ethnicity, and risk of type 2 diabetes in women","volume":"38","author":"Rhee","journal-title":"Diabetes Care"},{"issue":"3","key":"R13","doi-asserted-by":"publisher","first-page":"906","DOI":"10.1016\/j.clnu.2017.03.015","article-title":"Legume consumption is inversely associated with type 2 diabetes incidence in adults: a prospective assessment from the PREDIMED study","volume":"37","author":"Becerra-Tom\u00e1s","journal-title":"Clin Nutr"},{"issue":"1","key":"R14","doi-asserted-by":"publisher","first-page":"299","DOI":"10.3305\/nh.2015.31.1.7578","article-title":"Addition of dietary fiber sources to shakes reduces postprandial glycemia and alters food intake","volume":"31","author":"Galv\u00e3o C\u00e2ndido","journal-title":"Nutr Hosp"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1186\/1475-2891-13-76","article-title":"The effects of functional fiber on postprandial glycemia, energy intake, satiety, palatability and gastrointestinal wellbeing: a randomized crossover trial","volume":"13","author":"Yuan","journal-title":"Nutr J"},{"issue":"9","key":"R16","doi-asserted-by":"publisher","first-page":"3326","DOI":"10.1210\/jc.2012-1513","article-title":"Insulin-sensitizing effects on muscle and adipose tissue after dietary fiber intake in men and women with metabolic syndrome","volume":"97","author":"Robertson","journal-title":"J Clin Endocrinol Metab"},{"key":"R17","unstructured":"Dietary Guidelines for Americans. 9th ed. U.S. Department of Agriculture and U.S. Department of Health and Human Services; 2020."},{"issue":"4","key":"R18","doi-asserted-by":"publisher","first-page":"663","DOI":"10.1093\/jn\/nxz268","article-title":"The World Cancer Research Fund\/American Institute for Cancer Research Third Expert Report on Diet, Nutrition, Physical Activity, and Cancer: impact and future directions","volume":"150","author":"Clinton","journal-title":"J Nutr"},{"issue":"3","key":"R19","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-1226","article-title":"Dietary fiber intake in young adults and breast cancer risk","volume":"137","author":"Farvid","journal-title":"Pediatrics"},{"issue":"12","key":"R20","doi-asserted-by":"publisher","first-page":"1631","DOI":"10.1111\/dme.12500","article-title":"Long-term changes in dietary and food intake behaviour in the Diabetes Prevention Program Outcomes Study","volume":"31","author":"Jaacks","journal-title":"Diabet Med"},{"key":"R21","doi-asserted-by":"publisher","DOI":"10.1186\/1475-2891-10-128","article-title":"Perceptions of flatulence from bean consumption among adults in 3 feeding studies","volume":"10","author":"Winham","journal-title":"Nutr J"},{"issue":"4","key":"R22","doi-asserted-by":"publisher","first-page":"1331","DOI":"10.1177\/02601060251348552","article-title":"Gastrointestinal-related side effects are key barriers to dietary fiber intake","volume":"31","author":"Hosseininasab","journal-title":"Nutr Health"},{"issue":"10","key":"R23","doi-asserted-by":"publisher","first-page":"1742","DOI":"10.1093\/jn\/nxz117","article-title":"Fiber intake predicts weight loss and dietary adherence in adults consuming calorie-restricted diets: the POUNDS Lost (Preventing Overweight Using Novel Dietary Strategies) Study","volume":"149","author":"Miketinas","journal-title":"J Nutr"},{"issue":"1","key":"R24","doi-asserted-by":"publisher","DOI":"10.2196\/11267","article-title":"A mobile phone-based program to promote healthy behaviors among adults with prediabetes who declined participation in free diabetes prevention programs: mixed-methods pilot randomized controlled trial","volume":"7","author":"Griauzde","journal-title":"JMIR Mhealth Uhealth"},{"issue":"2","key":"R25","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.4530","article-title":"Effectiveness of a mHealth lifestyle program with telephone support (TXT2BFiT) to prevent unhealthy weight gain in young adults: randomized controlled trial","volume":"3","author":"Partridge","journal-title":"JMIR Mhealth Uhealth"},{"issue":"2","key":"R26","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.5768","article-title":"A mobile health lifestyle program for prevention of weight gain in young adults (TXT2BFiT): nine-month outcomes of a randomized controlled trial","volume":"4","author":"Allman-Farinelli","journal-title":"JMIR Mhealth Uhealth"},{"key":"R27","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2015.03.001","article-title":"Adult picky eating. Phenomenology, taste sensitivity, and psychological correlates","volume":"90","author":"Kauer","journal-title":"Appetite"},{"issue":"1","key":"R28","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1007\/s12160-013-9486-6","article-title":"The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions","volume":"46","author":"Michie","journal-title":"Ann Behav Med"},{"issue":"3","key":"R29","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1089\/dia.2015.0285","article-title":"Self-monitoring using continuous glucose monitors with real-time feedback improves exercise adherence in individuals with impaired blood glucose: a pilot study","volume":"18","author":"Bailey","journal-title":"Diabetes Technol Ther"},{"issue":"5","key":"R30","doi-asserted-by":"publisher","first-page":"675","DOI":"10.1080\/24733938.2022.2101143","article-title":"Carbohydrate fear, skinfold targets and body image issues: a qualitative analysis of player and stakeholder perceptions of the nutrition culture within elite female soccer","volume":"6","author":"McHaffie","journal-title":"Sci Med Footb"},{"issue":"1","key":"R31","doi-asserted-by":"publisher","DOI":"10.3390\/nu17010140","article-title":"Assessing the nutrient composition of a carnivore diet: a case study model","volume":"17","author":"Goedeke","journal-title":"Nutrients"},{"issue":"12","key":"R32","doi-asserted-by":"publisher","DOI":"10.1093\/cdn\/nzab133","article-title":"Behavioral characteristics and self-reported health status among 2029 adults consuming a \u201ccarnivore diet\u201d","volume":"5","author":"Lennerz","journal-title":"Curr Dev Nutr"},{"issue":"5","key":"R33","doi-asserted-by":"publisher","first-page":"410","DOI":"10.1111\/joim.20007","article-title":"Diabetes risk reduction diet and risk of liver cancer and chronic liver disease mortality: a prospective cohort study","volume":"296","author":"Chen","journal-title":"J Intern Med"},{"issue":"1","key":"R34","doi-asserted-by":"publisher","DOI":"10.2196\/13191","article-title":"Why we eat what we eat: assessing dispositional and in-the-moment eating motives by using ecological momentary assessment","volume":"8","author":"Wahl","journal-title":"JMIR Mhealth Uhealth"},{"issue":"1","key":"R35","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2817","article-title":"Using ecological momentary assessment to test the effectiveness of a web-based brief alcohol intervention over time among heavy-drinking students: randomized controlled trial","volume":"16","author":"Voogt","journal-title":"J Med Internet Res"},{"issue":"8","key":"R36","doi-asserted-by":"publisher","first-page":"620","DOI":"10.1093\/abm\/kaac077","article-title":"Social environmental predictors of lapse in dietary behavior: an ecological momentary assessment study amongst Dutch adults trying to lose weight","volume":"57","author":"Roordink","journal-title":"Ann Behav Med"},{"issue":"11","key":"R37","doi-asserted-by":"publisher","DOI":"10.2196\/11170","article-title":"Mobile ecological momentary diet assessment methods for behavioral research: systematic review","volume":"6","author":"Schembre","journal-title":"JMIR Mhealth Uhealth"},{"issue":"11","key":"R38","doi-asserted-by":"publisher","DOI":"10.3390\/nu11112696","article-title":"A systematic review of ecological momentary assessment of diet: implications and perspectives for nutritional epidemiology","volume":"11","author":"Maugeri","journal-title":"Nutrients"},{"issue":"5","key":"R39","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1007\/s12160-017-9897-x","article-title":"Ecological momentary assessment of dietary lapses across behavioral weight loss treatment: characteristics, predictors, and relationships with weight change","volume":"51","author":"Forman","journal-title":"Ann Behav Med"},{"key":"R40","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2018.07.003","article-title":"Using ecological momentary assessment to better understand dietary lapse types","volume":"129","author":"Goldstein","journal-title":"Appetite"},{"issue":"1","key":"R41","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1016\/j.clnu.2021.11.038","article-title":"Associations of quantity and quality of carbohydrate sources with subjective appetite sensations during 3-year weight-loss maintenance: results from the PREVIEW intervention study","volume":"41","author":"Zhu","journal-title":"Clin Nutr"},{"issue":"10","key":"R42","doi-asserted-by":"publisher","first-page":"971","DOI":"10.1037\/hea0000161","article-title":"From ideas to efficacy: the ORBIT model for developing behavioral treatments for chronic diseases","volume":"34","author":"Czajkowski","journal-title":"Health Psychol"},{"issue":"9","key":"R43","doi-asserted-by":"publisher","first-page":"2163","DOI":"10.1038\/oby.2007.257","article-title":"Advances and controversies in the design of obesity prevention trials","volume":"15","author":"Stevens","journal-title":"Obesity (Silver Spring)"},{"issue":"4","key":"R44","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1207\/S15327965PLI1104_01","article-title":"The \u201cwhat\u201d and \u201cwhy\u201d of goal pursuits: human needs and the self-determination of behavior","volume":"11","author":"Deci","journal-title":"Psychol Inq"},{"issue":"2","key":"R45","doi-asserted-by":"publisher","first-page":"248","DOI":"10.1016\/0749-5978(91)90022-L","article-title":"Social cognitive theory of self-regulation","volume":"50","author":"Bandura","journal-title":"Organ Behav Hum Decis Process"},{"issue":"6","key":"R46","doi-asserted-by":"publisher","first-page":"576","DOI":"10.1370\/afm.245","article-title":"The biopsychosocial model 25 years later: principles, practice, and scientific inquiry","volume":"2","author":"Borrell-Carri\u00f3","journal-title":"Ann Fam Med"},{"key":"R47","unstructured":"Beck AT . Cognitive Therapy and the Emotional Disorders. International Universities Press; 1976."},{"issue":"3","key":"R48","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1016\/j.jadohealth.2023.04.014","article-title":"A developmental science approach to informing age subgroups in adolescent and young adult cancer research","volume":"73","author":"Siembida","journal-title":"J Adolesc Health"},{"issue":"Supplement_1","key":"R49","doi-asserted-by":"publisher","first-page":"S27","DOI":"10.2337\/dc26-S002","article-title":"2. Diagnosis and classification of diabetes: Standards of Care in Diabetes-2026","volume":"49","author":"American Diabetes Association Professional Practice Committee for Diabetes*","journal-title":"Diabetes Care"},{"issue":"4","key":"R50","doi-asserted-by":"publisher","first-page":"871","DOI":"10.1017\/s0033291700049163","article-title":"The Eating Attitudes Test: psychometric features and clinical correlates","volume":"12","author":"Garner","journal-title":"Psychol Med"},{"issue":"2","key":"R51","doi-asserted-by":"publisher","DOI":"10.2196\/publichealth.9020","article-title":"Predicting sexual behaviors among homeless young adults: ecological momentary assessment study","volume":"4","author":"Santa Maria","journal-title":"JMIR Public Health Surveill"},{"issue":"1","key":"R52","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.brat.2005.06.006","article-title":"Acceptance and commitment therapy: model, processes and outcomes","volume":"44","author":"Hayes","journal-title":"Behav Res Ther"},{"issue":"9","key":"R53","doi-asserted-by":"publisher","first-page":"709","DOI":"10.1038\/sj.jhh.1002201","article-title":"Validity and reproducibility of HOMA-IR, 1\/HOMA-IR, QUICKI and McAuley\u2019s indices in patients with hypertension and type II diabetes","volume":"21","author":"Sarafidis","journal-title":"J Hum Hypertens"},{"issue":"7","key":"R54","doi-asserted-by":"publisher","first-page":"412","DOI":"10.1007\/BF00280883","article-title":"Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man","volume":"28","author":"Matthews","journal-title":"Diabetologia"},{"issue":"2","key":"R55","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","journal-title":"J Biomed Inform"},{"key":"R56","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208","article-title":"The REDCap consortium: building an international community of software platform partners","volume":"95","author":"Harris","journal-title":"J Biomed Inform"},{"issue":"5","key":"R57","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1016\/j.amepre.2009.02.002","article-title":"How we design feasibility studies","volume":"36","author":"Bowen","journal-title":"Am J Prev Med"},{"issue":"1","key":"R58","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1097\/MLR.0000000000001664","article-title":"Guidelines for designing and evaluating feasibility pilot studies","volume":"60","author":"Teresi","journal-title":"Med Care"},{"issue":"4","key":"R59","doi-asserted-by":"publisher","first-page":"304","DOI":"10.4065\/mcp.2010.0575","article-title":"Medication adherence: WHO cares?","volume":"86","author":"Brown","journal-title":"Mayo Clin Proc"},{"issue":"511","key":"R60","doi-asserted-by":"publisher","first-page":"1112","DOI":"10.1080\/01621459.2014.948117","article-title":"Convergence properties of a sequential regression multiple imputation algorithm","volume":"110","author":"Zhu","journal-title":"J Am Stat Assoc"},{"key":"R61","doi-asserted-by":"crossref","unstructured":"van Buuren S . Flexible Imputation of Missing Data. 2nd ed. Chapman and Hall\/CRC; 2018. [doi: 10.1201\/9780429492259]","DOI":"10.1201\/9780429492259"},{"issue":"6","key":"R62","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1056\/NEJMoa012512","article-title":"Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin","volume":"346","author":"Knowler","journal-title":"N Engl J Med"},{"key":"R63","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2025.01.017","article-title":"Effects of ketogenic and low-carbohydrate diets on the body composition of adults with overweight or obesity: a systematic review and meta-analysis of randomised controlled trials","volume":"46","author":"Leung","journal-title":"Clin Nutr"},{"issue":"8","key":"R64","doi-asserted-by":"publisher","first-page":"1614","DOI":"10.1038\/s42255-025-01336-4","article-title":"Combining a diet rich in fermentable carbohydrates with metformin improves glycaemic control and reshapes the gut microbiota in people with prediabetes","volume":"7","author":"Chu","journal-title":"Nat Metab"},{"issue":"5","key":"R65","doi-asserted-by":"publisher","DOI":"10.1111\/1753-0407.70101","article-title":"Potential detrimental interactions between metformin and supplemental dietary fiber in type 2 diabetes","volume":"17","author":"Hall","journal-title":"J Diabetes"},{"issue":"7","key":"R66","doi-asserted-by":"publisher","first-page":"3269","DOI":"10.1007\/s00394-019-02165-4","article-title":"Application of the\u2009\u2264\u200910:1 carbohydrate to fiber ratio to identify healthy grain foods and its association with cardiometabolic risk factors","volume":"59","author":"Fontanelli","journal-title":"Eur J Nutr"},{"issue":"2","key":"R67","doi-asserted-by":"publisher","first-page":"420","DOI":"10.1093\/advances\/nmz074","article-title":"The effect of isolated and synthetic dietary fibers on markers of metabolic diseases in human intervention studies: a systematic review","volume":"11","author":"Armet","journal-title":"Adv Nutr"},{"key":"R68","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2025.08.003","article-title":"Effects of isolated single fibers, fiber mixtures, and fiber-rich whole foods on glucose homeostasis in individuals with overweight and obesity: a systematic review and meta-analysis","volume":"52","author":"Colak","journal-title":"Clin Nutr"},{"issue":"10170","key":"R69","doi-asserted-by":"publisher","first-page":"434","DOI":"10.1016\/S0140-6736(18)31809-9","article-title":"Carbohydrate quality and human health: a series of systematic reviews and meta-analyses","volume":"393","author":"Reynolds","journal-title":"Lancet"},{"issue":"21","key":"R70","doi-asserted-by":"publisher","first-page":"1653","DOI":"10.1001\/2013.jamainternmed.70","article-title":"Effect of legumes as part of a low glycemic index diet on glycemic control and cardiovascular risk factors in type 2 diabetes mellitus: a randomized controlled trial","volume":"172","author":"Jenkins","journal-title":"Arch Intern Med"},{"issue":"9","key":"R71","doi-asserted-by":"publisher","first-page":"1644","DOI":"10.1016\/j.jand.2022.02.009","article-title":"Dietary and physical activity changes and adherence to WCRF\/AICR cancer prevention recommendations following a remotely delivered weight loss intervention for female breast cancer survivors: the living well after breast cancer randomized controlled trial","volume":"122","author":"Terranova","journal-title":"J Acad Nutr Diet"},{"issue":"22","key":"R72","doi-asserted-by":"publisher","DOI":"10.3390\/nu14224751","article-title":"Application of the updated WCRF\/AICR cancer prevention score as an outcome for cancer survivors participating in a tailored and intensive dietary and physical activity intervention","volume":"14","author":"Hill","journal-title":"Nutrients"},{"key":"R73","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbih.2024.100918","article-title":"A prebiotic intervention improves mood in everyday life in healthy women but not in men: exploratory results from a larger double-blind placebo controlled cross-over study","volume":"43","author":"Hogenelst","journal-title":"Brain Behav Immun Health"},{"issue":"11","key":"R74","doi-asserted-by":"publisher","DOI":"10.1002\/brb3.70123","article-title":"Association between dietary fiber intake and sleep disorders: based on the NHANES database","volume":"14","author":"Chen","journal-title":"Brain Behav"},{"issue":"1","key":"R75","doi-asserted-by":"publisher","first-page":"19","DOI":"10.5664\/jcsm.5384","article-title":"Fiber and saturated fat are associated with sleep arousals and slow wave sleep","volume":"12","author":"St-Onge","journal-title":"J Clin Sleep Med"}],"container-title":["JMIR Research Protocols"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T21:21:14Z","timestamp":1790198474000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.researchprotocols.org\/2026\/1\/e97873"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,23]]},"references-count":75,"URL":"https:\/\/doi.org\/10.2196\/97873","relation":{},"ISSN":["1929-0748"],"issn-type":[{"value":"1929-0748","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,23]]},"article-number":"v15i2e97873"}}