Symptomless Diverticular Disease and Intake of Dietary Fibre

Gear, J. S. S.; Fursdon, P S; Nolan, Daniel J.; Ware, Adam L.; Mann, Jim; Brodribb, A. J. M.; Vessey, Martin

doi:10.1016/s0140-6736(79)90942-5

Cited by 263 publications

(117 citation statements)

References 8 publications

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“…The estimate of dietary ®bre intake from the questionnaire used in this study has been shown to be strongly correlated with dietary ®bre intake estimated from a three-week diet diary (r 0.83). 8 The estimate of animal fat intake from the questionnaire has not been validated, but there is a highly signi®cant correlation between this variable and serum cholesterol concentration in this population (partial correlation coef®cient after adjusting for age and gender: r 0.21, n 2084, P`0.001; unpublished data). The limitations of the questionnaire (a limited range of foods, little information on portion sizes) meant that we were unable to estimate total food energy intake or intakes of nutrients other than those described above.…”

Section: Methodsmentioning

confidence: 96%

Low body mass index in non-meat eaters: the possible roles of animal fat, dietary fibre and alcohol

Appleby¹,

et al. 1998

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OBJECTIVE: To examine the associations of diet and other lifestyle factors with body mass index (BMI) using data from the Oxford Vegetarian Study. SUBJECTS: 1914 male and 3378 female non-smokers aged 20±89 y at recruitment to the study. MEASUREMENTS: All subjects completed a dietalifestyle questionnaire at recruitment giving details of their usual diet and other characteristics including height and weight, smoking and drinking habits, amount of exercise, occupation and reproductive history. Answers to the food frequency questionnaire were used to classify subjects as either meat eaters or non-meat eaters, and to estimate intakes of animal fat and dietary ®bre. Subjects were further classi®ed according to their alcohol consumption, exercise level, social class, past smoking habits and parity. RESULTS: Mean BMI was lower in non-meat eaters than in meat eaters in all age groups for both men and women. Overall age-adjusted mean BMIs in kgam 2 were 23.18 and 22.05 for male meat eaters and non-meat eaters respectively (P`0.0001) and 22.32 and 21.32 for female meat eaters and non-meat eaters respectively (P`0.0001). In addition to meat consumption, dietary ®bre intake, animal fat intake, social class and past smoking were all independently associated with BMI in both men and women; alcohol consumption was independently associated with BMI in men, and parity was independently associated with BMI in women. After adjusting for these factors, the differences in mean BMI between meat eaters and non-meat eaters were reduced by 36% in men and 31% in women. CONCLUSIONS: Non-meat eaters are thinner than meat eaters. This may be partly due to a higher intake of dietary ®bre, a lower intake of animal fat, and only in men a lower intake of alcohol.

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Section: Methodsmentioning

confidence: 96%

Low body mass index in non-meat eaters: the possible roles of animal fat, dietary fibre and alcohol

Appleby¹,

et al. 1998

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“…Questions on other lifestyle factors related to health (smoking, alcohol consumption, and amount of exercise), date of birth, occupation, height and weight, and medical history (including illnesses related to the risk of cardiovascular disease and, for women, reproductive history) were also included. The validity of the questionnaire has been examined for estimating dietary fibre intake, but not for other nutrients (Gear et al, 1979). Participants were categorised into tertiles of the distribution of intake of total fat from animal foods (meat, eggs, milk, and cheese), as well as for dietary fibre derived from cereals, fruit, and vegetables.…”

Section: Methodsmentioning

confidence: 99%

Nutrition, lifestyle and colorectal cancer incidence: a prospective investigation of 10 998 vegetarians and non-vegetarians in the United Kingdom

et al. 2004

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“…In contrast, [12] Prevalence of DD assessed by barium enema in 189 non-vegetarian volunteers vs 55 vegetarians Diverticular disease was significantly higher in the non-vegetarian group "Asymptomatic" volunteers recruited prior to diagnosis and grouped based on dietary choices. A potential confounder is a possible causative effect for meat Gear et al [104] Case control study comparing dietary fiber intake in 40 (symptomatic) DD cases vs 80 age and sex matched controls Dietary fiber intake significantly higher amongst controls…”

Section: Contractionary Cholinergic Stimulimentioning

confidence: 99%

Diet, ageing and genetic factors in the pathogenesis of diverticular disease

Commane¹,

Arasaradnam²,

Mills³

et al. 2009

WJG

116

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Diverticular disease (DD) is an age-related disorder of the large bowel which may affect half of the population over the age of 65 in the UK. This high prevalence ranks it as one of the most common bowel disorders in western nations. The majority of patients remain asymptomatic but there are associated life-threatening co-morbidities, which, given the large numbers of people with DD, translates into a considerable number of deaths per annum. Despite this public health burden, relatively little seems to be known about either the mechanisms of development or causality. In the 1970s, a model of DD formulated the concept that diverticula occur as a consequence of pressureinduced damage to the colon wall amongst those with a low intake of dietary fiber. In this review, we have examined the evidence regarding the influence of ageing, diet, inflammation and genetics on DD development. We argue that the evidence supporting the barotrauma hypothesis is largely anecdotal. We have also identified several gaps in the knowledge base which need to be filled before we can complete a model for the etiology of diverticular disease.

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Symptomless Diverticular Disease and Intake of Dietary Fibre

Cited by 263 publications

References 8 publications

Low body mass index in non-meat eaters: the possible roles of animal fat, dietary fibre and alcohol

Low body mass index in non-meat eaters: the possible roles of animal fat, dietary fibre and alcohol

Nutrition, lifestyle and colorectal cancer incidence: a prospective investigation of 10 998 vegetarians and non-vegetarians in the United Kingdom

Diet, ageing and genetic factors in the pathogenesis of diverticular disease

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