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https://doi.org/10.1101/487462...
Article . 2018 . Peer-reviewed
Data sources: Crossref
The American Journal of Gastroenterology
Article . 2019 . Peer-reviewed
Data sources: Crossref
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Intake of dietary fiber, fruits, and vegetables, and risk of diverticulitis

Authors: Ma, Wenjie; Nguyen, Long H.; Song, Mingyang; Jovani, Manol; Liu, Po-Hong; Cao, Yin; Tam, Idy; +4 Authors

Intake of dietary fiber, fruits, and vegetables, and risk of diverticulitis

Abstract

ABSTRACT Background & Aims Although low fiber intake has been considered a risk factor for diverticulitis, prospective evidence is limited and conflicting, with little known about variation in the protective effects according to food sources. We assessed the associations of intakes of fiber and major food sources of fiber including fruits and vegetables with risk of diverticulitis. Methods We followed 50,019 women in the Nurses’ Health Study (1990-2014) and 48,292 men in the Health Professionals Follow-up Study (1986-2014) who were free of diverticulitis, cancer, and inflammatory bowel disease at baseline. Incident diverticulitis was identified through self-report with validity confirmed by review of medical records. Results During a mean follow-up time of 22 years, we documented 4,343 incident cases of diverticulitis in women and 1,142 cases in men. Compared to participants in the lowest quintile, the multivariable HRs (95% CIs) of diverticulitis in the highest quintile of total fiber intake were 0.86 (0.78-0.95; P -trend=0.002) among women and 0.63 (0.51-0.79; P -trend<0.001) among men. Fiber from different food sources, except for vegetable fiber in women, was associated with a decreased risk of diverticulitis. Furthermore, total whole fruit intake was associated with reduced risk of diverticulitis in both cohorts with a multivariable HR for diverticulitis of 0.95 (0.92-0.98; P -trend<0.001) in women and 0.91 (0.86-0.96; P -trend<0.001) in men for every serving increase of total whole fruit intake per day. Conclusions Higher intake of dietary fiber and fiber from different food sources are associated with a lower risk of diverticulitis. A greater intake of whole fruit is also associated with reduced risk.

Keywords

Adult, Dietary Fiber, Incidence, Middle Aged, United States, Diet, Diverticulitis, Colonic, Cohort Studies, Fruit, Vegetables, Humans, Female, Prospective Studies, Edible Grain, Aged, Proportional Hazards Models

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
64
Top 1%
Top 10%
Top 10%
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bronze