Diverticular Disease in the Elderly

Deckmann, Robert C.

doi:10.1111/j.1532-5415.1993.tb06766.x

Cited by 14 publications

(3 citation statements)

References 121 publications

(137 reference statements)

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“…A diet low in fiber is thought to play a role in the pathogenesis of diverticular disease. 114 Increasing dietary fiber produces bulky, soft stools, facilitating defecation and reducing intracolonic pressure. 114 Increased fiber also helps to promote regular bowel function and is important in controlling and minimizing diverticular disease.…”

Section: Diverticulosismentioning

confidence: 99%

“…114 Increasing dietary fiber produces bulky, soft stools, facilitating defecation and reducing intracolonic pressure. 114 Increased fiber also helps to promote regular bowel function and is important in controlling and minimizing diverticular disease. 115 -117 Non-viscous soluble fiber is associated with a decreased risk of diverticular disease and an improvement of bowel pain.…”

Section: Diverticulosismentioning

confidence: 99%

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A Review of the Role of Soluble Fiber in Health with Specific Reference to Wheat Dextrin

et al. 2009

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Dietary fiber is widely recognized to have a beneficial role in overall health, but only at adequate levels (25 - 38 g/day for healthy adults). Wheat dextrin in particular is a soluble fiber that can easily be added to the diet and is widely used in the food industry. There is some debate about whether increased intake of soluble fibers leads to health benefits. This paper reviews the evidence regarding the physiological effects and potential health benefits of the addition of soluble dietary fibers, with specific reference to wheat dextrin, based on a search of PubMed. The evidence suggests that soluble fibers help to regulate the digestive system, may increase micronutrient absorption, stabilize blood glucose and lower serum lipids, may prevent several gastrointestinal disorders, and have an accepted role in the prevention of cardiovascular disease. It is concluded that supplementation with soluble fibers (e.g. wheat dextrin) may be useful in individuals at risk of a lower than recommended dietary fiber intake.

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Section: Diverticulosismentioning

confidence: 99%

Section: Diverticulosismentioning

confidence: 99%

A Review of the Role of Soluble Fiber in Health with Specific Reference to Wheat Dextrin

et al. 2009

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“…6 In contrast, autopsy series in the late 1960s found diverticular disease to be present in 10% of individuals below the age of 40 years, steadily increasing with age: 30% in individuals over 50 years, 50% over 70 years, and up to 66% of those over 85. 13 Direct comparisons of these studies are difficult because the results reflect in part differences in the mean age of individuals studied, different reasons for performing the barium studies, varied number of subjects and variation in the year the studies were conducted. 10 This increase in diverticular disease in western countries has been documented in developing countries though with a frame shift to a later time period, concurrent with the adoption of westernized dietary habits.…”

Section: Epidemiology Of Fiber and Its Relationship To Diverticulitismentioning

confidence: 99%

Case Closed?

Korzenik

2006

Journal of Clinical Gastroenterology

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A major advance in understanding diverticular disease occurred decades ago with the epidemiologic association between fiber intake and the development of diverticular disease. This association has been well documented with investigations into the emergence of diverticular disease in underdeveloped countries where the disease had been virtually unknown before the adoption of a westernized diet, low in fiber. The high frequency of right-sided diverticular disease in Asian countries diverges from what is seen in the West. The physiologic effects of insoluble fiber has been well examined as well, increasing bulk and decreasing transit time, with a deficiency contributing to the high pressures implicated in the physiology which leads to diverticular disease. However, at most, 10% to 25% of individuals with diverticular disease will develop diverticulitis. Risk factors for symptomatic diverticular have been increasingly described in recent years with obesity and red meat intake being of particular importance, in addition to age. However, the known factors poorly identify those at increased risk and the predisposing pathophysiology is incompletely understood as well. Insoluble fiber, but not soluble fiber, has been viewed as the principal component which has been deficient in western diets and is the culprit which leads to the establishment of diverticular disease and in turn, diverticulitis. Soluble fiber and its effect on the intestinal flora is proposed as having significant influence on the development of diverticulitis. This understanding, if demonstrated, would have important implications for the primary and secondary prevention of diverticulitis.

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