Tursi Antonio
Gastroenterology Service, ASL BAT, Andria (BT), Italy.
Curr Opin Clin Nutr Metab Care. 2017 Sep;20(5):409-413. doi: 10.1097/MCO.0000000000000403.
To assess the role of dietary pattern on the occurrence of colonic diverticulosis, diverticular disease and acute diverticulitis.
High-fiber diet does not prevent diverticulosis occurrence, and results about prevention/treatment of diverticular disease and acute diverticulitis are still conflicting.No association was seen between nut, corn or popcorn consumption and occurrence of diverticulosis, diverticular disease and acute diverticulitis.It seems to be a mild association between high alcohol intake and diverticulosis occurrence, whereas alcohol dependence seems to show lower risk of in-hospital mortality due to acute diverticulitis.Higher red-meat consumption shows mild increased risk of acute diverticulitis, especially when consumed as unprocessed red meat (defined as consumption of 'beef or lamb as main dish', 'pork as main dish', 'hamburger' and 'beef, pork or lamb as a sandwich or mixed dish'); higher consumption of poultry (viz. white meat) was not associated with risk of acute diverticulitis.Finally, higher fish intake was associated with reduced risk of diverticulitis in age-adjusted model, but not after further adjustment for other potential confounders.
Current literature data about the role of dietary pattern on the occurrence of colonic diverticulosis, diverticular disease and acute diverticulitis are still too conflicting.
评估饮食模式在结肠憩室病、憩室疾病及急性憩室炎发生中的作用。
高纤维饮食不能预防憩室病的发生，关于憩室疾病和急性憩室炎的预防/治疗结果仍存在矛盾。未发现食用坚果、玉米或爆米花与憩室病、憩室疾病及急性憩室炎的发生之间存在关联。高酒精摄入量与憩室病的发生之间似乎存在轻微关联，而酒精依赖似乎显示出因急性憩室炎导致的住院死亡率较低。较高的红肉消费量显示急性憩室炎的风险略有增加，尤其是当作为未加工红肉食用时（定义为“以牛肉或羊肉为主菜”、“以猪肉为主菜”、“汉堡包”以及“以牛肉、猪肉或羊肉作为三明治或混合菜肴”）；较高的家禽（即白肉）消费量与急性憩室炎的风险无关。最后，在年龄调整模型中，较高的鱼类摄入量与憩室炎风险降低相关，但在进一步调整其他潜在混杂因素后则不然。
目前关于饮食模式在结肠憩室病、憩室疾病及急性憩室炎发生中的作用的文献数据仍然存在太多矛盾之处。
