Vegetarianism as a protective factor for asymptomatic colonic diverticulosis in Asians: a retrospective cross-sectional and case-control study
| Autor: | Moon Soo Koh, Jihun Bong, Ji Hyung Nam, Yun Jeong Lim, Dong Kee Jang, Jin Ho Lee, Jun Kyu Lee, Jae Hak Kim, Hyeki Cho, Hyoun Woo Kang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Population lcsh:Medicine Colonoscopy Asymptomatic 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Buddhism lcsh:RC799-869 education Diverticulosis education.field_of_study medicine.diagnostic_test business.industry lcsh:R Gastroenterology Case-control study Odds ratio Diverticulitis medicine.disease Miscellaneous 030220 oncology & carcinogenesis Diverticular disease Diet vegetarian lcsh:Diseases of the digestive system. Gastroenterology 030211 gastroenterology & hepatology Original Article medicine.symptom business |
| Zdroj: | Intestinal Research Intestinal Research, Vol 18, Iss 1, Pp 121-129 (2020) |
| ISSN: | 2288-1956 1598-9100 |
| Popis: | Background/aims Dietary fiber intake is considered a protective factor for diverticular disease such as diverticulitis. However, evidence for an inverse connection between dietary fiber consumption and asymptomatic colonic diverticulosis is lacking. Specifically, few studies have investigated this subject in Asians with different presentations of diverticulosis. Therefore, we assessed the protective effects of a vegetarian diet for asymptomatic colonic diverticulosis in Buddhist monks who are obligatory vegetarians for spiritual reasons compared with the general population. Methods A retrospective, cross-sectional, case-control study was conducted in age- and sex-matched Buddhist monks and the general population who underwent colonoscopy for screening at a Korean health promotion center from August 2005 to June 2018. We compared the prevalence of asymptomatic diverticulosis between the 2 groups using a self-administered questionnaire. Results In this study, a total of 1,316 individuals were included (Buddhist monks of 658 and general population of 658) with a mean age of 52.6±9.5 years. The prevalence of asymptomatic diverticulosis in Buddhist monks was lower compared with the general population (6.7% [44/658] vs. 10.8% [71/658], P=0.008). Buddhist monks had a higher rate of high body mass index (BMI) and metabolic syndrome. By a multivariate regression analysis model, a nonvegetarian diet (odds ratio [OR], 1.82; 95% confidence interval [CI], 1.21-2.72, P=0.004), old age (OR, 4.53; 95% CI, 1.36-15.12; P=0.014), male sex (OR, 1.91; 95% CI, 1.28-2.85; P=0.002), and a high BMI (OR, 1.50; 95% CI, 1.01-2.23; P=0.047) were independent predictors of asymptomatic diverticulosis. Moreover, a nonvegetarian diet was associated with both right-sided and left-sided diverticulosis. Conclusions A nonvegetarian diet may increase a risk of asymptomatic colonic diverticulosis in Asians. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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