Preventing and managing diverticular disease with diet and lifestyle

+Practice

In print

Nutrition

Preventing and managing diverticular disease with diet and lifestyle

16 August 2023

Leigh O'Brien

Wednesday 16 August 2023, 12:15 AM

Consuming nuts and seeds was once avoided by those with diverticulitis, but is now recommended [Image: Maddi Bazzocco on Unsplash]

Dietitian Leigh O’Brien discusses the risk factors associated with development of diverticular disease and how to reduce complications of acute and symptomatic disease

Key points, Diet and lifestyle factors are likely to have a significant role in the development and management of diverticular disease. Physical activity, a hea, Pract Green w Pale Yellow

Lifestyle

References

1. Schultz JK, Azhar N, Binda GA, et al. European Society of Coloproctology: guidelines for the management of diverticular disease of the colon. Colorectal Dis 2020;22(Suppl 2):5–28.

2. Eberhardt F, Crichton M, Dahl C, et al. Role of dietary fibre in older adults with asymptomatic (AS) or symptomatic uncomplicated diverticular disease (SUDD): Systematic review and meta-analysis. Maturitas 2019;130:57–67.

3. Barbara G, Scaioli E, Barbaro MR, et al. Gut microbiota, metabolome and immune signatures in patients with uncomplicated diverticular disease. Gut 2017;66(7):1252–61.

4. Ticinesi A, Nouvenne A, Corrente V, et al. Diverticular disease: a gut microbiota perspective. J Gastrointestin Liver Dis 2019;28(3):327–37.

5. Strate LL, Keeley BR, Cao Y, et al. Western dietary pattern increases, and prudent dietary pattern decreases, risk of incident diverticulitis in a prospective cohort study. Gastroenterology 2017;152(5):1023–30.e2.

6. Liu PH, Cao Y, Keeley BR, et al. Adherence to a healthy lifestyle is associated with a lower risk of diverticulitis among men. Am J Gastroenterol 2017;112(12):1868–76.

7. Crowe FL, Appleby PN, Allen NE, Key TJ. Diet and risk of diverticular disease in Oxford cohort of European Prospective Investigation into Cancer and Nutrition (EPIC): prospective study of British vegetarians and non-vegetarians. BMJ 2011;343:d4131.

8. Crowe FL, Balkwill A, Cairns BJ, et al. Source of dietary fibre and diverticular disease incidence: a prospective study of UK women. Gut 2014;63(9):1450–56.

9. Mahmood MW, Abraham-Nordling M, Håkansson N, et al. High intake of dietary fibre from fruit and vegetables reduces the risk of hospitalisation for diverticular disease. Eur J Nutr 2019;58(6):2393–400.

10. Ministry of Health. Adults’ Dietary Habits – Findings from the 2018/19 and 2019/20 New Zealand Health Survey. Wellington, NZ: Ministry of Health; 2022.

11. Ministry of Health. Eating and Activity Guidelines for New Zealand Adults: Updated 2020. Wellington, NZ: Ministry of Health; 2020.

12. Ministry of Health. Annual Data Explorer 2021/22: New Zealand Health Survey. 2022. https://minhealthnz.shinyapps.io/nz-health-survey-2021-22-annual-data-explorer/

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