[Dietary prevention and treatment of diverticular disease of the colon].
Diverticular disease is more often categorized as a civilization disease that affects both women and men, especially at an old age. The pathophysiology remains complex and arises from the interaction between dietary fiber intake, bowel motility and mucosal changes in the colon. Obesity, smoking, low physical activity, low-fiber diet (poor in vegetables, fruit, whole grain products, seeds and nuts) are among factors that increase the risk for developing diverticular disease. Additionally, the colonic outpouchings may be influenced by involutional changes of the gastrointestinal tract. Therefore, the fiber rich diet (25-40 g/day) plays an important role in prevention, as well as nonpharmacological treatment of uncomplicated diverticular disease. The successful goal of the therapy can be achieved by well-balanced diet or fiber supplements intake. Research indicate the effectiveness of probiotics in dietary management during the remission process. Moreover, drinking of appropriate water amount and excluding from the diet products decreasing colonic transit time - should be also applied.
Medical University of Warsaw, Poland: Department of Human Nutrition.
Magdalena
M
Milewska
Medical University of Warsaw, Poland: Department of Human Nutrition.
Beata
B
Sińska
Medical University of Warsaw, Poland: Department of General, Gastroenterological Surgery and Surgical Oncology.
Andrzej
A
Kluciński
D004043:Dietary Fiber / Q000008:administration & dosage; D004239:Diverticulitis, Colonic / Q000178:diet therapy* / Q000517:prevention & control; D004327:Drinking Behavior; D060766:Drinking Water / Q000008:administration & dosage; D005638:Fruit; D006801:Humans; D014675:Vegetables
D004043:Dietary Fiber; D060766:Drinking Water
diverticular disease; elderly people; fiber