title: [Obesity and complicated diverticular disease of the colon].
abstract: BACKGROUND
  The incidence of diverticular disease of the colon has been rising in recent years, and the associated factors are: low ingestion of fibre, age, lack of physical activity, and obesity.
  
  
  METHODS
  A retrospective, descriptive, observational study was conducted on patients with the diagnosis of complicated diverticular disease requiring surgical or interventional treatment, for a period of 12 years.
  
  
  RESULTS
  A total of 114 patients (72 males, and 42 females), age range 28-91 years. More than three-quarters (88 patients; 77.19%) had a body mass index (BMI) between 25 and 40 kg/m(2), and 26 patients (22.8%) had a BMI between 20 and 25 kg/m(2). Among the patients with BMI less than 25 kg/m(2), 12 patients had Hinchey 1 (46%), 8 Hinchey 2 (30.7%), 4 Hinchey 3 (15.4%), and two Hinchey 4 (7.7%). Of the patients with BMI greater than 25 kg/m(2), 19 patients had Hinchey 1 (21.6%), 24 Hinchey 2 (27.3%), 27 Hinchey 3 (30.7%), and 18 Hinchey 4 (20.45%). A statistically significant difference (P<0.001) was found between groups using Mann-Whitney U test. The BMI greater than 25 kg/m(2) as risk factor for complicated diverticular disease showed Odds Ratio of 3.4884 (95% confidence interval 1.27-9.55) with Z value of 2.44 (P=0.014).
  
  
  CONCLUSIONS
  In this study, obesity was associated with an increased incidence and severity of complicated diverticular disease.
authors.affiliation: Servicio de Cirugía, Hospital Juárez de México, México, D.F., México. Electronic address: ulisesromed@prodigy.net.mx.
authors.forename: Ulises
authors.initials: U
authors.lastname: Rodríguez-Wong
authors.affiliation: Servicio de Cirugía, Hospital Juárez de México, México, D.F., México.
authors.forename: Carlos
authors.initials: C
authors.lastname: Cruz-Rubin
authors.affiliation: Servicio de Cirugía, Hospital Juárez de México, México, D.F., México.
authors.forename: Víctor Manuel
authors.initials: VM
authors.lastname: Pinto-Angulo
authors.affiliation: Servicio de Cirugía, Hospital Juárez de México, México, D.F., México.
authors.forename: Javier
authors.initials: J
authors.lastname: García Álvarez
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D004241:Diverticulum, Colon / Q000150:complications / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications*; D012189:Retrospective Studies
keywords: Complicación; Complicated; Diverticular disease; Enfermedad diverticular; Obesidad; Obesity