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A prospective study of dietary fiber types and symptomatic diverticular disease in men.

Abstract

To examine prospectively dietary fiber calculated from food composition values based on analytic techniques and specific dietary fiber types in relation to risk of diverticular disease, we analyzed data from a prospective cohort of 43,881 U.S. male health professionals 40-75 y of age at base line; subjects were free of diagnosed diverticular disease, colon or rectal polyps, ulcerative colitis and cancer. The insoluble component of fiber was inversely associated with risk of diverticular disease relative risk (RR) = 0. 63, 95% confidence interval (CI), 0.44-0.91, P for trend = 0.02, and this association was particularly strong for cellulose (RR = 0.52, 95% CI, 0.36-0.75, P for trend = 0.002). The association between diverticular disease and total dietary fiber intake calculated from the AOACstandards method was not appreciably different from results using the Southgate or Englyst method [for AOAC method, RR = 0.60, 95% CI, 0.41-0.87; for Southgate method, RR = 0.61, 95% CI, 0.42-0. 88; for Englyst method, RR = 0.60, 95% CI, 0.42-0.87, for the highest quintiles]. Our findings provide evidence for the hypothesis that a diet high in dietary fiber decreases the risk of diverticular disease, and this result was not sensitive to the use of different analytic techniques to define dietary fiber. Our findings suggest that the insoluble component of fiber was significantly associated with a decreased risk of diverticular disease, and this inverse association was particularly strong for cellulose.

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  • Authors+Show Affiliations

    ,

    Department of Nutrition, Harvard Medical School and Brigham and Women's Hospital, Boston, MA 02115, USA.

    , , , ,

    Source

    The Journal of nutrition 128:4 1998 Apr pg 714-9

    MeSH

    Adult
    Aged
    Cohort Studies
    Dietary Fiber
    Diverticulum
    Health Personnel
    Humans
    Male
    Middle Aged
    Multivariate Analysis
    Prospective Studies

    Pub Type(s)

    Journal Article
    Research Support, U.S. Gov't, P.H.S.

    Language

    eng

    PubMed ID

    9521633

    Citation

    Aldoori, W H., et al. "A Prospective Study of Dietary Fiber Types and Symptomatic Diverticular Disease in Men." The Journal of Nutrition, vol. 128, no. 4, 1998, pp. 714-9.
    Aldoori WH, Giovannucci EL, Rockett HR, et al. A prospective study of dietary fiber types and symptomatic diverticular disease in men. J Nutr. 1998;128(4):714-9.
    Aldoori, W. H., Giovannucci, E. L., Rockett, H. R., Sampson, L., Rimm, E. B., & Willett, W. C. (1998). A prospective study of dietary fiber types and symptomatic diverticular disease in men. The Journal of Nutrition, 128(4), pp. 714-9.
    Aldoori WH, et al. A Prospective Study of Dietary Fiber Types and Symptomatic Diverticular Disease in Men. J Nutr. 1998;128(4):714-9. PubMed PMID: 9521633.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - A prospective study of dietary fiber types and symptomatic diverticular disease in men. AU - Aldoori,W H, AU - Giovannucci,E L, AU - Rockett,H R, AU - Sampson,L, AU - Rimm,E B, AU - Willett,W C, PY - 1998/5/16/pubmed PY - 1998/5/16/medline PY - 1998/5/16/entrez SP - 714 EP - 9 JF - The Journal of nutrition JO - J. Nutr. VL - 128 IS - 4 N2 - To examine prospectively dietary fiber calculated from food composition values based on analytic techniques and specific dietary fiber types in relation to risk of diverticular disease, we analyzed data from a prospective cohort of 43,881 U.S. male health professionals 40-75 y of age at base line; subjects were free of diagnosed diverticular disease, colon or rectal polyps, ulcerative colitis and cancer. The insoluble component of fiber was inversely associated with risk of diverticular disease relative risk (RR) = 0. 63, 95% confidence interval (CI), 0.44-0.91, P for trend = 0.02, and this association was particularly strong for cellulose (RR = 0.52, 95% CI, 0.36-0.75, P for trend = 0.002). The association between diverticular disease and total dietary fiber intake calculated from the AOACstandards method was not appreciably different from results using the Southgate or Englyst method [for AOAC method, RR = 0.60, 95% CI, 0.41-0.87; for Southgate method, RR = 0.61, 95% CI, 0.42-0. 88; for Englyst method, RR = 0.60, 95% CI, 0.42-0.87, for the highest quintiles]. Our findings provide evidence for the hypothesis that a diet high in dietary fiber decreases the risk of diverticular disease, and this result was not sensitive to the use of different analytic techniques to define dietary fiber. Our findings suggest that the insoluble component of fiber was significantly associated with a decreased risk of diverticular disease, and this inverse association was particularly strong for cellulose. SN - 0022-3166 UR - https://www.unboundmedicine.com/medline/citation/9521633/full_citation L2 - https://academic.oup.com/jn/article-lookup/doi/10.1093/jn/128.4.714 DB - PRIME DP - Unbound Medicine ER -