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Colonic diverticulosis and the metabolic syndrome: an association?
Teixeira, Cristina; Trabulo, Daniel; Ribeiro, Suzane; Martins, Claudio; Alves, Ana Luísa; Cremers, Isabelle; Oliveira, Ana Paula.
Affiliation
  • Teixeira, Cristina; Centro Hospitalar de Setubal. Gastroenterology Department. Setubal. Portugal
  • Trabulo, Daniel; Centro Hospitalar de Setubal. Gastroenterology Department. Setubal. Portugal
  • Ribeiro, Suzane; Centro Hospitalar de Setubal. Gastroenterology Department. Setubal. Portugal
  • Martins, Claudio; Centro Hospitalar de Setubal. Gastroenterology Department. Setubal. Portugal
  • Alves, Ana Luísa; Centro Hospitalar de Setubal. Gastroenterology Department. Setubal. Portugal
  • Cremers, Isabelle; Centro Hospitalar de Setubal. Gastroenterology Department. Setubal. Portugal
  • Oliveira, Ana Paula; Centro Hospitalar de Setubal. Gastroenterology Department. Setubal. Portugal
Rev. esp. enferm. dig ; 109(11): 768-771, nov. 2017. tab
Article in English | IBECS | ID: ibc-167787
Responsible library: ES1.1
Localization: BNCS
ABSTRACT
Background and

objectives:

Colonic diverticulosis (CD) is related to advanced age and a lack of dietary fiber. Recently, several studies have shown that metabolic syndrome (MS) is also implicated in the etiopathogenesis of CD. This study aimed to assess the association between MS, obesity and CD.

Methods:

This was a prospective study of a one-year duration. The MS was defined according to the National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATP III). Demographic data, risk factors for MS and endoscopic findings of patients who underwent a total colonoscopy in the department were collected. Obesity was defined as a body mass index ≥ 30 kg/m2. Informed consent was obtained. The local Ethics Committee and National Data Protection Committee approved the study. Statistical analysis was performed with SPSS 21 and statistical significance was defined as p < 0.05.

Results:

The study included 203 patients, 95 males with a mean age of 65.5 years. CD was diagnosed in 30.5% of patients. Univariate analysis showed that age, hypertension, increased waist circumference and hyperlipidemia were associated with colonic diverticulosis. There was no association with gender, obesity or type 2 diabetes mellitus. Multivariate analysis showed that age and a greater waist circumference increased the risk of diverticulosis. Ageadjusted analysis showed that MS was associated with diverticulosis. The prevalence of adenoma in patients with CD was similar to that in patients without CD.

Conclusion:

In this series, MS was significantly associated with CD. The identification of risk groups is important since diverticulosis can have serious and potentially fatal complications. To our knowledge, this is the first Southern European prospective study evaluating the association between MS and CD (AU)
RESUMEN
No disponible
Subject(s)

Full text: Available Collection: National databases / Spain Database: IBECS Main subject: Risk Factors / Colonoscopy / Metabolic Syndrome / Diverticulosis, Colonic / Obesity Type of study: Etiology study / Observational study / Prognostic study / Risk factors Aspects: Ethical aspects Limits: Aged / Humans / Male Language: English Journal: Rev. esp. enferm. dig Year: 2017 Document type: Article Institution/Affiliation country: Centro Hospitalar de Setubal/Portugal

Full text: Available Collection: National databases / Spain Database: IBECS Main subject: Risk Factors / Colonoscopy / Metabolic Syndrome / Diverticulosis, Colonic / Obesity Type of study: Etiology study / Observational study / Prognostic study / Risk factors Aspects: Ethical aspects Limits: Aged / Humans / Male Language: English Journal: Rev. esp. enferm. dig Year: 2017 Document type: Article Institution/Affiliation country: Centro Hospitalar de Setubal/Portugal
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