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Evidence for Dietary Fibre Modification in the Recovery and Prevention of Reoccurrence of Acute, Uncomplicated Diverticulitis: A Systematic Literature Review
- Source :
- Nutrients
- Publication Year :
- 2023
- Publisher :
- La Trobe, 2023.
-
Abstract
- In practice, nutrition recommendations vary widely for inpatient and discharge management of acute, uncomplicated diverticulitis. This systematic review aims to review the evidence and develop recommendations for dietary fibre modifications, either alone or alongside probiotics or antibiotics, versus any comparator in adults in any setting with or recently recovered from acute, uncomplicated diverticulitis. Intervention and observational studies in any language were located using four databases until March 2017. The Cochrane Risk of Bias tool and GRADE were used to evaluate the overall quality of the evidence and to develop recommendations. Eight studies were included. There was “very low” quality evidence for comparing a liberalised and restricted fibre diet for inpatient management to improve hospital length of stay, recovery, gastrointestinal symptoms and reoccurrence. There was “very low” quality of evidence for using a high dietary fibre diet as opposed to a standard or low dietary fibre diet following resolution of an acute episode, to improve reoccurrence and gastrointestinal symptoms. The results of this systematic review and GRADE assessment conditionally recommend the use of liberalised diets as opposed to dietary restrictions for adults with acute, uncomplicated diverticulitis. It also strongly recommends a high dietary fibre diet aligning with dietary guidelines, with or without dietary fibre supplementation, after the acute episode has resolved.
- Subjects :
- Dietary Fiber
medicine.medical_specialty
diverticular disease
MEDLINE
diverticulosis
Review
03 medical and health sciences
0302 clinical medicine
systematic review
Meta-Analysis as Topic
Recurrence
Risk Factors
medicine
Humans
Intensive care medicine
Randomized Controlled Trials as Topic
Uncategorized
Evidence-Based Medicine
Nutrition and Dietetics
business.industry
bowel rest
Probiotics
dietary fibre
dietary restriction
Evidence-based medicine
Diverticulitis
medicine.disease
Anti-Bacterial Agents
Diet
Diverticulosis
diverticulitis
Observational Studies as Topic
Systematic review
030220 oncology & carcinogenesis
Acute Disease
Diverticular disease
030211 gastroenterology & hepatology
Observational study
business
probiotic
Food Science
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- Nutrients
- Accession number :
- edsair.doi.dedup.....5d892b4a7ad76d64dff53404beb393b1
- Full Text :
- https://doi.org/10.26181/22878719.v1