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Evidence for dietary fibre modification in the recovery and prevention of reoccurrence of acute, uncomplicated diverticulitis: a systematic literature review

Dahl, Camilla, Crichton, Megan, Jenkins, Julie, Nucera, Romina, Mahoney, Sophie, Marx, Wolfgang and Marshall, Skye 2018, Evidence for dietary fibre modification in the recovery and prevention of reoccurrence of acute, uncomplicated diverticulitis: a systematic literature review, Nutrients, vol. 10, no. 2, doi: 10.3390/nu10020137.

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Title Evidence for dietary fibre modification in the recovery and prevention of reoccurrence of acute, uncomplicated diverticulitis: a systematic literature review
Author(s) Dahl, Camilla
Crichton, Megan
Jenkins, Julie
Nucera, Romina
Mahoney, Sophie
Marx, WolfgangORCID iD for Marx, Wolfgang orcid.org/0000-0002-8556-8230
Marshall, Skye
Journal name Nutrients
Volume number 10
Issue number 2
Total pages 18
Publisher MDPI
Place of publication Basel, Switzerland
Publication date 2018-02-01
ISSN 2072-6643
Keyword(s) dietary fibre
diverticulitis
diverculosis
diverticular disease
systematic review
bowel rest
dietary restriction
probiotic
Summary 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.
Language eng
DOI 10.3390/nu10020137
Field of Research 1111 Nutrition And Dietetics
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2018, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30108810

Document type: Journal Article
Collections: School of Medicine
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.