Loading...
 
Translate Register Log In Login with facebookLogin and Register

Diverticulitis less likely AND less severe if high level of vitamin D – Dec 2013

Higher Serum Levels of Vitamin D Are Associated With a Reduced Risk of Diverticulitis

Clinical Gastroenterology and Hepatology; V 11, Issue 12 , Pages 1631-1635, Dec 2013
Lillias H. Maguire, Mingyang Song , Lisa E. Strate , Edward L. Giovannucci , Andrew T. Chan

Background & Aims: Recent studies have shown geographic and seasonal variations in hospital admissions for diverticulitis. Because this variation parallels differences in ultraviolet light exposure, the most important contributor to vitamin D status, we examined the association of prediagnostic serum levels of vitamin D with diverticulitis.

Methods: Among patients within the Partners Healthcare System who had blood drawn and serum levels of 25-hydroxyvitamin D (25-[OH]D) measured, from 1993 through 2012, we identified

  • 9116 patients with uncomplicated diverticulosis and
  • 922 patients who developed diverticulitis that required hospitalization.

We used multivariate logistic regression to estimate relative risks and 95% confidence intervals to compare serum 25(OH)D levels between these groups.

Results: Patients with uncomplicated diverticulosis had significantly higher mean prediagnostic serum levels of 25(OH)D (29.1 ng/mL) than patients with diverticulitis who required hospitalization (25.3 ng/mL; P < .0001).
Compared with patients in the lowest quintile of 25(OH)D, the multivariate-adjusted relative risk for diverticulitis hospitalization was 0.49 (95% confidence interval, 0.38–0.62; P for trend < .0001) among patients in the highest quintile of 25(OH)D level.
Compared with patients with uncomplicated diverticulosis, the mean level of 25(OH)D was significantly lower for patients with

  • acute diverticulitis without other sequelae (25.9 ng/mL; P < .0001; n = 594), for patients with diverticulitis with
  • abscess (25.8 ng/mL; P = .0095; n = 124), for patients with
  • diverticulitis requiring emergent laparotomy (22.7 ng/mL; P = .002; n = 65), and for patients with
  • recurrent diverticulitis (23.5 ng/mL; P < .0001; n = 139).

Conclusions: Among patients with diverticulosis, higher prediagnostic levels of 25(OH)D are associated significantly with a lower risk of diverticulitis. These data indicate that vitamin D deficiency could be involved in the pathogenesis of diverticulitis.


PDF is attached at the bottom of this page
Note: this study identifies an association. It could easily be that the pathway is diverticulitis ==> Inflammation ==> consumes vitamin D ==> lowers the levels


See also VitaminDWiki


Diverticulitis more likely if large changes in UV (snowbird RVers?) - Jan 2015

Association of geographic and seasonal variation with diverticulitis admissions Jan 2015
JAMA Surg. 2015 Jan;150(1):74-7. doi: 10.1001/jamasurg.2014.2049.
Maguire LH1, Song M2, Strate LL3, Giovannucci EL4, Chan AT5.

IMPORTANCE:
The incidence of diverticulitis has been associated with geographic and seasonal variation. Low levels of circulating vitamin D are associated with diverticulitis. We investigated the association between UV light and diverticulitis.

OBSERVATIONS:
We identified nonelective diverticulitis admissions in the Nationwide Inpatient Sample and linked hospital locations to UV data. We examined UV exposure in relation to risk of admission for diverticulitis. We identified geographic and seasonal trends among 226 522 nonelective admissions for diverticulitis.
Compared with high-UV areas, low-UV areas had a higher rate of diverticulitis (751.8 vs 668.1 per 100 000 admissions; P < .001), diverticular abscess (12.0% vs 9.7%; P < .001), and colectomy (13.5% vs 11.5%; P < .001).
We also observed significant seasonal variation, with a lower rate of diverticulitis in the winter (645 per 100 000) compared with the summer (748 per 100 000) (P < .001). The summer increase was more evident in areas with the greatest UV fluctuation vs areas with the least UV fluctuation (120 vs 70 per 100 000; P = .01).

CONCLUSIONS AND RELEVANCE:
Low UV light exposure is associated with an increased rate of diverticulitis admissions and greater seasonal variation. Because UV exposure largely determines vitamin D status, these findings support a role for vitamin D in the pathogenesis of diverticulitis.
 Download the PDF from VitaminDWiki


Image

Attached files

ID Name Comment Uploaded Size Downloads
11936 Div diagram.jpg admin 11 May, 2019 02:00 39.96 Kb 25
11935 nihms-700619.pdf admin 11 May, 2019 01:43 795.73 Kb 6
3341 Diverticulitis.pdf PDF - 2013 admin 01 Dec, 2013 16:40 127.76 Kb 931
See any problem with this page? Report it (FINALLY WORKS)