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Fiber intake and childhood appendicitis.

J D Brender, N S Weiss, T D Koepsell

American Journal of Public Health

|April 1, 1985

Summary

Higher fiber intake and whole-grain consumption in children are linked to a reduced risk of appendicitis. This protective effect was more pronounced in older children aged 7 to 18 years.

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Area of Science:

Pediatric Gastroenterology
Nutritional Epidemiology
Preventive Medicine

Background:

Appendicitis is a common surgical emergency in children.
Dietary factors are increasingly recognized for their role in pediatric health conditions.
Understanding modifiable risk factors like diet is crucial for prevention strategies.

Purpose of the Study:

To investigate the association between dietary fiber and whole-grain intake and the risk of appendicitis in children.
To determine if age influences the relationship between diet and appendicitis risk.

Main Methods:

A case-control study involving parents of 135 children diagnosed with appendicitis and 212 healthy comparison children.
Dietary intake, specifically fiber and whole-grain consumption, was assessed through parental interviews.
Statistical analysis was used to estimate the risk reduction associated with different levels of intake.

Main Results:

Children in the upper two quartiles of fiber intake had a 30% lower risk of appendicitis compared to those in the lowest quartile.
Increased monthly intake of whole-grain foods was associated with a decreased risk of appendicitis.
Children aged 7–18 years in the upper fiftieth percentile of whole-grain intake had a 50% lower risk; this was not observed in younger children (<7 years).

Conclusions:

Adequate dietary fiber intake may play a protective role against appendicitis in children.
Higher consumption of whole-grain foods is associated with a significantly reduced risk of appendicitis, particularly in school-aged children and adolescents.
Dietary modifications focusing on fiber and whole grains could be a potential preventive measure for childhood appendicitis.

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