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Risk Factors for Asymptomatic Colon Diverticulosis
Hyun Jin Bae1,2, Sung Taek Kim3, Seung Goun Hong1
1Department of Internal Medicine, Anyang SAM Hospital, Anyang, Korea.
The Korean Journal of Gastroenterology = Taehan Sohwagi Hakhoe Chi
|September 26, 2019
Summary
Central obesity, indicated by waist-hip ratio, and fatty liver are key risk factors for developing asymptomatic colon diverticulosis. These findings suggest a link between metabolic health and colon health.
Area of Science:
- Gastroenterology
- Metabolic Health
- Preventive Medicine
Background:
- The causes of colon diverticulosis are multifactorial, involving genetic, biological, and environmental influences.
- Specific risk factors for asymptomatic colon diverticulosis remain unclear.
- This study aimed to identify these risk factors.
Purpose of the Study:
- To investigate the risk factors associated with asymptomatic colon diverticulosis.
- To explore the relationship between metabolic indicators and the prevalence of colon diverticulosis.
Main Methods:
- A retrospective study involving 937 participants who underwent colonoscopy for screening.
- Comparison of participants with and without colon diverticulosis.
- Analysis of factors including age, gender, lifestyle, medical history, body composition (BMI, visceral fat area, waist-hip ratio), and fatty liver severity.
Main Results:
- The prevalence of colon diverticulosis was 8.1% (76/937).
- Fatty liver was more common in participants with diverticulosis (69.7%) compared to controls (50.3%).
- Multivariate analysis identified waist-hip ratio (OR=1.035), moderate fatty liver (OR=2.238), and severe fatty liver (OR=5.519) as significant risk factors for asymptomatic colon diverticulosis.
Conclusions:
- Elevated waist-hip ratio and the presence of moderate to severe fatty liver are significant risk factors for asymptomatic colon diverticulosis.
- Central obesity and fatty liver may play a role in the pathogenesis of colon diverticulosis.
- These findings highlight the importance of metabolic health in colon diverticulosis development.
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