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Nutrients
Volume 13
Issue 6
10.3390/nu13061791
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Article

The Potential Link between Episodes of Diverticulitis or Hemorrhoidal Proctitis and Diets with Selected Plant Foods: A Case–Control Study

by
Juan Flich-Carbonell
1,
Antoni Alegre-Martinez
2,
Jose L. Alfonso-Sanchez
3,4,*,
Maria T. Torres-Sanchez
1,
Segundo Gomez-Abril
1,
Maria I. Martínez-Martínez
5 and
José M. Martin-Moreno
4,6,*
1
Colorectal Surgery Section, General and Digestive Surgery Service, Dr. Peset University Hospital, 46017 Valencia, Spain
2
Department of Biomedical Sciences, Cardenal Herrera CEU University, Moncada, 46115 Valencia, Spain
3
Head of Preventive Medicine Service, University General Hospital of Valencia, 46014 Valencia, Spain
4
Department of Preventive Medicine and Public Health, University of Valencia, 46010 Valencia, Spain
5
Department of Nursing, Faculty of Nursing and Podiatry, University of Valencia, 46010 Valencia, Spain
6
INCLIVA and Clinical University Hospital, 46010 Valencia, Spain
*
Authors to whom correspondence should be addressed.
Nutrients 2021, 13(6), 1791; https://doi.org/10.3390/nu13061791
Submission received: 20 April 2021 / Revised: 19 May 2021 / Accepted: 21 May 2021 / Published: 24 May 2021
(This article belongs to the Section Clinical Nutrition)
Versions Notes

Abstract

Diverticulitis and hemorrhoidal proctitis in the population are significant public health problems. We studied the potential association between the intake of certain plant foods and diverticulitis or hemorrhoidal episodes through a case–control study including 410 cases and 401 controls. We used a semiquantitative food frequency questionnaire. The intake was additionally quantified according to a 24 h recall. The plant foods or derived food products were categorized by their main chemical components into ethanol, caffeine/theine/theobromine, capsaicin, alliin, acids, eugenol, and miscellaneous foods such as curcumin. The mean score for overall intake of plant foods under consideration was 6.3 points, and this was significantly higher in cases (8.5) than in controls (4.1). Overall intake was similar in cases presenting with diverticulitis or hemorrhoidal proctitis. Cases had 13 times the odds of being in the upper quartile for overall intake (>7 points), compared to controls. Explanatory logistic regression models showed that the strongest association with diverticulitis and hemorrhoidal proctitis was shown by the chemical food group of capsaicin, followed by ethanol, eugenol, caffeine/theine/theobromine, and acids. Neither alliin nor miscellaneous food groups showed any association. High, frequent consumption of capsaicin, followed by ethanol, eugenol, caffeine/theine/theobromine, and acids increase the risk of diverticulitis and hemorrhoidal proctitis.
Keywords: diverticulitis; hemorrhoids; vegetables; prevention; epidemiology; consumption diverticulitis; hemorrhoids; vegetables; prevention; epidemiology; consumption

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MDPI and ACS Style

Flich-Carbonell, J.; Alegre-Martinez, A.; Alfonso-Sanchez, J.L.; Torres-Sanchez, M.T.; Gomez-Abril, S.; Martínez-Martínez, M.I.; Martin-Moreno, J.M. The Potential Link between Episodes of Diverticulitis or Hemorrhoidal Proctitis and Diets with Selected Plant Foods: A Case–Control Study. Nutrients 2021, 13, 1791. https://doi.org/10.3390/nu13061791

AMA Style

Flich-Carbonell J, Alegre-Martinez A, Alfonso-Sanchez JL, Torres-Sanchez MT, Gomez-Abril S, Martínez-Martínez MI, Martin-Moreno JM. The Potential Link between Episodes of Diverticulitis or Hemorrhoidal Proctitis and Diets with Selected Plant Foods: A Case–Control Study. Nutrients. 2021; 13(6):1791. https://doi.org/10.3390/nu13061791

Chicago/Turabian Style

Flich-Carbonell, Juan, Antoni Alegre-Martinez, Jose L. Alfonso-Sanchez, Maria T. Torres-Sanchez, Segundo Gomez-Abril, Maria I. Martínez-Martínez, and José M. Martin-Moreno. 2021. "The Potential Link between Episodes of Diverticulitis or Hemorrhoidal Proctitis and Diets with Selected Plant Foods: A Case–Control Study" Nutrients 13, no. 6: 1791. https://doi.org/10.3390/nu13061791

APA Style

Flich-Carbonell, J., Alegre-Martinez, A., Alfonso-Sanchez, J. L., Torres-Sanchez, M. T., Gomez-Abril, S., Martínez-Martínez, M. I., & Martin-Moreno, J. M. (2021). The Potential Link between Episodes of Diverticulitis or Hemorrhoidal Proctitis and Diets with Selected Plant Foods: A Case–Control Study. Nutrients, 13(6), 1791. https://doi.org/10.3390/nu13061791

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