Evidence supporting the use of: Fiber (unspecified)
For the health condition: Diverticulitis

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Synopsis

Source of validity: Scientific
Rating (out of 5): 4

Fiber is commonly recommended in the management of diverticulitis, particularly after the acute phase of the condition has resolved. Historically, the use of a high-fiber diet has been based on observational studies suggesting that populations with higher fiber intake have lower incidence of diverticular disease. More recent scientific evidence has provided further support for this practice. Multiple cohort and case-control studies have found that dietary fiber, especially from fruits and vegetables, is associated with a reduced risk of developing diverticulitis and its complications. For example, a large prospective study published in Gastroenterology (Strate et al., 2013) found that higher fiber intake was linked to a lower risk of diverticulitis among men. Fiber is thought to work by increasing stool bulk, reducing colonic pressures, and promoting regular bowel movements, thereby potentially reducing the formation of new diverticula and decreasing the risk of inflammation in existing ones. However, it is important to note that fiber supplementation is not recommended during acute episodes of diverticulitis, when a low-fiber or clear liquid diet is often advised until symptoms improve. After recovery, gradually increasing fiber intake is generally encouraged for prevention of recurrence. Overall, scientific evidence supports the use of fiber in the prevention and long-term management of diverticulitis, but not for acute treatment.

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