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High intake of red meat ups risk of diverticulitis in men

Men who eat lots of red meat are much more likely to have diverticulitis than their peers who stick mainly with chicken or fish, a new study suggests.

Researchers examined more than two decades of data on more than 46,000 men and found frequent red meat eaters were 58 per cent more likely to be diagnosed with diverticulitis.

“Previous studies have shown that a high fibre diet is associated with a lower risk of diverticulitis, however, the role of other dietary factors in influencing risk of diverticulitis was not well studied,” said senior study author Andrew Chan, a researcher at Harvard University and Massachusetts General Hospital in Boston.

“Our results show that diets high in red meat may be associated with a higher risk of diverticulitis,” Chan added by e-mail.

Diverticulitis is common, resulting in more than 200,000 hospitalisations a year in the US at a cost of more than $2 billion, Chan and colleagues note in the journal Gut, online January 9.

New cases are on the rise, and the exact causes are unknown, although the condition has been linked to smoking, obesity and the use of non-steroidal anti-inflammatory drugs (NSAIDs).

While diverticulitis can often be treated with a liquid or low-fibre diet, severe cases may require hospitalisation and surgery to fix complications like perforations in the gut wall.

Researchers examined data collected on men who were aged 40 to 75 when they joined the study between 1986 and 2012. Every four years men were asked how often, on average, they ate red meat, poultry and fish over the preceding year.

While diverticulitis can often be treated with a liquid or low-fibre diet, severe cases may require hospitalisation and surgery to fix complications like perforations in the gut wall

They were given nine options, ranging from ‘never’ or ‘less than once a month,’ to ‘six or more times a day.’

During the study period, 764 men developed diverticulitis.

Men who ate the most red meat were also more likely to smoke, more likely to regularly take NSAIDs, and less likely to eat foods with fibre or get intense exercise.

By contrast, men who ate more chicken and fish were less likely to smoke or take NSAIDs and more likely to get vigorous exercise.

After accounting for these other factors that can influence the risk of diverticulitis, red meat was still associated with higher odds of developing the bowel disorder.

Each daily serving of red meat was associated with an 18 per cent increased risk, the study found.

Unprocessed meats like beef, pork and lamb were associated with a greater risk than processed meats like bacon or sausage.

It’s possible the higher cooking temperatures typically used to prepare unprocessed meats may influence the composition of bacteria in the gut or inflammatory activity, though the exact reason for the increased risk tied to these foods is unknown, the researchers note. Swapping one daily serving of red meat for chicken or fish was associated with a 20 per cent reduction in the risk of this bowel disorder, the study also found.

The study is observational, and doesn’t prove red meat causes diverticulitis.

Other limitations of the study include its reliance on men to accurately recall and report how much meat they ate and the possibility that the results may not apply to women, the authors point out.

Even so, the findings should offer yet another reason to consider cutting back on red meat, said Samantha Heller, a nutritionist at New York University Langone Medical Centre in New York City who wasn’t involved in the study.

Diets high in red and processed meats have been linked with increased risks of inflammatory bowel diseases, so the link found in this study “is not surprising,” Heller said by e-mail.

“Focusing on a more plant-based, higher fibre diet that includes legumes, wholegrains, nuts, vegetables and fruits, replete with appropriate fluid intake, may go a long way in helping reduce of inflammatory bowel diseases, diverticulitis, and other chronic diseases,” Heller added.

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