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      The Association between Anthropometric Indicators and Colorectal Polyps and Diverticulosis

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          Abstract

          Abstract Introduction Colonic polyps and diverticulosis are common colon findings on colonoscopy. One of the risk factors of colorectal polyps and diverticulosis is the anthropometric index. Therefore, we aimed to investigate the association between the anthropometric index and colorectal findings. Methods In this cross-sectional study, we included 536 patients referred to Razi Hospital, Rasht, Iran, in 2023 for colonoscopy evaluation. Demographical data, clinical characteristics, and colonoscopy findings were recorded for further analysis. All data were analyzed using SPSS.16 by considering a significant level < 0.05 Results The results showed that 35.4% of the patients had polyps, with the majority having a single polyp. The patient's mean age was 55.94 ± 13.33 years; most were females (54.1%). The most common type of polyp was pedunculated, and most were located in the sigmoid colon. The prevalence of diverticular was 11.4%, most of which were also located in the sigmoid colon. Obesity was significantly associated with an increased risk of polyps, while overweight individuals had a higher risk of diverticula (P < 0.05). Age, rural residence, and low physical activity level were identified as factors associated with an increased risk of polyps and diverticula. Conclusion The findings suggest that obesity and overweight are risk factors for polyps and diverticula, respectively. Further research is warranted to explore additional factors and develop preventive strategies for colorectal diseases. These results support the need for preventive strategies and screening programs to reduce the risk of future colorectal lesions.

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          Most cited references60

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          Assessment of physical activity: an international perspective.

          M Booth (2000)
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            Epidemiology, Pathophysiology, and Treatment of Diverticulitis

            Diverticulitis is a prevalent gastrointestinal disorder that is associated with significant morbidity and health care costs. Approximately 20% of patients with incident diverticulitis have at least 1 recurrence. Complications of diverticulitis, such as abdominal sepsis, are less likely to occur with subsequent events. Several risk factors, many of which are modifiable, have been identified including obesity, diet, and physical inactivity. Diet and lifestyle factors could affect risk of diverticulitis through their effects on the intestinal microbiome and inflammation. Preliminary studies have found that the composition and function of the gut microbiome differ between individuals with vs without diverticulitis. Genetic factors, as well as alterations in colonic neuromusculature, can also contribute to the development of diverticulitis. Less-aggressive and more-nuanced treatment strategies have been developed. Two multicenter, randomized trials of patients with uncomplicated diverticulitis found that antibiotics did not speed recovery or prevent subsequent complications, and guidelines now recommend antibiotics for only specific patients. Elective surgical resection is no longer recommended solely based on number of recurrent events or young patient age and might not be necessary for some patients with diverticulitis complicated by abscess. Randomized trials of hemodynamically stable patients who require more emergent surgery for acute, complicated diverticulitis that has not improved with antibiotics provide evidence to support primary anastomosis vs sigmoid colectomy with end colostomy. Despite these advances, more research is needed to increase our understanding of the pathogenesis of diverticulitis and to clarify treatment algorithms. Diverticulitis is a prevalent condition of the colon. New evidence indicates that diet and lifestyle may interact with the gut microbiota to initiate inflammation. Less aggressive treatment paradigms are under active investigation.
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              The impact of screening on colorectal cancer mortality and incidence: has it really made a difference?

              Ann Zauber (2015)
              About sixty percent of the US population of those age fifty and older are currently up to date with colorectal cancer screening recommendations. Has this level of screening made a difference for reducing colorectal cancer (CRC) incidence and/or mortality? Randomized controlled trials of guaiac-based fecal occult blood tests, which have relatively low sensitivity but high specificity for CRC, have shown a modest effect but with a long-term reduction in CRC mortality. Newer fecal immunochemical tests are expected to have a greater effect. Randomized controlled trials of flexible sigmoidoscopy have also demonstrated a reduction in CRC mortality. Observational studies of screening colonoscopy suggest an effect of greater than fifty percent reduction in CRC mortality. We have assessed past trends of colorectal cancer screening in the US population which suggest that more than fifty percent of the decline in colorectal cancer mortality can be attributed to the increased acceptance and uptake in colorectal cancer screening. Current and future levels of increased screening could provide for even larger reductions for the USA. Colorectal cancer screening has and will continue to make a significant impact on reducing colorectal cancer mortality.
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                Author and article information

                Journal
                jcol
                Journal of Coloproctology (Rio de Janeiro)
                J. Coloproctol. (Rio J.)
                Sociedade Brasileira de Coloproctologia (Rio de Janeiro, RJ, Brazil )
                2237-9363
                2317-6423
                2024
                : 44
                : 2
                : e111-e119
                Affiliations
                [1] Rasht orgnameGuilan University of Medical Sciences orgdiv1Gastrointestinal and Liver Diseases Research Center orgdiv2Department of Gastroenterology Iran
                [2] Rasht orgnameGuilan University of Medical Sciences orgdiv1School of Health orgdiv2Department of Biostatistics Iran
                [3] Rasht orgnameGuilan University of Medical Sciences orgdiv1Razi Hospital orgdiv2School of Medicine Iran
                Article
                S2237-93632024000200005 S2237-9363(24)04400200005
                10.1055/s-0044-1787284
                5ae6d028-97fb-4d41-9762-49062b601014

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 26 November 2023
                : 09 April 2024
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 60, Pages: 0
                Product

                SciELO Brazil

                Categories
                Original Article

                anthropometric index,waist to hip circumstances,colorectal cancer,body mass index,colonoscopy

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