Visceral obesity as a risk factor for left-sided diverticulitis in Japan: a multicenter retrospective study.
Visceral obesity as a risk factor for left-sided diverticulitis in Japan: a multicenter retrospective study.
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DOI：
10.5009/gnl.2013.7.5.532
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发表时间：
2013-09
期刊：
影响因子：
3.4
通讯作者：
Nakajima A
中科院分区：
文献类型：
--
作者：
Yamada E;Ohkubo H;Higurashi T;Sakai E;Endo H;Takahashi H;Uchida E;Tanida E;Izumi N;Kanesaki A;Hata Y;Matsuura T;Fujisawa N;Komatsu K;Maeda S;Nakajima A
左侧憩室炎在日本正在增加，许多研究报告左侧憩室炎更可能是严重的。因此，识别左侧憩室炎的特征和危险因素非常重要。我们假设日本的左侧憩室炎与肥胖有关，并在日本进行了一项关于这种疾病的特征和危险因素的研究。比较右侧憩室炎和左侧憩室炎患者（共215例）的背景，特别是肥胖相关因素，以确定憩室炎的风险因素。右侧憩室炎166例（77.2%），左侧憩室炎49例（22.8%）。左侧憩室炎组中肥胖患者（体重指数≥25 kg/m2，p=0.0349）、内脏肥胖患者（内脏脂肪面积≥100 cm 2，p=0.0019）、平均年龄患者（p=0.0003）和老年患者（年龄≥65岁，p=0.0177）的比例显著高于右侧憩室炎组。左侧憩室炎组内脏肥胖患者的比例显著高于左侧憩室病组（p=0.0390）。这项研究表明，肥胖，特别是内脏肥胖，是日本左侧憩室炎的危险因素。
Left-sided diverticulitis is increasing in Japan, and many studies report that left-sided diverticulitis is more likely to be severe. Therefore, it is important to identify the features and risk factors for left-sided diverticulitis. We hypothesized that left-sided diverticulitis in Japan is related to obesity and conducted a study of the features and risk factors for this disorder in Japan. Right-sided diverticulitis and left-sided diverticulitis patients (total of 215) were compared with respect to background, particularly obesity-related factors to identify risk factors for diverticulitis. There were 166 (77.2%) right-sided diverticulitis patients and 49 (22.8%) left-sided diverticulitis patients. The proportions of obese patients (body mass index ≥25 kg/m2, p=0.0349), viscerally obese patients (visceral fat area ≥100 cm2, p=0.0019), patients of mean age (p=0.0003), and elderly patients (age ≥65 years, p=0.0177) were significantly higher in the left-sided-diverticulitis group than in the right-sided-diverticulitis group. The proportion of viscerally obese patients was significantly higher in the left-sided-diverticulitis group than in the left-sided-diverticulosis group (p=0.0390). This study showed that obesity, particularly visceral obesity, was a risk factor for left-sided diverticulitis in Japan.
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DOI：
10.1111/j.1440-1746.2007.05125.x
发表时间：
2008-03-01
影响因子：
4.1
作者：
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DOI：
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发表时间：
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期刊：
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