<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-5985</journal-id>
<journal-title><![CDATA[Acta Portuguesa de Nutrição]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Port Nutr]]></abbrev-journal-title>
<issn>2183-5985</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Nutrição]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-59852024000300036</article-id>
<article-id pub-id-type="doi">10.21011/apn.2024.3807</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[INTERVENÇÃO ALIMENTAR E NUTRICIONAL NA DIVERTICULOSE DO CÓLON]]></article-title>
<article-title xml:lang="en"><![CDATA[DIETARY AND NUTRITIONAL INTERVENTION IN COLONIC DIVERTICULOSIS]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teixeira]]></surname>
<given-names><![CDATA[Liliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sampaio]]></surname>
<given-names><![CDATA[Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Magalhães]]></surname>
<given-names><![CDATA[Vânia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade de Trás-osMontes e Alto Douro  ]]></institution>
<addr-line><![CDATA[Vila Real ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Unidade Local de Saúde de Santo António, Serviço de Cirurgia Geral Unidade de Cirurgia Colorretal]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Unidade Local de Saúde de Santo António Serviço de Nutrição ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto de Saúde Pública da Universidade do Porto EPIUnit ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidade do Porto Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR) ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<numero>38</numero>
<fpage>36</fpage>
<lpage>41</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-59852024000300036&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-59852024000300036&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-59852024000300036&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO A diverticulose do cólon consiste na presença de alterações anatómicas em forma de bolsa na parede do intestino grosso, passando a designar-se doença diverticular quando se desenvolvem sintomas. Por sua vez, a doença diverticular, subdivide-se em doença diverticular sintomática não complicada, diverticulite aguda ou crónica (não complicada ou complicada), hemorragia diverticular e colite associada à diverticulose. Têm sido descritos diversos fatores modificáveis que influenciam o desenvolvimento e o tratamento destas condições, em particular a alimentação. Esta revisão temática teve como objetivo descrever e analisar a influência de determinadas opções alimentares e nutricionais na prevenção e no tratamento da diverticulose e da doença diverticular. Foram selecionadas meta-análises, revisões sistemáticas, revisões temáticas, recomendações e trabalhos originais publicados entre 2013 e 2023 disponibilizados nas bases de dados Pubmed e Scopus. Da leitura efetuada, verificámos que a obesidade e a ingestão de álcool são fatores de risco para a diverticulose. Uma maior ingestão de fibra e de vitamina D poderá diminuir o risco de doença diverticular, contrariamente à ingestão de álcool. Não foi encontrada associação com a cafeína. A relação com os oligossacarídeos, dissacarídeos, monossacarídeos e polióis fermentescíveis ainda carece de mais investigação. Em relação aos alimentos, o consumo de frutos oleaginosos, sementes e grãos aparenta diminuir o risco de doença diverticular. Já o consumo de carne vermelha parece ter um papel negativo. No tratamento, a recomendação de ingestão de fibra é diferente de acordo com o subtipo de doença diverticular e a utilização da nutrição artificial pode contribuir para um melhor prognóstico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Colonic diverticulosis refers to the presence of anatomic alterations of the large intestine in saclike pouches. When symptomatic it is designated diverticular disease, which is subdivided into symptomatic uncomplicated diverticular disease, acute or chronic diverticulitis (uncomplicated or complicated), diverticular bleeding and segmental colitis associated with diverticulosis. Up to date, several modifiable factors have already been described that influence the development and treatment of this conditions, particularly the diet adopted by the individual. This thematic review intends to describe and analyze the influence of certain nutritional and dietary options in both prevention and treatment of diverticulosis and diverticular disease. Meta-analysis, systematic reviews, thematic reviews, guidelines, and original articles published from 2013 to 2023 and available in the PubMed and Scopus databases were used. Based on the literature review, we found that obesity and alcohol intake are risk factors for diverticulosis. A higher intake of fiber and vitamin D may reduce the risk of diverticular disease, unlike alcohol intake. No association was found with caffeine. The relationship with fermentable oligosaccharides, disaccharides, monosaccharides, and polyols still needs further investigation. Regarding food, the consumption of nuts, seeds, and corn appears to decrease the risk of diverticular disease. On the other hand, the consumption red meat seems to play a negative role. Regarding the treatment, the recommended intake of fiber is different accordingly to the subtype of diverticular disease. Artificial nutrition may contribute for a better prognostic.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Doença diverticular]]></kwd>
<kwd lng="pt"><![CDATA[Diverticulose]]></kwd>
<kwd lng="pt"><![CDATA[Fatores de risco]]></kwd>
<kwd lng="pt"><![CDATA[Intervenção alimentar]]></kwd>
<kwd lng="pt"><![CDATA[Intervenção nutricional]]></kwd>
<kwd lng="en"><![CDATA[Diverticular disease]]></kwd>
<kwd lng="en"><![CDATA[Diverticulosis]]></kwd>
<kwd lng="en"><![CDATA[Risk factors]]></kwd>
<kwd lng="en"><![CDATA[Dietary intervention]]></kwd>
<kwd lng="en"><![CDATA[Nutritional intervention]]></kwd>
</kwd-group>
</article-meta>
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