Diverticulosis epidemiology and demographics

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Overview

The prevalence of diverticulosis is age-dependent. The prevalence increases from fewer than 20% at age 40 to approximately 60% by age 60. At young age (<50 years), males are more commonly affected with diverticulosis than females, but there is a female preponderance after the age of 40-50 years. Caucasian individuals are at higher risk of developing diverticulosis compared with Asian and non-African Black individuals. Diverticulosis is more commonly diagnosed in developed countries than in developing countries.

Epidemiology and Demographics

Age

  • The prevalence of diverticulosis is age-dependent.
  • The prevalence increases from fewer than 20% at age 40 to approximately 60% by age 60.[1][2]

Gender

  • At young age (<50 years), males are more commonly affected with diverticulosis than females.
  • At older age, women are more frequently affected with diverticulosis than males.[3]

Race

  • There is a slight racial predilection to the development of diverticulosis.
  • Caucasian individuals are at higher risk of developing diverticulosis compared with Asian and non-African Black individuals.[4]

Developed Countries

  • In patients above the age of 40 years, the incidence of diverticulosis in the USA is approximately 10,000 per 100,000 individuals.
  • Diverticulosis is frequently diagnosed in the US, Britain, Australia, and Canada.
  • The majority of cases in developed countries are sigmoid-diverticulosis.

Developing Countries

  • Diverticulosis is less commonly diagnosed in developing countries compared with developed countries.
  • In Asia, the rate of right-sided diverticulosis is more common than in the developed countries, but sigmoid diverticlosis remains the most common location for diverticulosis.[5]

References

  1. Painter NS, Burkitt DP (1975). "Diverticular disease of the colon, a 20th century problem". Clin Gastroenterol. 4 (1): 3–21. PMID 1109818.
  2. Peery AF, Barrett PR, Park D, Rogers AJ, Galanko JA, Martin CF, Sandler RS (2012). "A high-fiber diet does not protect against asymptomatic diverticulosis". Gastroenterology. 142 (2): 266–72.e1. doi:10.1053/j.gastro.2011.10.035.
  3. Warner E, Crighton EJ, Moineddin R, Mamdani M, Upshur R (2007). "Fourteen-year study of hospital admissions for diverticular disease in Ontario". Can. J. Gastroenterol. 21 (2): 97–9. PMC 2657668. PMID 17299613.
  4. Golder M, Ster IC, Babu P, Sharma A, Bayat M, Farah A (2011). "Demographic determinants of risk, colon distribution and density scores of diverticular disease". World J. Gastroenterol. 17 (8): 1009–17. doi:10.3748/wjg.v17.i8.1009. PMC 3057143. PMID 21448352.
  5. Wang FW, Chuang HY, Tu MS, King TM, Wang JH, Hsu CW, Hsu PI, Chen WC (2015). "Prevalence and risk factors of asymptomatic colorectal diverticulosis in Taiwan". BMC Gastroenterol. 15: 40. doi:10.1186/s12876-015-0267-5. PMC 4383068. PMID 25888375.

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