Effect of Nutritional Counseling and Mediterranean Diet on Patients With Diverticular Disease
Condition(s) studied
Investigational drug(s) / intervention(s)
Nutritional counselling: Patients will be asked to follow the Mediterranean Diet and to participate to an educational program.
Diet: Patients will be asked to follow Mediterranean Diet only
Study summary
Diverticular Disease (DD) is a frequent condition in Western populations and may be associated with complications including bleeding, perforation, acute diverticulitis, and colon strictures. Severity of diverticular disease and its association with prognosis in relation to surgery using the Diverticular Inflammation and Complication Assessment (DICA) classification has been validated in several studies. A sedentary lifestyle, poor fibre intake and other unhealthy dietary habits have been associated with DD. On the contrary, the Mediterranean Diet (MD), which involves factors such as consuming locally grown food products, family meals, conviviality, involvement in the preparation of meals, as well as high intake of vegetables, legumes, fruit and cereals, medium intake of fish, low intake of meat and saturated fat, high intake of unsaturated fat (particularly olive oil), a medium-low intake of dairy products (yogurt and cheese), and a moderate intake of wine, seems to protect against DD. Moreover, populations that follow the MD pattern show a 50% lower rate of cardiovascular mortality due to cardiovascular disease and show highest longevity. A common finding in clinical practice is that a majority of patients undergoing a new diet stop to correctly follow the diet in the long term, suggesting the importance of periodic counselling for patients.
The aim of the study is to evaluate the impact of MD on DD and on severity of DD, and to explore the impact of incorporating a dietitian-driven counselling program in this condition.
Eligibility
Primary outcome measure(s)
- Remission of symptoms — 12 weeks
The percentage of patients that will achieve symptom-free remission of symptoms - Adherence to diet — 12 weeks
The effect of a counselling program on Medi-LITE score - DICA and diet — 12 weeks
The differences in response based on basal DICA (Diverticular Inflammation and Complication Assessment, value 1-3, with DICA 3 meaning a worse outcome).
Trial sites (1)
| Facility | City | Region | Status |
|---|---|---|---|
| UOSD Endoscopia - Ospedale Alto Vicentino - AULSS 7 Pedemontana | Santorso | Vicenza |
More Regione del Veneto - AULSS n. 7 Pedemontana trials in Italy
Other trials for the same condition
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
View NCT06797739 on ClinicalTrials.gov ↗ ← All trials in Italy