Evidence map›Paper›PMID 40592564›Full record

SynthesisGut2025

Lifestyle factors, genetic susceptibility and risk of incident diverticulitis: an integrated analysis of four prospective cohort studies and electronic health records-linked biobank.

Wenjie Ma, Jane Ha, Christopher J Neylan, Heather Munro, Duncan Skerrett, Jonathan M Downie, Magdalena Sevilla-González, Mark Steinwandel, Michael Mumma, Wei Zheng and 4 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in Gut, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Genetic Risk, Healthy Lifestyle, and Risk Stratification for Diverticulitis.Journal of the American College of Surgeons · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Wenjie Ma *Clinical and Translational Epidemiology Unit, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-9894-7072
Jane Ha *Clinical and Translational Epidemiology Unit, Massachusetts General Hospital, Boston, Massachusetts, USA.
Christopher J NeylanDepartment of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Heather MunroVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Duncan SkerrettDepartment of Medicine, University of Washington School of Medicine, Seattle, Washington, USA.
Jonathan M DownieClinical and Translational Epidemiology Unit, Massachusetts General Hospital, Boston, Massachusetts, USA.
Magdalena Sevilla-GonzálezClinical and Translational Epidemiology Unit, Massachusetts General Hospital, Boston, Massachusetts, USA.
Mark SteinwandelVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Michael MummaVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Wei ZhengDivision of Epidemiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Lillias H MaguireDepartment of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Edward L GiovannucciDepartments of Nutrition and Epidemiology, Harvard T H Chan School of Public Health, Boston, Massachusetts, USA.ORCID 0000-0002-6123-0219
Lisa L StrateDivision of Gastroenterology and Hepatology, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin, USA.
Andrew T ChanClinical and Translational Epidemiology Unit, Massachusetts General Hospital, Boston, Massachusetts, USA achan@mgh.harvard.edu.ORCID 0000-0001-7284-6767

Funding

Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2002 to 2026
$29.9M
Life Course Cancer Epidemiology Cohort in WomenU01CA176726 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI ELIASSEN, A. HEATHER, WILLETT, WALTER C. · 2018 to 2025
$22.4M
Cancer Epidemiology Cohort in Male Health ProfessionalsU01CA167552 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Lorelei Mucci, Walter C. Willett · 2017 to 2026
$17.0M
Premonopausal Hormone Levels and Risk of Breast CancerR01CA067262 · NCI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI HANKINSON, SUSAN E · 2002 to 2011
$11.9M
BIOCHEMICAL MARKERS IN THE NURSES'HEALTH STUDY COHORTR01CA049449 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI HANKINSON, SUSAN E · 1989 to 2008
$11.3M
Inflammation and Risk of DiverticulitisR01DK101495 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI CHAN, ANDREW T, STRATE, LISA L · 2014 to 2022
$4.4M
Genetic Determinants of Outcomes in Diverticular DiseaseK08DK124687 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI MAGUIRE, LILLIAS HOLMES · 2020 to 2024
$841k
Investigation of Medical Management to Prevent Episodes of Diverticulitis (IMPEDE) TrialR01DK131694 · NIDDK · UNIVERSITY OF WASHINGTON · PI FLUM, DAVID R, STRATE, LISA L · 2022 to 2024
$769k
Prediction of outcomes in diverticulitis using a deep-learning frameworkK01DK135854 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Wenjie Ma · 2024 to 2026
$470k
NCI NIH HHS R01 CA049449NCI NIH HHS R01 CA067262NCI NIH HHS U01 CA167552NCI NIH HHS U01 CA176726NIDDK NIH HHS K01 DK135854NIDDK NIH HHS K08 DK124687NIDDK NIH HHS P30 DK058404NIDDK NIH HHS R01 DK101495NIDDK NIH HHS R01 DK131694
6 · The paper itself

Abstract

backgroundBoth lifestyle factors and genetic predisposition contribute to the development of diverticulitis.

objectiveTo examine whether lifestyle modification can reduce the genetic risk of diverticulitis.

designWe derived an overall healthy lifestyle score for diverticulitis based on smoking, body mass index (BMI), physical activity, fibre and red meat among 179 564 participants in three prospective cohorts-the Nurses' Health Study (NHS), NHSII and the Health Professionals Follow-Up Study. The association between the healthy lifestyle score and incident diverticulitis was confirmed among 30 750 participants in the Southern Community Cohort Study (SCCS). We assessed genetic risk using a polygenic risk score among 36 077 individuals with genotype data available. We further validated our findings in the Mass General Brigham Biobank (MGBB).

resultsA healthy lifestyle score was associated with a decreased risk of diverticulitis. Compared with a score of 0, the multivariable-adjusted HR for a score of 5 was 0.50 (95% CI, 0.44 to 0.57; p trend<0.0001). This association was consistent across the SCCS in both non-Hispanic black and white populations. Each unit increase in the healthy lifestyle score was associated with a reduced diverticulitis risk similarly across genetic risk categories, with HRs of 0.89 (95% CI, 0.83 to 0.95) for low, 0.86 (0.81 to 0.92) for mid and 0.87 (0.83 to 0.91) for high genetic risk. In the MGBB cohort, a higher BMI was associated with an increased diverticulitis risk across genetic risk categories.

conclusionMaintaining a healthy lifestyle was associated with a reduced risk of developing diverticulitis, regardless of population differences and genetic susceptibilities.

Indexed as

DiverticulitisGenetic Predisposition to DiseaseLife StyleAdultAgedBiological Specimen BanksBody Mass IndexDietary FiberElectronic Health RecordsExerciseFemaleGenotypeHumansIncidenceMaleMiddle AgedDietary FiberDIETDIVERTICULAR DISEASEGASTROINTESTINAL TRACTGENETICSOBESITY

Identifiers

PMID40592564
PMCPMC12985456

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.