Severity of Irritable Bowel Syndrome Symptoms and Fodmaps Intake in University Students

AUFIERI, Mariana Cerne; Morimoto, Juliana Masami; Viebig, Renata Furlan

doi:10.1590/s0004-2803.202100000-84

Cited by 6 publications

(5 citation statements)

References 16 publications

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“…The results of the present study provide preliminary scientific evidence that IBS is very common in human medicine students, thereby offering a consistent analysis for implementing preventive measures. For example, encouraging improvements in lifestyle, reinforcing participation in sports activities to reduce the constant stress experienced during university life (44,45), or employing educational talks on nutrition such as the use of a low FODMAP diet (46) or consuming a diet richer in proteins, as it acts as a protective factor for IBS (47). All the aforementioned have had a positive effect on IBS, aiming to prevent its progression and/or severity (46).…”

Section: Relevance Of Findings In Public Healthmentioning

confidence: 99%

“…For example, encouraging improvements in lifestyle, reinforcing participation in sports activities to reduce the constant stress experienced during university life (44,45), or employing educational talks on nutrition such as the use of a low FODMAP diet (46) or consuming a diet richer in proteins, as it acts as a protective factor for IBS (47). All the aforementioned have had a positive effect on IBS, aiming to prevent its progression and/or severity (46). This would seek to avoid economic expenses for medical treatment and also to achieve optimal academic learning.…”

Section: Relevance Of Findings In Public Healthmentioning

confidence: 99%

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Irritable Bowel Syndrome in medical students at a Peruvian university: a cross-sectional study

Quiroga-Castañeda,

Berrios-Villegas,

Valladares-Garrido

et al. 2024

Front. Med.

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BackgroundIrritable Bowel Syndrome has emerged as a significant public health challenge, particularly relevant in medical students due to the high demands of their studies, academic stress, and susceptibility to eating disorders. Nevertheless, conclusive evidence regarding the factors associated with Irritable Bowel Syndrome in the Latin American student population remains limited. The objective of this study was to determine the prevalence and factors associated with Irritable Bowel Syndrome in Human Medicine students at a university in northern Peru.MethodsA cross-sectional analytical study conducted in Lambayeque, northern Peru. With 403 Human Medicine students (66.5% female, 33.5% male). A simple random probabilistic sampling type was used, based on a list of students enrolled. A multivariate analysis was conducted to determine the factors associated using simple and multiple regression models. Generalized Linear Models were applied, using the Poisson distribution family, robust variance, and the academic year as a cluster.ResultsThe prevalence of Irritable Bowel Syndrome was 16.9% (95% CI: 13.37–20.86). The median age was 21 years, with 66.5% being female. In the multiple regression analysis, Irritable Bowel Syndrome was associated with a higher prevalence of depression (PR: 3.63; 95% CI: 1.26–10.49) and eating disorders (PR: 1.57; 95% CI: 1.01–2.43). For each additional year of age, the prevalence of Irritable Bowel Syndrome decreased by 9% (PR: 0.91; 95% CI: 0.83–0.99).ConclusionThis study reveals that approximately two out of every 10 students exhibit symptoms related to IBS, underscoring its significance in the Human Medicine student population. Furthermore, depression and eating disorders were identified as significant factors associated with IBS in students. Consequently, it is essential to focus efforts on early identification and the implementation of preventive measures to mitigate the development of this pathology, given its substantial prevalence in this context of Human Medicine students.

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Section: Relevance Of Findings In Public Healthmentioning

confidence: 99%

Section: Relevance Of Findings In Public Healthmentioning

confidence: 99%

Irritable Bowel Syndrome in medical students at a Peruvian university: a cross-sectional study

Quiroga-Castañeda,

Berrios-Villegas,

Valladares-Garrido

et al. 2024

Front. Med.

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“…Uncontrolled observations have suggested efficacy of the FODMAP diet in Central America 91 and association of high FODMAP foods with symptoms have been made in South America. 92 It does appear that the moderate intake of FODMAPs (sufficient to enable the benefits of their restriction to manifest) stretches across most cultures, with the exception of Japan where efficacy of the diet has yet to be reported, and an association study of perceptions of the relationship of specific food intake and lower GI symptoms suggested that FODMAPs were not a problem, although such interpretation of the findings was highly speculative. 93 Despite evidence revealing its efficacy, there are challenges in implementing the FODMAP diet into different cultures.…”

Section: Culturally-appropriate Fodmap Dietsmentioning

confidence: 99%

How to Implement the 3-Phase FODMAP Diet Into Gastroenterological Practice

Sultan

Varney

Halmos

et al. 2022

J Neurogastroenterol Motil

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Background/AimsThe 3-phase fermentable oligo-, di-, mono-saccharides, and polyols (FODMAP) diet has shown a high level of efficacy in irritable bowel syndrome, largely based on dietitian delivered education. However, access to dietitians can be limited, and challenges exist when applying the diet to a wide range of cultures, such as limited FODMAP analysis of local foods. This review aims to discuss ways to optimally use the FODMAP diet in practice in a wide range of cultures, directed at gastroenterologists from a dietitian's perspective. MethodsRecent literature was analysed via search databases including Medline, CINAHL, PubMed and Scopus. ResultsThe dietetic process involves detailed assessment and follow-up through the 3 stages of the FODMAP diet (restriction, re-introduction, and long-term maintenance). Emerging evidence suggests the diet can be delivered by other health professionals such as the gastroenterologist or nurse, but training on how to do so successfully would be needed. Self-guided approaches through use of technology or specialised food delivery services may be an alternative when dietitians are not available, but efficacy data is limited. Regardless of delivery mode, nutritional and psychological risks of the diet must be mitigated. Additionally, culturally appropriate education must be provided, with accommodations necessary when the FODMAP content of local foods are unknown. ConclusionWhile the diet has shown improved irritable bowel syndrome outcomes across studies, it is important to acknowledge the essential role of dietitians in implementing, tailoring, and managing the diet to achieve the best outcome for each individual.

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“…However, FODMAP consumption has been shown to induce symptoms in IBS sufferers [21], perhaps explaining why a large population-based cohort study from France found that FODMAP intake was lower in IBS subjects than in the general population and intake decreased as IBS severity increased [22]; IBS sufferers had, presumably, and either consciously or unconsciously, learned to avoid these offending foods; yet another factor that may confound the interpretation of clinical trials.…”

Section: Key Pointsmentioning

confidence: 99%

Gastrointestinal effects of diets low in fermentable oligosaccharides, disaccharides, monosaccharides and polyols

Quigley¹

2022

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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Purpose of review Food ingestion is an exacerbator of gastrointestinal symptoms, regardless of origin. Sufferers mistakenly assume that they have suffered an allergic reaction to a given food. Although classical IgE-mediated allergic reactions are rarely culpable, evidence for a role for intolerance to certain carbohydrates in irritable bowel syndrome (IBS) and related conditions increases. This review assesses the status of a commonly implicated group of poorly absorbed carbohydrates (fermentable oligosaccharides, disaccharides, monosaccharides and polyols – FODMAPs) in gastrointestinal pathophysiology. Recent findings Although evidence of efficacy for low FODMAP diets in IBS accumulates, the magnitude of this effect has declined in recent studies. Comparisons to other dietary approaches have revealed conflicting results; some suggest superiority, others find parity. Concerns had been raised regarding long-term nutritional, psychological and microbiological impacts of FODMAP restriction; providing that the diet is administered in the recommended manner, these do not appear to be clinically important. The mechanisms whereby FODMAPs cause gastrointestinal symptoms continue to be explored. Summary FODMAPS induce gastrointestinal symptoms in susceptible individuals and their restriction provides clinical benefits. The magnitude of these benefits, the superiority of FODMAP restriction over other dietary approaches and the mechanisms of its effects continue to be defined.

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Severity of Irritable Bowel Syndrome Symptoms and Fodmaps Intake in University Students

Cited by 6 publications

References 16 publications

Irritable Bowel Syndrome in medical students at a Peruvian university: a cross-sectional study

Irritable Bowel Syndrome in medical students at a Peruvian university: a cross-sectional study

How to Implement the 3-Phase FODMAP Diet Into Gastroenterological Practice

Gastrointestinal effects of diets low in fermentable oligosaccharides, disaccharides, monosaccharides and polyols

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