Food, fibre, bile acids and the pelvic floor: An integrated low risk low cost approach to managing irritable bowel syndrome

Philpott, Hamish

doi:10.3748/wjg.v21.i40.11379

Cited by 5 publications

(2 citation statements)

References 41 publications

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“…The role of fiber in gut health through mechanical stimulation and microbiota activity has been explored in human and domestic animal health (Molist, Manzanilla, Perez, & Nyachoti, ; Monagne, Pluske, & Hampson, ; Philpott, Nandurkar, Lubel, & Gibson, ) but has yet to be fully evaluated as a trigger of MWS. Juan‐Salles et al () have proposed fiber deficient diets for marmosets as a potentially important factor in the development of MWS.…”

Section: Introductionmentioning

confidence: 99%

Identification of possible nutritional and stress risk factors in the development of marmoset wasting syndrome

Cabana¹,

Maguire²,

Hsu³

et al. 2018

Zoo Biology

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Marmoset wasting syndrome (MWS) describes a series of symptoms in callitrichids that lead to general weakness and a failure to thrive in captive conditions such as zoological institutions. Though the cause of MWS has not been identified, the majority of hypotheses are linked to deficiencies of specific nutrients and increased stress levels. Questionnaires were sent to zoos requesting information on diets and housing of currently living and dead callitrichids before their deaths, as well as their postmortem reports. Risk factors for development and occurrence of MWS include close proximity of predator enclosures and high levels of dietary magnesium and zinc. Variables with effects which may protect against the development of MWS included provision of a nest box, natural trees within enclosure, reduced visibility to visitors, as well as dietary factors such as higher concentrations of potassium and fiber fractions. The protective effects of limited concentrate feeds and increased total dietary fiber may help reduce the risks of developing MWS. The minerals may not have biological implications in MWS per se, however, they may be reflective of diets too high in concentrates and too low in plant matter. Habitat designs that are less naturalistic and those which provide insufficient privacy or hide areas may increase chronic stress for callitrichid species, possibly because of visitor-related stress. Other causes of chronic stress in captive zoo populations should be the topic of further research to reduce occurrence of MWS.

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Section: Introductionmentioning

confidence: 99%

Identification of possible nutritional and stress risk factors in the development of marmoset wasting syndrome

Cabana¹,

Maguire²,

Hsu³

et al. 2018

Zoo Biology

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“…Subsequent studies have shone new light on fiber supplementation as a treatment for IBS. Several comprehensive reviews have been published recently on the role of dietary fibers in IBS ( 42 – 46 ). The present review aimed to discuss the efficacy of fiber supplementation in the treatment of IBS, the type of dietary fiber that should be recommended, and the mechanisms underlying the effects of dietary fiber, particularly those concerning the interaction between fibers, microbiota, the immune system and the neuroendocrine regulatory system of the gut.…”

Section: Introductionmentioning

confidence: 99%

Dietary fiber in irritable bowel syndrome (Review)

El‐Salhy

Ystad

Mazzawi

et al. 2017

International Journal of Molecular Medicine

106

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Irritable bowel syndrome (IBS) is a common chronic gastrointestinal disorder. It is widely believed that IBS is caused by a deficient intake of dietary fiber, and most physicians recommend that patients with IBS increase their intake of dietary fiber in order to relieve their symptoms. However, different types of dietary fiber exhibit marked differences in physical and chemical properties, and the associated health benefits are specific for each fiber type. Short-chain soluble and highly fermentable dietary fiber, such as oligosaccharides results in rapid gas production that can cause abdominal pain/discomfort, abdominal bloating/distension and flatulence in patients with IBS. By contrast, long-chain, intermediate viscous, soluble and moderately fermentable dietary fiber, such as psyllium results in a low gas production and the absence of the symptoms related to excessive gas production. The effects of type of fiber have been documented in the management of IBS, and it is known to improve the overall symptoms in patients with IBS. Dietary fiber acts on the gastrointestinal tract through several mechanisms, including increased fecal mass with mechanical stimulation/irritation of the colonic mucosa with increasing secretion and peristalsis, and the actions of fermentation byproducts, particularly short-chain fatty acids, on the intestinal microbiota, immune system and the neuroendocrine system of the gastrointestinal tract. Fiber supplementation, particularly psyllium, is both safe and effective in improving IBS symptoms globally. Dietary fiber also has other health benefits, such as lowering blood cholesterol levels, improving glycemic control and body weight management.

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