A survey of high‐fibre diet‐sheets used in the treatment of irritable bowel syndrome in Great Britain

Lambert, Janet; Dickerson, J. W. T.

doi:10.1111/j.1365-277x.1989.tb00048.x

Cited by 5 publications

(3 citation statements)

References 31 publications

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“…The IBS clinical literature recognizes the positive role of fiber for digestive health, though the strength of dietary fiber supplementation as a treatment is still uncertain. In one 6‐month trial, patients with IBS found relief only once they consumed 30 g of fiber or more a day 32 . Other trials demonstrate a potential placebo effect with fiber supplementation 33,34 .…”

Section: Literature Review Resultsmentioning

confidence: 99%

“…In one 6-month trial, patients with IBS found relief only once they consumed 30 g of fiber or more a day. 32 Other trials demonstrate a potential placebo effect with fiber supplementation. 33,34 While fiber alone may not treat IBS, a lack of fiber in diets does appear to be a risk factor in the development of IBS, with an inverse relationship between fiber intake and IBS diagnosis, potentially acting via microbiome, inflammatory, and/or motility pathways of digestion.…”

Section: Digestionmentioning

confidence: 99%

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Evolutionary medicine approaches to chronic disease: The case of irritable bowel syndrome

Lenover,

Shenk

2023

Evolutionary Anthropology

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Irritable bowel syndrome (IBS), a gastrointestinal disease, is a global phenomenon correlated with industrialization. We propose that an evolutionary medicine approach is useful to understand this disease from an ultimate perspective and conducted a scoping literature review to synthesize the IBS literature within this framework. Our review suggests five potential evolutionary hypotheses for the cause of IBS, including (a) a dietary mismatch accompanying a nutritional transition, (b) an early hygienic life environment leading to the immune system and microbiotic changes, (c) an outcome of decreased physical activity, (d) a response to changes in environmental light–dark cycles, and (e) an artifact of an evolved fight or flight response. We find key limitations in the available data needed to understand early life, nutritional, and socioeconomic experiences that would allow us to understand evolutionarily relevant risk factors and identify a need for further empirical research to distinguish potential causes and test evolutionary hypotheses.

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Section: Literature Review Resultsmentioning

confidence: 99%

Section: Digestionmentioning

confidence: 99%

Evolutionary medicine approaches to chronic disease: The case of irritable bowel syndrome

Lenover,

Shenk

2023

Evolutionary Anthropology

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“…Neither was there any difference between the groups in their them with a good diet-sheet may be the most efficient use of time. Improvement in the contents and presentation of diet sheets may improve compliance (Lambert & Dickerson, 1989).…”

Section: Discussionmentioning

confidence: 99%

Dietary fibre intake of irritable bowel patients prescribed a high fibre diet

Lambert

Morrison

Brunt

et al. 1991

J Human Nutrition Diet

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Seventy‐three patients with irritable bowel syndrome (IBS) were randomly allocated into one of the following three groups: dietary advice with follow up (DAF) had repeated dietary advice from an experienced senior‐dietitian, dietary advice (DA) a single interview with the dietitian and no dietary advice (NDA) a diet‐sheet alone without explanation. An age, sex‐matched control group was recruited from staff at an institute for higher education. Fibre was assessed by a food‐frequency questionnaire at the beginning and end of the 6‐month study, and by a 7‐day weighed food inventory at the end of the study. There was no difference between the fibre intake of the patients and controls at the beginning of the study. After 6 months there was a mean increase of 7 g fibre/day by the patients (P<0.001) but no increase by the controls. There was no difference in the intake of the three dietary‐treatment groups either at the beginning or end of the study, whether assessed by questionnaire or weighed inventory. Only 14 patients achieved a daily intake of 30 g fibre during the week they weighed their food. This study suggests that although simple diet‐sheets given to patients without further explanation have their limitations, currently employed methods of dietetic counselling appear to offer little additional advantage.

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Bulking agents, antispasmodics and antidepressants for the treatment of irritable bowel syndrome

Ruepert

Quartero

Wit

et al. 2011

Cochrane Database of Systematic Reviews

277

255

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A survey of high‐fibre diet‐sheets used in the treatment of irritable bowel syndrome in Great Britain

Cited by 5 publications

References 31 publications

Evolutionary medicine approaches to chronic disease: The case of irritable bowel syndrome

Evolutionary medicine approaches to chronic disease: The case of irritable bowel syndrome

Dietary fibre intake of irritable bowel patients prescribed a high fibre diet

Bulking agents, antispasmodics and antidepressants for the treatment of irritable bowel syndrome

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