Clinical Nutrition Therapy of Metabolic Syndrome in Adolescents

Yom, Hye Won

doi:10.5223/kjpgn.2011.14.4.350

Cited by 1 publication

(1 citation statement)

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“…2 Changes in dietary habits, from eating traditional healthy foods to consuming westernized fast foods, have increased the consumption of fructose and HFCS in Asian countries, including Korea. 3,4 Ingested fructose is usually absorbed in the small bowel through glucose transporter-5 transporter-mediated facilitative diffusion. Because this is an energy-independent process, it limits the absorptive capacity of the small intestine carrier.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Fructose Malabsorption in Patients With Irritable Bowel Syndrome After Excluding Small Intestinal Bacterial Overgrowth

Jung

Seo

Cho

et al. 2018

J Neurogastroenterol Motil

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Background/AimsFructose malabsorption (FM) mimics symptoms of irritable bowel syndrome (IBS), and its prevalence has increased. Diagnosing FM in IBS is challenging because of its overlap with small intestinal bacterial overgrowth (SIBO). We assessed the prevalence of FM by comparing patients with IBS with asymptomatic control individuals after excluding SIBO using the glucose hydrogen breath test (HBT). MethodsPatients diagnosed with IBS and asymptomatic control individuals were enrolled prospectively. Dietary habits were assessed with the Food Frequency Questionnaire. After excluding SIBO, participants underwent HBTs with both 15 g and 25 g of fructose. Results Thirty 040). Analysis of the Food FrequencyQuestionnaire responses showed no significant differences between the 2 groups in dietary intake, although patients with IBS showed a significantly higher mean fiber intake than controls (21.24 ± 11.35 g vs 15.87 ± 7.07 g, respectively, P = 0.040). ConclusionsThe 25-g fructose HBT identified FM in a significantly higher percentage of SIBO-negative patients with IBS than in asymptomatic control individuals, suggesting that FM may correlate with IBS. Education regarding dietary control of foods containing fructose may be useful for the management of patients with IBS. (J Neurogastroenterol Motil 2018;24:307-316)

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Section: Introductionmentioning

confidence: 99%