Low FODMAP diet significantly improves IBS symptoms: an Irish retrospective cohort study

Nawawi, Mohd; Belov, M. D.G.V.; Goulding, Carol

doi:10.1007/s00394-019-02074-6

Cited by 17 publications

(37 citation statements)

References 16 publications

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“…The lack of adherence in the patients was due to practical reasons, such as the lack of time to organize the daily food plan and in some cases, the poor response of the gastrointestinal symptoms to the same diet. Our study confirms that the low-FODMAP diet could be useful to obtain a long-term relief of IBS symptoms, in accordance to the data present in scientific literature about this topic [20]. On the contrary, other studies found a short time improvement in gastrointestinal symptoms [32][33][34].…”

Section: Discussionsupporting

confidence: 92%

“…This process causes an accumulation of water and gas in the intestinal lumen with a consequent distension of the bowel, that in turn determines, in a patients with visceral hypersensitivity, typical IBS symptom appearance [17][18][19]. Low-FODMAP diet, (i.e., a low oligosaccharide, disaccharide, monosaccharide and polyol diet) is associated with an improvement of gastrointestinal symptoms in 50-80% of patients [20][21][22]. This diet expected the elimination of wheat, barley, spelt, rye, and all the other gluten containing cereals, for a limited period of time, [22,23].…”

Section: Introductionmentioning

confidence: 99%

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Adherence and Effects Derived from FODMAP Diet on Irritable Bowel Syndrome: A Real Life Evaluation of a Large Follow-Up Observation

et al. 2020

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Introduction: Irritable bowel syndrome represents one of the most difficult gastroenterological diseases to treat, that usually induces the patients to follow different drug therapies, often not useful in symptom control. In this scenario low FODMAP diet could have positive effects in patients with irritable bowel syndrome, even because this type of diet regimen is characterized by a low gluten amount due to the exclusion of cereals. Methods: We enrolled 120 patients with irritable bowel syndrome, according to the Rome IV criteria, who were referred to Hepatogastroenterology Division of the University of Campania L. Vanvitelli from June to December 2018. They underwent a low FODMAP diet for six weeks, followed by a gradual weekly reintroduction of every category of food for three months. The patients had a follow-up evaluation for six months after the end of food reintroduction period. We measured abdominal pain with subjective numerical scale from 0 to 10. We evaluated other gastrointestinal symptoms with a questionnaire about symptoms of lower digestive tract, evaluating their frequency and intensity. We also evaluated the impact of irritable bowel syndrome on daily life with neurological bowel dysfunction score. Results: We obtained a good patient-adherence to diet and a statistically significant decrease of abdominal pain, bloating, flatulence, diarrhea, constipation, and neurological bowel dysfunction score (p < 0.001) at the end of the diet. These results remained constant in the follow-up period. Conclusions: We recommend the use of a low FODMAP diet regimen in patients with irritable bowel syndrome in order to control the symptoms and improve the quality of life.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Adherence and Effects Derived from FODMAP Diet on Irritable Bowel Syndrome: A Real Life Evaluation of a Large Follow-Up Observation

et al. 2020

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“…For a long time, it has been known that low-FODMAP diet was effective in treating functional symptoms of digestive tract conditions in comparison to diet plan consistent with recommendations of the UK National Institute for Health and Clinical Excellence (NICE). [7][8][9][24][25][26]. Over 76% of patients reported improvement after introducing the low-FODMAP diet in comparison to 54% eating according to the NICE recommendations.…”

Section: Discussionmentioning

confidence: 99%

“…IBS patients often eliminate some food products from their diet. Results of numerous studies indicate that FODMAP carbohydrates (fermentable oligosaccharides, disaccharides, monosaccharides and polyols) in diet cause or intensify symptoms of irritable bowel syndrome, and that in contrast a low FODMAP diet gives relief to patients with IBS [6][7][8][9][10]. It has been shown that low FODMAP diet was effective in treating functional symptoms of gastrointestinal conditions in comparison to diet plan consistent with recommendations of the UK National Institute for Health and Clinical Excellence (NICE) [9].…”

Section: Introductionmentioning

confidence: 99%

IgG Food Antibody Guided Elimination-Rotation Diet was more Effective Than FODMAP Diet and Control Diet in the Treatment Of Women with Mixed IBS – Results From an Open Label Study

Ostrowska

Wasiluk

Lieners³

et al. 2021

Preprint

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Background Irritable bowel syndrome (IBS) is a chronic disease with recurrent abdominal pain, disturbed bowel emptying and change in stool consistency. We compared the effectiveness of dietary treatment of three different diet plans (G1-FM-low FODMAP diet, G2-IP IgG based elimination-rotation-diet, and as control group, G3-K control diet recommended by an attending gastroenterologist) in treating patients diagnosed with mixed irritable bowel syndrome. Methods 73 female patients diagnosed with mixed form of irritable bowel syndrome (IBS-M) were enrolled in the study. The diet of each patient in group 1 (G1-FM) and 2 (G2-IP) was determined individually during a meeting with dietitian. Patients from group 3 (G3-K) received nutrition advice from a gastroenterologist. Results Significant differences in reduction of IBS symptoms were found between the groups. IBS symptoms as well as comorbid symptoms significantly improved or disappeared completely in the G2-IP group, while in the G1-FM group, some of the IBS symptoms significantly improved. In group G3-K no significant improvement was seen.Conclusion Based on the results of this open study it was found that the different dietary intervention in the treatment of patients with IBS-M was unlikely effective. The G2-IP IgG based elimination-rotation-diet demonstrating a significant overall superior result compared to the others. Trial registration The clinical trial was retrospective registered at ClinicalTrials.gov, March 12, 2020, ClinicalTrials.gov ID: NCT04307368.

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“…The effectiveness (self-reportedly adequate symptom control) of a 3/4-week LFD intervention can be up to 68–81% [ 22 , 25 ]. Similarly, in an Irish cohort study, 66% (86/127), 72% (53/74), and 76% (31/41) of patients reported being satisfied with the overall symptomatic improvement of an LFD at follow-up stages of 3, 6, and 12 months, respectively [ 26 ]. Accordingly, only 11% (14/127) of participants were willing to be re-introduced to high FODMAP foods at the 3-month follow-up because of their fear of recurrence of symptoms, where 81.1% ( n = 60/74) and 70.7% ( n = 29/41) continued the exclusion/restricted LFD at 6-month and 12-month follow-up, respectively [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

Dietary Fibre Intervention for Gut Microbiota, Sleep, and Mental Health in Adults with Irritable Bowel Syndrome: A Scoping Review

et al. 2021

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Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder affecting 4–5% of the global population. This disorder is associated with gut microbiota, diet, sleep, and mental health. This scoping review therefore aims to map existing research that has administrated fibre-related dietary intervention to IBS individuals and reported outcomes on at least two of the three following themes: gut microbiota, sleep, and mental health. Five digital databases were searched to identify and select papers as per the inclusion and exclusion criteria. Five articles were included in the assessment, where none reported on all three themes or the combination of gut microbiota and sleep. Two studies identified alterations in gut microbiota and mental health with fibre supplementation. The other three studies reported on mental health and sleep outcomes using subjective questionnaires. IBS-related research lacks system biology-type studies targeting gut microbiota, sleep, and mental health in patients undergoing diet intervention. Further IBS research is required to explore how human gut microbiota functions (such as short-chain fatty acids) in sleep and mental health, following the implementation of dietary pattern alteration or component supplementation. Additionally, the application of objective sleep assessments is required in order to detect sleep change with more accuracy and less bias.

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Low FODMAP diet significantly improves IBS symptoms: an Irish retrospective cohort study

Cited by 17 publications

References 16 publications

Adherence and Effects Derived from FODMAP Diet on Irritable Bowel Syndrome: A Real Life Evaluation of a Large Follow-Up Observation

Adherence and Effects Derived from FODMAP Diet on Irritable Bowel Syndrome: A Real Life Evaluation of a Large Follow-Up Observation

IgG Food Antibody Guided Elimination-Rotation Diet was more Effective Than FODMAP Diet and Control Diet in the Treatment Of Women with Mixed IBS – Results From an Open Label Study

Dietary Fibre Intervention for Gut Microbiota, Sleep, and Mental Health in Adults with Irritable Bowel Syndrome: A Scoping Review

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