Abstract:Background/Aims Various foods trigger and/or worsen the symptoms of irritable bowel syndrome (IBS). However, Korean food-related gastrointestinal (GI) symptoms in IBS patients have not yet been investigated. This study aims to evaluate the prevalence of self-reported food intolerance in Korean IBS patients and determine the Korean food items and food groups perceived by patients to worsen their GI symptoms. Methods We recruited 393 study subjects, comprising 101 IBS patients, 167 symptomatic non-IBS subjects, … Show more
“…High-fat foods were considered to have a fat content of 30% or more of total energy in food (based on Dietary Reference Intake for Korean (KDRI)). High FODMAPs containing gluten were defined as foods mainly made of flour such as noodles, bread, wheat cakes, dumplings, and cookies based on research by Lee et al [ 22 ]. Regarding the nutrient composition, the 9.2 revision of the National Standard Food Composition data published by the Rural Development Administration in Korea was utilized in this study [ 23 ].…”
Dietary control plays an important role in the treatment of irritable bowel syndrome (IBS). However, few studies have examined the relationship between dietary intake and symptoms of IBS in Koreans. The current cross-sectional study aimed to examine the diet in food consumption and nutrient intake in Korean adults aged 20 to 40 with IBS. The data collected were completed by 857 subjects using a community-based web survey. The questionnaire covered functional bowel disorders based on Rome III, the semi-quantitative Food Frequency Questionnaire (SQ-FFQ), and the food items causing symptoms. In total, 186 of 857 subjects (21.7%) were diagnosed with IBS. The non-IBS group had a fat intake of 76.9 ± 47.9 g/day, while the IBS group had a fat intake of 86.6 ± 55.1 g/day (p = 0.014). The non-IBS group had a total fermentable oligosaccharide, disaccharide, monosaccharide, and polyol (FODMAP) intake of 12.6 ± 9.7 g/day, whereas the IBS group had a total FODMAP intake of 13.9 ± 9.9 g/day (p = 0.030). Foods that contributed to the onset of symptoms in the IBS group were instant noodles (70.8%), Chinese noodles with vegetables and seafood (68.7%), pizza (67.2%), and black bean sauce noodles (66.3%) which are mostly classified as high fat and high gluten foods. The dietary intake of IBS patients differs from that of non-IBS subjects. Increased intake of gluten-containing or high-fat foods due to the westernized diet caused more IBS symptoms than high FODMAPs and dairy products in Korean adults in their 20 s to 40 s.
“…High-fat foods were considered to have a fat content of 30% or more of total energy in food (based on Dietary Reference Intake for Korean (KDRI)). High FODMAPs containing gluten were defined as foods mainly made of flour such as noodles, bread, wheat cakes, dumplings, and cookies based on research by Lee et al [ 22 ]. Regarding the nutrient composition, the 9.2 revision of the National Standard Food Composition data published by the Rural Development Administration in Korea was utilized in this study [ 23 ].…”
Dietary control plays an important role in the treatment of irritable bowel syndrome (IBS). However, few studies have examined the relationship between dietary intake and symptoms of IBS in Koreans. The current cross-sectional study aimed to examine the diet in food consumption and nutrient intake in Korean adults aged 20 to 40 with IBS. The data collected were completed by 857 subjects using a community-based web survey. The questionnaire covered functional bowel disorders based on Rome III, the semi-quantitative Food Frequency Questionnaire (SQ-FFQ), and the food items causing symptoms. In total, 186 of 857 subjects (21.7%) were diagnosed with IBS. The non-IBS group had a fat intake of 76.9 ± 47.9 g/day, while the IBS group had a fat intake of 86.6 ± 55.1 g/day (p = 0.014). The non-IBS group had a total fermentable oligosaccharide, disaccharide, monosaccharide, and polyol (FODMAP) intake of 12.6 ± 9.7 g/day, whereas the IBS group had a total FODMAP intake of 13.9 ± 9.9 g/day (p = 0.030). Foods that contributed to the onset of symptoms in the IBS group were instant noodles (70.8%), Chinese noodles with vegetables and seafood (68.7%), pizza (67.2%), and black bean sauce noodles (66.3%) which are mostly classified as high fat and high gluten foods. The dietary intake of IBS patients differs from that of non-IBS subjects. Increased intake of gluten-containing or high-fat foods due to the westernized diet caused more IBS symptoms than high FODMAPs and dairy products in Korean adults in their 20 s to 40 s.
“…Diet therapy in FGIDs is important, as up to 80%-90% of both children and adults with FGIDs report that certain foods exacerbate their symptoms (abdominal pain, bloating, diarrhea, etc). [3][4][5] Avoidance of specific foods in the diet can often decrease symptoms. [6][7][8][9] For children and adults with FGIDs, treatments focused on altering diet intake have shown efficacy in improving symptoms and may lead to better clinical health outcomes and quality of life.…”
Section: Introductionmentioning
confidence: 99%
“…Treatment of FGIDs is challenging; however, diet‐based therapies are gaining increasing recognition as being effective. Diet therapy in FGIDs is important, as up to 80%–90% of both children and adults with FGIDs report that certain foods exacerbate their symptoms (abdominal pain, bloating, diarrhea, etc) 3–5 . Avoidance of specific foods in the diet can often decrease symptoms 6–9 .…”
Background: Diet therapies may be recommended for pediatric functional gastrointestinal disorders (FGIDs). However, little is known about the frequency with which diet therapy is recommended in FGIDs. Our aims were to determine and contrast the frequency and types of diet recommendations provided to children with FGIDs by pediatric gastroenterologists (PGIs) versus primary care pediatricians (PCPs). Methods: A retrospective chart review was performed using data from a large, metropolitan children's academic healthcare system to identify subjects meeting Rome IV criteria for functional abdominal pain, functional dyspepsia, irritable-bowel syndrome (IBS), and/or abdominal migraine over a period of 23 months. Results: Of 1929 patient charts reviewed, 268 were included for further analyses. Of these, 186 patients (69%) were seen by a PGI and 82 (31%) by a PCP. The most common diagnosis was IBS (49% for PGIs and 71% for PCPs). Diet recommendations were provided to 115 (43%) patients (PGI group: 86 [75%] vs PCP group: 29 [25%]; P < .1). The most frequent recommendations were high fiber (PGI: 15%; PCP: 14%) and low fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) diet (PGI: 12%; PCP: 4%). Of those provided with diet recommendations, only 20% (n = 23) received an educational consult by a dietitian. Provision of diet recommendations was not affected by years in practice. Conclusion: Despite increasing awareness of the role of diet in the treatment of childhood FGIDs, a minority of patients receive diet recommendations in tertiary care or primary care settings. When diet recommendations were given, there was great variability in the guidance provided.
“…Nicht zuletzt geben viele PatientInnen einen Zusammenhang ihrer Beschwerden mit der Nahrung an [11]. Hier lassen sich mitunter pathogenetische Zusammenhänge feststellen, meist ist dies jedoch nicht der Fall.…”
ZusammenfassungErnährungsmedizinische Aspekte spielen beim Reizdarmsyndrom eine große Rolle. So berichtet die Mehrzahl der Patienten von Nahrungsmittelunverträglichkeiten als verursachenden oder verschlimmernden Faktor der Beschwerden. Obwohl sich diese nicht immer objektivieren lassen, haben diätetische Interventionen in der Therapie des Reizdarmsyndroms einen relevanten Stellenwert. Ebenso wächst die Studienlage zum Einsatz von Probiotika beim Reizdarmsyndrom an. Die vorliegende Arbeit gibt ein Update zu ernährungsmedizinischen Interventionsmöglichkeiten beim Reizdarmsyndrom.
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