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Comparison of symptom response following advice for a diet low in fermentable carbohydrates (FODMAPs) versus standard dietary advice in patients with irritable bowel syndrome.
- Source :
- Journal of Human Nutrition & Dietetics; Oct2011, Vol. 24 Issue 5, p487-495, 9p, 3 Charts
- Publication Year :
- 2011
-
Abstract
- Background: Emerging evidence indicates that the consumption of fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAPs) may result in symptoms in some patients with irritable bowel syndrome (IBS). The present study aimed to determine whether a low FODMAP diet is effective for symptom control in patients with IBS and to compare its effects with those of standard dietary advice based on the UK National Institute for Health and Clinical Excellence (NICE) guidelines. Methods: Consecutive patients with IBS who attended a follow-up dietetic outpatient visit for dietary management of their symptoms were included. Questionnaires were completed for patients who received standard ( n = 39) or low FODMAP dietary advice ( n = 43). Data were recorded on symptom change and comparisons were made between groups. Results: In total, more patients in the low FODMAP group reported satisfaction with their symptom response (76%) compared to the standard group (54%, P = 0.038). Composite symptom score data showed better overall symptom response in the low FODMAP group (86%) compared to the standard group (49%, P < 0.001). Significantly more patients in the low FODMAP group compared to the standard group reported improvements in bloating (low FODMAP 82% versus standard 49%, P = 0.002), abdominal pain (low FODMAP 85% versus standard 61%, P = 0.023) and flatulence (low FODMAP 87% versus standard 50%, P = 0.001). Conclusions: A low FODMAP diet appears to be more effective than standard dietary advice for symptom control in IBS. [ABSTRACT FROM AUTHOR]
- Subjects :
- PATIENT satisfaction
OUTPATIENT medical care
ANALYSIS of variance
CHI-squared test
COMPARATIVE studies
DIET in disease
DIET therapy
DISACCHARIDES
IRRITABLE colon
OLIGOSACCHARIDES
MONOSACCHARIDES
NUTRITIONAL assessment
NUTRITION counseling
HEALTH outcome assessment
POLYSACCHARIDES
RESEARCH evaluation
RESEARCH funding
SCALE analysis (Psychology)
STATISTICAL hypothesis testing
TREATMENT effectiveness
DATA analysis software
SYMPTOMS
Subjects
Details
- Language :
- English
- ISSN :
- 09523871
- Volume :
- 24
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Journal of Human Nutrition & Dietetics
- Publication Type :
- Academic Journal
- Accession number :
- 65076534
- Full Text :
- https://doi.org/10.1111/j.1365-277X.2011.01162.x