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A randomized controlled trial investigating the effect of a diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols on the intestinal microbiome and inflammation in patients with ulcerative colitis: study protocol for a randomized controlled trial.

Trials
January 1, 1970
Alireza Milajerdi et al. (8 authors)
Clinical Trial ProtocolJournal ArticleHuman StudyClinical
Study Details

Study Goal

The researchers aimed to examine the effect of a low FODMAP diet on the intestinal microbiota, including Akkermansia muciniphila, and its association with inflammation and symptoms in patients with ulcerative colitis.

Results Summary

The abstract does not provide specific results for Akkermansia muciniphila, only stating that its quantity in fecal samples would be explored alongside other microbiota and inflammatory markers.

Population

Thirty patients with mild to moderate ulcerative colitis.

Effective Dosage

Not specified

Duration

4 weeks

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
low FODMAPs diet
decrease
clinical symptoms of IBD
patients with IBD
-
might alleviate
#1
low FODMAP diet
neutral
IBD symptoms, inflammation, and the intestinal microbiota
patients with ulcerative colitis
-
will be examined
#2
low FODMAP diet
decrease
systemic and intestinal inflammation
patients with ulcerative colitis
-
might decrease
#3
low-FODMAP diet
neutral
the bacterial population in the gut
patients with ulcerative colitis
-
might change
#4
low-FODMAP diet
neutral
clinical symptoms
patients with ulcerative colitis
-
might modulate
#5
Abstract

BACKGROUND: No conclusive treatment is available for irritable bowel disease (IBD). Adherence to a diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) might alleviate clinical symptoms of IBD. However, no study has investigated the effect of low FODMAPs diet on the intestinal microbiota and inflammatory biomarkers in patients with IBD. The aim of current study is to examine the effect a low FODMAP diet on IBD symptoms, inflammation, and the intestinal microbiota in patients with ulcerative colitis. METHODS AND ANALYSIS: This study is a randomized clinical trial. Thirty patients with mild to moderate ulcerative colitis will be randomly allocated to receive a low FODMAP diet (n = 15) or to continue their usual diet as control (n = 15), for 4 weeks. The quantity of intestinal microbiota including Clostridium cluster IV, Faecalibacterium prausnitzii, Rosburia spp., Lactobacillus spp., Bifidobacteria spp., Akkermansia muciniphila, Bacteroides fragilis, and Ruminococcus spp., and the Firmicutes to Bacteroidetes ratio and calprotectin and lactoferrin levels will be explored in fecal samples from patients. In addition, anthropometric measures and biochemical assessments including serum concentrations of highly sensitive-C reactive protein (hs-CRP), tumour necrosis factor-α (TNF-α) and IL-1β will be taken from patients at baseline and end of the study. The study has been registered in IRCT (IRCT20181126041763N1; registration date: 2019-01-18). DISCUSSION: Consumption of a low-FODMAP diet might decrease systemic and intestinal inflammation, change the bacterial population in the gut, and modulate clinical symptoms in patients with ulcerative colitis. Further studies investigating the effect of such a diet on other variables, including other bacterial species and inflammatory cytokines, are required to confirm future findings of this trial.

Medical Subject Headings (MeSH)
AdultBiomarkersColitis, UlcerativeDiet, Carbohydrate-RestrictedDietary SugarsFemaleFermentationGastrointestinal MicrobiomeHumansInflammationMaleMiddle AgedMonosaccharidesOligosaccharidesPolymersRandomized Controlled Trials as TopicSeverity of Illness IndexTreatment OutcomeYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy50/10
Quality75/10
Citation Metrics
Total Citations13
Citations/Year2.6
Relative Citation Ratio0.83
NIH Percentile43.4%
Research Impact Scores
APT Score0.50
Weight Score1.62
Normalized Score0.55
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