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Low-FODMAP Diet for the Management of Irritable Bowel Syndrome in Remission of IBD.

Nutrients
October 29, 2022
Martyna Więcek et al. (5 authors)
Journal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the effectiveness of a low-FODMAP diet in reducing IBS-like symptoms in IBD patients in remission who met IBS diagnostic criteria.

Results Summary

The low-FODMAP diet improved gut symptoms like flatulence and diarrhea but had no effect on constipation. It was effective in reducing IBS-like symptoms in 66.1% of patients, regardless of bacterial overgrowth coexistence.

Population

200 IBD patients in remission, of whom 65 (32.5%) met IBS diagnostic criteria.

Effective Dosage

Not specified

Duration

6 weeks

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
low-FODMAP diet
decrease
IBS-like symptoms
patients with IBS diagnosed at baseline
66.1%
were not present in
#1
low-FODMAP diet
no change
effectiveness between groups with and without SIBO at baseline
patients with IBS diagnosed at baseline
p = 0.586
difference was not statistically significant
#2
low-FODMAP diet
decrease
gut symptoms of flatulence and diarrhea
patients with IBS diagnosed at baseline
-
improved
#3
low-FODMAP diet
no change
occurrence of constipation
patients with IBS diagnosed at baseline
-
had no effect on
#4
low-FODMAP diet
decrease
IBS-like symptoms
IBD patients in remission who meet the IBS criteria
-
is effective for a reduction in
#5
Abstract

Approximately 30% of patients with quiescent inflammatory bowel disease (IBD) meet the diagnostic criteria for irritable bowel syndrome (IBS). The aim of this study was to evaluate the effectiveness of a low-FODMAP diet in patients who meet the diagnostic criteria for IBS whilst in IBD remission. A total of 200 patients in remission of IBD were included in the study. Sixty-five of these patients (32.5%) were diagnosed with IBS according to the R4DQ. On the patients who met the IBS diagnostic criteria, anthropometric measurements, laboratory tests and lactulose hydrogen breath tests were performed. A low-FODMAP diet was introduced for 6 weeks. Of the 59 patients with IBS diagnosed at baseline for whom data were collected at the end of follow-up, after the low-FODMAP intervention IBS-like symptoms were not present in 66.1% (n = 39) (95% CI (53.4%; 76.9%)). The difference between the two groups (with SIBO at baseline (33 of 48 patients) and without SIBO at baseline (6 of 11 patients)) in the low-FODMAP diet's effectiveness was not statistically significant (p = 0.586). The low-FODMAP diet improved the gut symptoms of flatulence and diarrhea. It had no effect on the occurrence of constipation. In IBD patients in remission who meet the IBS criteria, the dietary intervention of a low-FODMAP diet is effective for a reduction in IBS-like symptoms, regardless of the coexistence of bacterial overgrowth.

Medical Subject Headings (MeSH)
HumansIrritable Bowel SyndromeFermentationQuality of LifeTreatment OutcomeDiet, Carbohydrate-RestrictedInflammatory Bowel DiseasesDietMonosaccharidesDisaccharides
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations8
Citations/Year2.7
Relative Citation Ratio1.12
NIH Percentile54.3%
Research Impact Scores
APT Score0.50
Weight Score1.25
Normalized Score0.69
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