Low-FODMAP Diet for the Management of Irritable Bowel Syndrome in Remission of IBD.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.