Evaluation of the effects of the FODMAP diet and probiotics on irritable bowel syndrome (IBS) symptoms, quality of life and depression in women with IBS.
Study Goal
The researchers aimed to evaluate the effects of a low-FODMAP diet and probiotics on IBS symptoms, quality of life, and depression in women with IBS.
Results Summary
The study found that a low-FODMAP diet significantly reduced IBS symptom severity, anxiety, and depression scores while improving quality of life, but adding probiotics did not provide additional benefits.
Population
52 female IBS patients aged 20-55.
Effective Dosage
Not specified (probiotic strain: Lactobacillus rhamnosus).
Duration
6 weeks.
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
low-FODMAP diet | decrease | daily intake of FODMAP (lactose [g] + oligosaccharides [g] + mannitol [g] + sorbitol [g]) | female IBS patients between the ages of 20 and 55 | - | decreased significantly | #1 |
low-FODMAP diet plus a probiotic supplement (Lactobacillus rhamnosus) | decrease | daily intake of FODMAP (lactose [g] + oligosaccharides [g] + mannitol [g] + sorbitol [g]) | female IBS patients between the ages of 20 and 55 | - | decreased significantly | #2 |
low-FODMAP diet | decrease | IBS-SSS scores | female IBS patients between the ages of 20 and 55 | - | decreased significantly | #3 |
low-FODMAP diet plus a probiotic supplement (Lactobacillus rhamnosus) | decrease | IBS-SSS scores | female IBS patients between the ages of 20 and 55 | - | decreased significantly | #4 |
low-FODMAP diet | decrease | anxiety scores | female IBS patients between the ages of 20 and 55 | - | decreased significantly | #5 |
low-FODMAP diet plus a probiotic supplement (Lactobacillus rhamnosus) | decrease | anxiety scores | female IBS patients between the ages of 20 and 55 | - | decreased significantly | #6 |
low-FODMAP diet | decrease | depression scores | female IBS patients between the ages of 20 and 55 | - | decreased significantly | #7 |
low-FODMAP diet plus a probiotic supplement (Lactobacillus rhamnosus) | decrease | depression scores | female IBS patients between the ages of 20 and 55 | - | decreased significantly | #8 |
low-FODMAP diet | increase | IBS-QOL scores | female IBS patients between the ages of 20 and 55 | - | increased significantly | #9 |
low-FODMAP diet plus a probiotic supplement (Lactobacillus rhamnosus) | increase | IBS-QOL scores | female IBS patients between the ages of 20 and 55 | - | increased significantly | #10 |
low-FODMAP diet plus a probiotic supplement (Lactobacillus rhamnosus) | no change | difference between these values between the groups | female IBS patients between the ages of 20 and 55 | - | was not statistically significant | #11 |
BACKGROUND: The present study aimed to evaluate the effects of fermented oligosaccharide, disaccharide, monosaccharide and polyols (FODMAP) diet therapy and probiotics on irritable bowel syndrome (IBS) symptoms, quality of life and depression in women diagnosed with IBS. METHODS: For the study, 52 female IBS patients between the ages of 20 and 55 were enrolled. Individuals were monitored for 6 weeks in two groups. A low-FODMAP diet was given to the first group and a low-FODMAP diet plus a probiotic supplement was given to the second group (Lactobacillus rhamnosus). Three-day food intake records were kept at the start of the study and continued up to its conclusion, with a weekly check-in in between. At the start and end of the trial, participants completed the Hospital Anxiety and Depression Scale, IBS Quality of Life Scale (IBS-QOL) and IBS Symptom Severity Score (IBS-SSS). The Bristol Stool Scale was also used by the subjects to record their daily stool densities. RESULTS: At the end of the study, it was determined that the daily intake of FODMAP (lactose [g] + oligosaccharides [g] + mannitol [g] + sorbitol [g]) decreased significantly in both groups (p < 0.05). At the end of the study, it was determined that the IBS-SSS, anxiety and depression scores of the individuals in both groups decreased significantly and their IBS-QOL scores increased significantly (p < 0.05). However, the difference between these values between the groups was not statistically significant (p > 0.05). CONCLUSIONS: A low-FODMAP diet has been demonstrated to benefit people by lessening the severity of their IBS symptoms and enhancing their quality of life. No evidence was found, however, to indicate that the FODMAP diet would be more beneficial on these metrics if additional probiotics were used. It should be emphasised that the reaction of probiotic strains may vary depending on the IBS subtype.