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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.

Journal of human nutrition and dietetics : the official journal of the British Dietetic Association
February 1, 2024
Tuba Ustaoğlu et al. (3 authors)
Clinical TrialJournal ArticleResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

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.

Extracted Claims (11)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
AdultFemaleHumansMiddle AgedYoung AdultDepressionDietDisaccharidesFermentationFODMAP DietIrritable Bowel SyndromeMonosaccharidesOligosaccharidesProbioticsQuality of LifeTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations5
Citations/Year5.0
Relative Citation Ratio2.33
Research Impact Scores
APT Score0.75
Weight Score2.76
Normalized Score0.69
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