Early experience with a low FODMAP diet in Asian patients with irritable bowel syndrome.

Autor: Wong Z; Division of Gastroenterology, Department of Medicine, Faculty of Medicine National University of Malaysia Kuala Lumpur Malaysia., Mok CZ; Department of Dietetics University Malaya Medical Center Kuala Lumpur Malaysia., Majid HA; Department of Dietetics University Malaya Medical Center Kuala Lumpur Malaysia.; Department of Social and Preventive Medicine, Faculty of Medicine University of Malaya Kuala Lumpur Malaysia., Mahadeva S; Division of Gastroenterology, Department of Medicine, Faculty of Medicine University of Malaya Kuala Lumpur Malaysia.
Jazyk: angličtina
Zdroj: JGH open : an open access journal of gastroenterology and hepatology [JGH Open] 2018 Jul 06; Vol. 2 (5), pp. 178-181. Date of Electronic Publication: 2018 Jul 06 (Print Publication: 2018).
DOI: 10.1002/jgh3.12069
Abstrakt: Background: The efficacy and acceptance of a low fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) diet in Asian adults with irritable bowel syndrome (IBS) remain uncertain. We aimed to describe our early experience in a single center with a dedicated gastroenterology dietetic service.
Methods: Consecutive patients with IBS referred to our dedicated Dietetic Gastroenterology Clinic between February 2016 and May 2016 were screened. A low FODMAP diet was instituted as per standard protocol. Data on demographic and clinical variables were obtained from patients' records and prospective telephone interviews.
Results: A total of 16 patients, with a median age of 67 ± 13.57 years; female gender n  = 10 (62.5%); ethnicity: Chinese n  = 8 (50%), Indian n  = 5 (31.25%), and Malay n  = 3 (18.75%) with IBS, were included in the study. Compliance with the low FODMAP diet was complete in 8 of 16 (50%) patients, partial in 4 of 16 (25%), and 4 of 16 (25%) could not comply with the diet at all. Improvement in symptoms were reported in 11 of 16 (68.8%) patients. Among patients who complied (complete/partial) with the low FODMAP diet, predominant symptom improvement was reported as follows: abdominal pain 3 of 5 (60%), abdominal bloating/distension 7 of 10 (70%), and flatulence 7 of 8 (87.5%). Patients with the IBS-D subtype appeared to have the greatest improvement in stool consistency (87.5% IBS-D vs 12.5% non-IBS-D, P  = 0.009).
Conclusion: Based on our pilot observational study of a relatively small sample of Asian IBS patients, compliance with a low FODMAP diet appears to be low. Further larger studies are required to verify our observation.
Databáze: MEDLINE
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