The long‐term effect and adherence of a low fermentable oligosaccharides disaccharides monosaccharides and polyols (FODMAP) diet in patients with irritable bowel syndrome
| Autor: | M Genetello, Linde Goossens, Danny De Looze, A Weynants, M. Van Winckel |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male 0301 basic medicine Abdominal pain medicine.medical_specialty Adolescent Polymers Oligosaccharides Medicine (miscellaneous) 030209 endocrinology & metabolism Disaccharides Time Disease course Irritable Bowel Syndrome Diet Carbohydrate-Restricted Young Adult 03 medical and health sciences 0302 clinical medicine Quality of life Surveys and Questionnaires Internal medicine medicine Humans In patient Term effect Irritable bowel syndrome Aged Retrospective Studies chemistry.chemical_classification 030109 nutrition & dietetics Nutrition and Dietetics business.industry Monosaccharides food and beverages Middle Aged medicine.disease Cross-Sectional Studies chemistry Patient Satisfaction Median time Fermentation Quality of Life Patient Compliance Female medicine.symptom business FODMAP |
| Zdroj: | Journal of Human Nutrition and Dietetics. 33:159-169 |
| ISSN: | 1365-277X 0952-3871 |
| Popis: | Background Short-term trials with a low-FODMAP (fermentable oligosaccharides disaccharides monosaccharides and polyols) diet (LFD) show promising results in the symptomatic management of irritable bowel syndrome (IBS). The present study investigated the long-term adherence to an LFD diet, factors associated with adherence, and associations between LFD and quality of life (QOL), IBS symptoms and disease course on a long-term basis. Methods A retrospective cross-sectional study was conducted. Two hundred and thirty-four patients were enrolled from Ghent University hospital. Health-related QOL, long-term adherence to the LFD, disease course and IBS symptoms were assessed using a validated and self-developed questionnaire. Results Ninety (38.5%) patients completed the questionnaires. The median time span between the first dietary consultation and completion of the questionnaires was 99.5 weeks (approaching 2 years). The predominant disease course was mild IBS with an indolent course (43.0%). Eighty percent reported still following a diet in which certain FODMAP-rich food types are avoided. Eighty patients (88.9%) were satisfied that they follow or had followed the diet. The IBS-QOL did not differ between patients following the diet strictly and patients deviating from the diet (P = 0.669). Patients still following the LFD experienced less severe abdominal pain than patients who stopped following the diet (P = 0.044). Conclusions The long-term adherence and satisfaction with the LFD is high in patients with IBS. Nevertheless, patients indicated that it was difficult to follow the LFD in daily life. Practical issues, social factors and the absence of symptoms were indicated as the main reasons for a drop in adherence. |
| Databáze: | OpenAIRE |
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