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Dietary fructose intolerance: diet modification can impact self-rated health and symptom control.

Abstract

Carbohydrate intolerance to lactose is widely accepted as a cause of gastrointestinal symptoms, but controversy persists on how important dietary fructose intolerance (DFI) is in causing gastrointestinal pain and suffering and if an elimination diet can control the presenting complaints. The objective of this study was to identify a group of well-defined DFI patients and explore whether dietary education followed by dietary compliance could control symptoms and improve quality of life. During a 5-year period, patients referred to a pancreato-biliary clinic were evaluated for dietary carbohydrate intolerances if they presented with gastrointestinal pain and/or gas and/or bloating and/or diarrhea. Patients were tested with a standardized mixture of glucose, fructose, and lactose diluted in sterile water. End-expiratory breath samples were collected for hydrogen and methane measurement. Symptoms were scored using a 9-point symptom questionnaire. The patients underwent in-depth education by a dietician, and were provided with access to a cookbook, a newsletter, and a support group. A dietary questionnaire was used to evaluate compliance with the fructose-restricted diet. DFI can cause significant gastrointestinal symptoms that may not respond to medications or surgical interventions. Symptoms can improve and self-rated health does improve in DFI patients willing to adhere to a low fructose diet.

Authors+Show Affiliations

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Division of Gastroenterology, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA. frederick-johlin@uiowa.edu

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Source

MeSH

Abdominal Pain
Breath Tests
Diarrhea
Dietary Carbohydrates
Female
Flatulence
Fructose
Humans
Malabsorption Syndromes
Male
Patient Compliance
Patient Education as Topic
Quality of Life
Surveys and Questionnaires
Sweetening Agents

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15624540

Citation

Johlin, Frederick C., et al. "Dietary Fructose Intolerance: Diet Modification Can Impact Self-rated Health and Symptom Control." Nutrition in Clinical Care : an Official Publication of Tufts University, vol. 7, no. 3, 2004, pp. 92-7.
Johlin FC, Panther M, Kraft N. Dietary fructose intolerance: diet modification can impact self-rated health and symptom control. Nutr Clin Care. 2004;7(3):92-7.
Johlin, F. C., Panther, M., & Kraft, N. (2004). Dietary fructose intolerance: diet modification can impact self-rated health and symptom control. Nutrition in Clinical Care : an Official Publication of Tufts University, 7(3), pp. 92-7.
Johlin FC, Panther M, Kraft N. Dietary Fructose Intolerance: Diet Modification Can Impact Self-rated Health and Symptom Control. Nutr Clin Care. 2004;7(3):92-7. PubMed PMID: 15624540.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary fructose intolerance: diet modification can impact self-rated health and symptom control. AU - Johlin,Frederick C,Jr AU - Panther,Mary, AU - Kraft,Nancy, PY - 2004/12/31/pubmed PY - 2005/2/3/medline PY - 2004/12/31/entrez SP - 92 EP - 7 JF - Nutrition in clinical care : an official publication of Tufts University JO - Nutr Clin Care VL - 7 IS - 3 N2 - Carbohydrate intolerance to lactose is widely accepted as a cause of gastrointestinal symptoms, but controversy persists on how important dietary fructose intolerance (DFI) is in causing gastrointestinal pain and suffering and if an elimination diet can control the presenting complaints. The objective of this study was to identify a group of well-defined DFI patients and explore whether dietary education followed by dietary compliance could control symptoms and improve quality of life. During a 5-year period, patients referred to a pancreato-biliary clinic were evaluated for dietary carbohydrate intolerances if they presented with gastrointestinal pain and/or gas and/or bloating and/or diarrhea. Patients were tested with a standardized mixture of glucose, fructose, and lactose diluted in sterile water. End-expiratory breath samples were collected for hydrogen and methane measurement. Symptoms were scored using a 9-point symptom questionnaire. The patients underwent in-depth education by a dietician, and were provided with access to a cookbook, a newsletter, and a support group. A dietary questionnaire was used to evaluate compliance with the fructose-restricted diet. DFI can cause significant gastrointestinal symptoms that may not respond to medications or surgical interventions. Symptoms can improve and self-rated health does improve in DFI patients willing to adhere to a low fructose diet. SN - 1096-6781 UR - https://www.unboundmedicine.com/medline/citation/15624540/full_citation L2 - https://medlineplus.gov/malabsorptionsyndromes.html DB - PRIME DP - Unbound Medicine ER -