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[The diet low in fermentable carbohydrates short chain and polyols improves symptoms in patients with functional gastrointestinal disorders in Spain].
Gastroenterol Hepatol 2015; 38(3):113-22GH

Abstract

BACKGROUND AND AIMS

Successful treatment of patients with irritable bowel syndrome (IBS) often remains elusive. Recent studies in Australia, the United Kingdom and New Zealand have suggested the efficacy of a diet low in fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAPs) in the management of these patients. The aims of this study were to determine whether a diet low in FODMAPs improves symptoms in patients with functional gastrointestinal disorders (FGID) in Spain and to analyze the predictors of a good response.

PATIENTS AND METHODS

A prospective study was carried out in consecutive patients with FGID type IBS and functioanl abdominal bloating. At inclusion all patients underwent an assessment through a baseline demographic questionnaire of symptoms of anxiety and depression and quality of life. A hydrogen breath test with lactose and fructose was performed and a low FODMAPs diet was indicated for 2 months by expert dietitians. These tests were taken as a reference. A positive response was defined as an improvement of at least 5 points out of a possible 10 in the symptom questionnaire.

RESULTS

We included 30 patients (24 women, 39 [12] years). The response to the low FODMAPs diet was positive in controlling overall symptoms and specific symptoms such as functioanl abdominal bloating, abdominal pain, diarrhea, flatulence, nausea and fatigue in more than 70% of patients (P<.05). By contrast, constipation was controlled in only 48% of patients (P>.05). Adherence to the diet was good in 87% of patients and was a predictor of positive response in the univariate analysis.

CONCLUSIONS

A diet low in FODMAPs is associated with symptom improvement in patients with IBS and functioanl abdominal bloating. Adherence to the diet was a determining factor.

Authors+Show Affiliations

Servicio de Aparato Digestivo, Hospital General de Catalunya, Universidad Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, España.Servicio de Endocrinología, Hospital General de Catalunya, Sant Cugat del Vallès, Barcelona, España.Servicio de Endocrinología, Hospital General de Catalunya, Sant Cugat del Vallès, Barcelona, España.Servicio de Endocrinología, Hospital General de Catalunya, Sant Cugat del Vallès, Barcelona, España.Departamento de Ciencias Experimentales y de la Salud, Facultad de Ciencias de la Salud y de la Vida, Universitat Pompeu Fabra, Barcelona, España.Servicio de Aparato Digestivo, Hospital General de Catalunya, Universidad Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, España. Electronic address: esapfra@gmail.com.

Pub Type(s)

Clinical Trial
Journal Article

Language

spa

PubMed ID

25458546

Citation

Huamán, José Wálter, et al. "[The Diet Low in Fermentable Carbohydrates Short Chain and Polyols Improves Symptoms in Patients With Functional Gastrointestinal Disorders in Spain]." Gastroenterologia Y Hepatologia, vol. 38, no. 3, 2015, pp. 113-22.
Huamán JW, Felip A, Guedea E, et al. [The diet low in fermentable carbohydrates short chain and polyols improves symptoms in patients with functional gastrointestinal disorders in Spain]. Gastroenterol Hepatol. 2015;38(3):113-22.
Huamán, J. W., Felip, A., Guedea, E., Jansana, M., Videla, S., & Saperas, E. (2015). [The diet low in fermentable carbohydrates short chain and polyols improves symptoms in patients with functional gastrointestinal disorders in Spain]. Gastroenterologia Y Hepatologia, 38(3), pp. 113-22. doi:10.1016/j.gastrohep.2014.08.007.
Huamán JW, et al. [The Diet Low in Fermentable Carbohydrates Short Chain and Polyols Improves Symptoms in Patients With Functional Gastrointestinal Disorders in Spain]. Gastroenterol Hepatol. 2015;38(3):113-22. PubMed PMID: 25458546.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The diet low in fermentable carbohydrates short chain and polyols improves symptoms in patients with functional gastrointestinal disorders in Spain]. AU - Huamán,José Wálter, AU - Felip,Ana, AU - Guedea,Elena, AU - Jansana,Marta, AU - Videla,Sebastián, AU - Saperas,Esteban, Y1 - 2014/11/06/ PY - 2014/05/24/received PY - 2014/08/18/revised PY - 2014/08/27/accepted PY - 2014/12/3/entrez PY - 2014/12/3/pubmed PY - 2016/12/27/medline KW - Diet KW - Dieta KW - Fermentable carbohydrates and polyols KW - Hidratos de carbono y polioles fermentables KW - Irritable bowel syndrome KW - Síndrome de intestino irritable SP - 113 EP - 22 JF - Gastroenterologia y hepatologia JO - Gastroenterol Hepatol VL - 38 IS - 3 N2 - BACKGROUND AND AIMS: Successful treatment of patients with irritable bowel syndrome (IBS) often remains elusive. Recent studies in Australia, the United Kingdom and New Zealand have suggested the efficacy of a diet low in fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAPs) in the management of these patients. The aims of this study were to determine whether a diet low in FODMAPs improves symptoms in patients with functional gastrointestinal disorders (FGID) in Spain and to analyze the predictors of a good response. PATIENTS AND METHODS: A prospective study was carried out in consecutive patients with FGID type IBS and functioanl abdominal bloating. At inclusion all patients underwent an assessment through a baseline demographic questionnaire of symptoms of anxiety and depression and quality of life. A hydrogen breath test with lactose and fructose was performed and a low FODMAPs diet was indicated for 2 months by expert dietitians. These tests were taken as a reference. A positive response was defined as an improvement of at least 5 points out of a possible 10 in the symptom questionnaire. RESULTS: We included 30 patients (24 women, 39 [12] years). The response to the low FODMAPs diet was positive in controlling overall symptoms and specific symptoms such as functioanl abdominal bloating, abdominal pain, diarrhea, flatulence, nausea and fatigue in more than 70% of patients (P<.05). By contrast, constipation was controlled in only 48% of patients (P>.05). Adherence to the diet was good in 87% of patients and was a predictor of positive response in the univariate analysis. CONCLUSIONS: A diet low in FODMAPs is associated with symptom improvement in patients with IBS and functioanl abdominal bloating. Adherence to the diet was a determining factor. SN - 0210-5705 UR - https://www.unboundmedicine.com/medline/citation/25458546/[The_diet_low_in_fermentable_carbohydrates_short_chain_and_polyols_improves_symptoms_in_patients_with_functional_gastrointestinal_disorders_in_Spain]_ L2 - http://www.elsevier.es/en/linksolver/ft/pii/S0210-5705(14)00245-3 DB - PRIME DP - Unbound Medicine ER -