Food avoidance in irritable bowel syndrome leads to a nutrition-deficient diet

Stevenson, C; Blaauw, R.; Fredericks, Ernst; Visser, Janicke; Roux, Saartjie

doi:10.1080/16070658.2014.11734481

Cited by 3 publications

(10 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Malaysian patients with IBS-C in this study demonstrated poor intake of dietary fiber as compared with the recommendation, which is a growing concern regarding the intake of vegetables, fruits, and wholegrain products which may also influence the daily intake of vitamins and minerals. Indeed, in this study, the IBS-C patients had a lower intake of vitamins B 1 , B 2 , B 6 , folate, B 12 , E, K, and potassium, which is in accordance with other studies [ 31 , 32 ]. In some IBS-C patients, intake of high dietary fiber may exacerbate the symptoms and can frequently cause abdominal pain, bloating, and distension [ 33 , 34 ].…”

Section: Discussionsupporting

confidence: 93%

“…Indeed, in this study, the IBS-C patients had a lower intake of vitamins B 1 , B 2 , B 6 , folate, B 12 , E, K, and potassium, which is in accordance with other studies. 31,32 In some IBS-C patients, intake of high dietary fiber may exacerbate the symptoms and can frequently cause abdominal pain, bloating, and distension. 33,34 The incomplete digested carbohydrate such as in vegetables (e.g., onions, asparagus, broccoli, cabbage, peas, and cauliflower) and fruits (e.g., prunes, plums, apple, and mango) may increase the intestinal luminal water content through the osmotic activity, which results in rapid gas production (e.g., hydrogen, methane, and carbon dioxide) and subsequent abdominal distention due to their fermentation by gut microbiota.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

An evaluation of dietary adequacy among patients with constipation-predominant irritable bowel syndrome in Malaysia

et al. 2022

View full text Add to dashboard Cite

subdivided into constipation-predominant (IBS-C), diarrheapredominant, and mixed patterns constipation and diarrhea. 2 The worldwide prevalence of IBS ranges between 3% and 22% of the population and approximately one-third of IBS patients suffered from IBS-C. [3][4][5][6] In Malaysia, IBS was reported affecting about 15% of the population, with the higher prevalence rate predominantly observed in women. 7 Despite the high prevalence rate, the exact pathogenesis of IBS-C is still uncertain, thus the management approach is mainly targeted on the associated symptoms to improve patient' s quality of life. However, to date, no single drug regimen is effective for the long-term efficacy of the patients' specific symp-

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

An evaluation of dietary adequacy among patients with constipation-predominant irritable bowel syndrome in Malaysia

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Energy intake was analyzed from 24 studies 11,15,16,18,44,46,[48][49][50]54,62,63,69,72,86,87,[89][90][91][92]94,98,103,104 There were no differences across study quality subgroups.…”

Section: Energymentioning

confidence: 99%

“…Fiber intake was analyzed from 24 studies 11,15,16,43,44,[48][49][50]54,56,63,66,68,69,86,87,[89][90][91]94,98,[102][103][104][105] (N = 3388 participants with IBS, N = 7179 controls) to demonstrate lower intake in participants with IBS compared to controls with high heterogeneity (MD: −1.8 g; 95% CI: −3.0, −0.6; I 2 = 85%, Figure 3).…”

Section: Total Fibermentioning

confidence: 99%

See 1 more Smart Citation

A systematic review and meta‐analysis of diet and nutrient intake in adults with irritable bowel syndrome

Veraza,

Calderon,

Jansson‐Knodell

et al. 2023

Neurogastroenterology Motil

View full text Add to dashboard Cite

BackgroundNumerous individual and environmental factors including diet may play an important role in the pathophysiology of irritable bowel syndrome (IBS). It is unclear to what degree dietary intake is affected in individuals with IBS. We aimed to perform a systematic review and meta‐analysis to summarize dietary intake of adults with IBS and to compare dietary intake between adults with IBS and non‐IBS controls.MethodsOvid MEDLINE, Embase, Cochrane, CINAHL, and Scopus were searched through February 2023 for clinical trials and observational studies measuring usual diet in adults with IBS. Pooled weighted averages were estimated for total energy, macronutrient, and micronutrient data. Mean differences (MD) in nutrient intake were estimated for adults with IBS versus non‐IBS controls using a random effects model. Heterogeneity was assessed by the inconsistency index (I2).Key ResultsSixty‐three full‐text articles were included in the review of which 29 studies included both IBS and control subjects. Nutrients not meeting the recommended intake level for any dietary reference values in the IBS population were fiber and vitamin D. Meta‐regression by female proportion was positively correlated with total fat intake and negatively correlated with carbohydrate intake. Comparisons between participants with IBS and controls showed significantly lower fiber intake in participants with IBS with high heterogeneity (MD: −1.8; 95% CI: −3.0, −0.6; I2 = 85%).Conclusions and InferencesThis review suggests that fiber and vitamin D intake is suboptimal in IBS; however, overall dietary intake does not appear to be comprised. Causes and consequences of reduced fiber in IBS deserve further study.Results of this systematic review and meta‐analysis suggest that fiber and vitamin D intake is suboptimal in IBS. However, overall intake of other macro‐ and micronutrients does not appear to be compromised. Causes and consequences of reduced fiber and Vitamin D intake in IBS deserve further study.

show abstract

Fermentable carbohydrate intake and food avoidance behaviour in elderly patients with irritable bowel syndrome: A case report

Arumugam

Simon

Ismail

et al. 2020

LSMB

View full text Add to dashboard Cite

Background: Fermentable carbohydrates or FODMAPs (Fermentable Oligo-, Di-, Monosaccharides, and Polyols) are short-chained, poorly absorbed carbohydrates which trigger gastrointestinal symptoms causing pain, bloating, distension, diarrhea, and constipation in Irritable Bowel Syndrome (IBS) patients. This debilitating condition has an impact on the quality of life of patients. In addition, due to lack of dietary intervention, it can result in food restriction to alleviate symptoms as patients avoid a wide variety of food and beverages. Objective: To compare FODMAP and nutrient intake, food avoidance behavior and quality of life in 2 long standing patients with IBS. Methods: Patients were selected on the basis of being diagnosed with IBS by a gastroenterologist. A 24-hour dietary recall with multiple pass method was used to assess intake. FODMAP intake was determined using published data. Symptom severity and quality of life was measured using a validated questionnaire. Meanwhile, food avoidance was assessed using a dietary trigger piloted questionnaire. Results: Two female Chinese patients with severe gastrointestinal symptoms were selected for this case series. Patient 1 was a 75-year-old female presenting with constipation-predominant IBS and patient 2 was a 61-year-old presenting with diarrhea-predominant IBS. Patient 1 had a higher energy intake: 2198 kcal, and FODMAP intake 10.6g/d, compared to patient 2 with an energy and FODMAP intake of 1800 kcal and 3.6g/d respectively. Both patients avoided a wide of range of food groups including cereals and grains, animal products, dairy and spicy foods. They also reported reduced scores for quality of life. Conclusion: Both patients had low intake of calcium as a result of food avoidance. This highlights the importance of appropriate and timely dietary intervention to this group of patients, to promote improved symptom management without compromising nutrient intake.

show abstract

Food avoidance in irritable bowel syndrome leads to a nutrition-deficient diet

Cited by 3 publications

References 28 publications

An evaluation of dietary adequacy among patients with constipation-predominant irritable bowel syndrome in Malaysia

An evaluation of dietary adequacy among patients with constipation-predominant irritable bowel syndrome in Malaysia

A systematic review and meta‐analysis of diet and nutrient intake in adults with irritable bowel syndrome

Fermentable carbohydrate intake and food avoidance behaviour in elderly patients with irritable bowel syndrome: A case report

Contact Info

Product

Resources

About