Zinc nutritional status, mood states and quality of life in diarrhea-predominant irritable bowel syndrome: a case–control study

Rezazadegan, Mahsa; Shahdadian, Farnaz; Soheilipour, Maryam; Tarrahi, Mohammad Javad; Amani, Reza

doi:10.1038/s41598-022-15080-2

Cited by 5 publications

(10 citation statements)

References 41 publications

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“…In the study of Van Lanen et al, it was determined that a low-FODMAP diet reduced IBS symptoms and improved quality of life 15 . A relationship was found between dietary zinc intake and body image and psychological health in patients in another study 16 . In the study of Melchior et al, a significant relationship was found between low quality of life and severe food avoidance and restriction 17 .…”

Section: Introductionmentioning

confidence: 85%

Quality of life, perceived stress and nutrition of patients with irritable bowel syndrome: A descriptive study

Celik

Aktaç

Sabuncular

et al. 2022

Nor. Afr. J. Food Nutr. Res.

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Background: Irritable Bowel Syndrome (IBS) is a chronic and common functional bowel disorder that currently has no definite treatment. Depending on the type and severity of the individual's symptoms, medication, diet, and/or lifestyle changes are recommended. Aims: This study aimed to determine the relationship between the quality of life, perceived stress levels, and nutrition of individuals diagnosed with IBS. Subjects and Methods: Between March 2020 and March 2021, 340 patients with IBS volunteered for this study. The demographic information questionnaire, Irritable Bowel Syndrome Quality of Life (IBS-QOL) scale, Perceived Stress Scale-14 (PSS-14), and Food Frequency Questionnaire were applied via an online form. Results: From the 340 patients, 230 were eligible. Out of them, 27% followed a special diet for IBS. When the IBS-QOL scores of men were compared according to their educational status, the scores of those with a high school or higher education level (109.7±32.8) were found to be higher than those with a lower education level than high school (95.4±17.5) (p=0.008), while the educational status of women did not affect the IBS-QOL scores (p>0.05). The mean IBS-QOL score of men was 44.8 ± 20.1 and lower than women (50.9±21.7) (p=0.030). The mean IBS-QOL score of women following an IBS-specific diet was 57.6 ± 22.6 and higher than women who did not follow an IBS-specific diet (48.2±20.9) (p=0.023). The IBS-QOL scores of women with gluten or lactose intolerance were lower than women without any intolerances (p=0.004). The mean IBS-QOL score for women with lactose intolerance was higher than those with gluten intolerance (p=0.004). When the IBS-QOL scores were evaluated according to the frequency of food consumption, no significant differences were found in the food groups (p>0.05). In this study, no significant correlation was found between IBS-QOL scores and PSS-14 scores (p>0.05). Conclusions: The prediction equations developed for healthy populations are not accurate enough to determine the energy requirements in SCD. Keywords: Irritable bowel syndrome, nutrition, stress, quality of life, patients.

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Section: Introductionmentioning

confidence: 85%

Quality of life, perceived stress and nutrition of patients with irritable bowel syndrome: A descriptive study

Celik

Aktaç

Sabuncular

et al. 2022

Nor. Afr. J. Food Nutr. Res.

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“…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%

“…Fat intake was analyzed from 19 studies 11,15,16,44,[48][49][50]54,56,62,63,69,87,89,90,[93][94][95][96][97][98][99][101][102][103][104] (N = 2369 participants with IBS, N = 5021 controls). There was no significant difference between participants with IBS and controls with moderate heterogeneity (MD: −2 g; 95% CI: −5.3, 1.2; I 2 = 59%).…”

Section: Total Fatmentioning

confidence: 99%

“…Protein intake were analyzed from 17 studies 11,15,16,44,[48][49][50]54,69,87,[89][90][91]94,98,[102][103][104] (N = 1495 participants with IBS, N = 1181 controls) to reveal no significant difference between participants with IBS and controls with high heterogeneity (MD: −2.1 g; 95% CI: −5.9, 1.6; I 2 = 77%). Meta-regression found no association between female proportion and differences in protein intake (p = 0.87).…”

Section: Proteinmentioning

confidence: 99%

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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

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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.

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Dietary Intake and Quality in Irritable Bowel Syndrome: A Comparative Study With Controls and the Association With Symptom Severity

Nybacka,

Colomier,

Páll Hreinsson

et al. 2024

Am J Gastroenterol

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Background: Patients with irritable bowel syndrome (IBS) often attribute the onset or worsening of gastrointestinal symptoms to intake of food. Hence, in order to alleviate symptoms, patients with IBS may avoid triggering foods, potentially impacting their dietary intake and diet quality. This study aimed to compare the habitual diet intake and quality of IBS patients with controls, and to explore the association between dietary habits and symptoms in IBS patients. Methods: IBS patients were included from four clinical studies reporting habitual dietary intakes at baseline. Age- and sex-matched controls representing the general population were derived from the Swedish population-based Riksmaten study. Dietary intakes were assessed using 4-day food diaries. Diet quality was measured using a diet quality index (DQI-SNR), and diet diversity was scored based on the variety of food groups consumed. Results: The study included 646 patients with IBS and 646 controls (38±14 years, 77% female). Both groups adhered to Nordic nutrition recommendations for macronutrients, except patients consumed fewer carbohydrates. Patients reported eating less carbohydrates, coffee, and dairy products, and more fats, lactose-free dairy products, and nuts and seeds compared to controls. Fewer patients had a good diet quality according to the DQI-SNR. In patients, symptom severity and gastrointestinal-specific anxiety were associated with reduced energy and carbohydrate intake, lower diet diversity, and worse diet quality. Poor diet quality was associated with younger age, more severe IBS symptoms, anxiety, and depression. Conclusion: Patients with IBS exhibit different dietary patterns compared to controls, with poorer dietary habits linked to more severe symptoms. Understanding food-symptom associations may enhance the optimization and personalization of dietary management for IBS patients.

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Zinc nutritional status, mood states and quality of life in diarrhea-predominant irritable bowel syndrome: a case–control study

Cited by 5 publications

References 41 publications

Quality of life, perceived stress and nutrition of patients with irritable bowel syndrome: A descriptive study

Quality of life, perceived stress and nutrition of patients with irritable bowel syndrome: A descriptive study

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

Dietary Intake and Quality in Irritable Bowel Syndrome: A Comparative Study With Controls and the Association With Symptom Severity

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