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[低可发酵寡糖、双糖、单糖和多元醇饮食与哥伦比亚肠易激综合征患者的生活质量]

[Diet low in fermentable oligosaccharides, disaccharides, monosaccharides and polyols, and quality of life in patients with irritable bowel syndrome in Colombia].

作者信息

Yepes Ismael De Jesús, Múnera María Nicol, Martelo Carlos

机构信息

Departamento de Investigaciones, Facultad de Medicina, Universidad de Cartagena, Cartagena, Colombia Pharos, Centro de Investigaciones Biomédicas de la Costa, Cartagena, Colombia.

出版信息

Biomedica. 2018 May 1;38(0):61-68. doi: 10.7705/biomedica.v38i0.3443.


DOI:10.7705/biomedica.v38i0.3443
PMID:29809329
Abstract

INTRODUCTION: A growing body of evidence has pointed out the effectiveness of a diet low in fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) in patients with irritable bowel syndrome. However, there are no local studies to estimate the effects of this strategy on the symptoms and the health-related quality of life in these patients in Colombia or Latin America. OBJECTIVE: To determine the effect of a diet low in FODMAP on the quality of life and the severity of symptoms in patients with irritable bowel syndrome in Colombia. MATERIALS AND METHODS: We collected clinical and demographic information of all patients at the time of inclusion. Immediately afterwards, a trained interviewer applied the IBS-QoL survey to estimate the quality of life of patients. Then, we evaluated the intensity of the symptoms using an analogue visual scale, before and after the diet low in FODMAP. RESULTS: We included 50 subjects in the final analysis. We observed an increase in all the IBS-QoL scales (average increase in overall summary: 14.7 points, 95% CI: 9.4 to 20.1; p<0.001) and a significant reduction in all symptoms (-19.8 mm; 95% CI: 23.4 mm 16.2 mm; p<0.001). Sex, age, body mass index, socioeconomic status and the health care provider were not associated with the improvement in the health-related quality of life. CONCLUSION: A low diet in FODMAP reduced symptoms and improved quality of life in Colombian patients with irritable bowel syndrome. Controlled studies taking into account other factors linked to the severity of irritable bowel syndrome are required.

摘要

引言:越来越多的证据指出,低可发酵寡糖、双糖、单糖和多元醇(FODMAP)饮食对肠易激综合征患者有效。然而,在哥伦比亚或拉丁美洲,尚无本地研究评估该策略对这些患者症状及健康相关生活质量的影响。 目的:确定低FODMAP饮食对哥伦比亚肠易激综合征患者生活质量和症状严重程度的影响。 材料与方法:我们在纳入所有患者时收集了临床和人口统计学信息。随后,一名经过培训的访谈者应用IBS-QoL调查问卷评估患者的生活质量。然后,我们在低FODMAP饮食前后,使用视觉模拟量表评估症状强度。 结果:我们最终分析纳入了50名受试者。我们观察到IBS-QoL所有量表均有所提高(总体总结平均提高:14.7分,95%可信区间:9.4至20.1;p<0.001),且所有症状均显著减轻(-19.8毫米;95%可信区间:23.4毫米至16.2毫米;p<0.001)。性别、年龄、体重指数、社会经济地位和医疗服务提供者与健康相关生活质量的改善无关。 结论:低FODMAP饮食减轻了哥伦比亚肠易激综合征患者的症状并改善了生活质量。需要进行考虑与肠易激综合征严重程度相关的其他因素的对照研究。

相似文献

[1]
[Diet low in fermentable oligosaccharides, disaccharides, monosaccharides and polyols, and quality of life in patients with irritable bowel syndrome in Colombia].

Biomedica. 2018-5-1

[2]
Low fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) diet improves symptoms in adults suffering from irritable bowel syndrome (IBS) compared to standard IBS diet: A meta-analysis of clinical studies.

PLoS One. 2017-8-14

[3]
Beyond Irritable Bowel Syndrome: The Efficacy of the Low Fodmap Diet for Improving Symptoms in Inflammatory Bowel Diseases and Celiac Disease.

Dig Dis. 2018

[4]
The long-term effect and adherence of a low fermentable oligosaccharides disaccharides monosaccharides and polyols (FODMAP) diet in patients with irritable bowel syndrome.

J Hum Nutr Diet. 2020-4

[5]
A diet low in FODMAPs reduces symptoms of irritable bowel syndrome.

Gastroenterology. 2013-9-25

[6]
Low fermentable oligo-di-mono-saccharides and polyols diet versus general dietary advice in patients with diarrhea-predominant irritable bowel syndrome: A randomized controlled trial.

J Gastroenterol Hepatol. 2018-2-21

[7]
Fermentable oligosaccharides, disaccharides, monosaccharides and polyols: role in irritable bowel syndrome.

Expert Rev Gastroenterol Hepatol. 2014-9

[8]
Restriction of FODMAP in the management of bloating in irritable bowel syndrome.

Singapore Med J. 2016-9

[9]
Fecal Fermentation in Irritable Bowel Syndrome: Influence of Dietary Restriction of Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols.

Digestion. 2016

[10]
Bioelectrical impedance vector analysis in patients with irritable bowel syndrome on a low FODMAP diet: a pilot study.

Tech Coloproctol. 2017-5-31

引用本文的文献

[1]
Effect of Low FODMAPs Diet on Irritable Bowel Syndromes: A Systematic Review and Meta-Analysis of Clinical Trials.

Nutrients. 2021-7-19

[2]
Feasibility of Low Fermentable Oligosaccharide, Disaccharide, Monosaccharide, and Polyol Diet and Its Effects on Quality of Life in an Italian Cohort.

Nutrients. 2020-3-8

[3]
Irritable Bowel Syndrome and Dietary Interventions.

Gastroenterol Hepatol (N Y). 2019-1

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