Yepes Ismael De Jesús, Múnera María Nicol, Martelo Carlos
Departamento de Investigaciones, Facultad de Medicina, Universidad de Cartagena, Cartagena, Colombia Pharos, Centro de Investigaciones Biomédicas de la Costa, Cartagena, Colombia.
Biomedica. 2018 May 1;38(0):61-68. doi: 10.7705/biomedica.v38i0.3443.
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.
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。
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