Gayoso Lucia, Garcia-Etxebarria Koldo, Arzallus Teresa, Montalvo Isabel, Lizasoain Jacobo, D'Amato Mauro, Etxeberria Usune, Bujanda Luis
Technology Center in Gastronomy, Basque Culinary Center, BCC Innovation, Donostia-San Sebastián, Spain.
Basque Culinary Center, Faculty of Gastronomic Sciences, Mondragon Unibertsitatea, Donostia-San Sebastián, Spain.
Therap Adv Gastroenterol. 2023 Apr 28;16:17562848231156682. doi: 10.1177/17562848231156682. eCollection 2023.
Irritable bowel syndrome (IBS) is a common gastrointestinal condition which entails a high burden in the quality of life (QoL) of patients. Nutritional interventions have been proposed to alleviate symptoms, since still no effective treatments exist for IBS.
Our aim is to analyse the feasibility of the use of starch- and sucrose-reduced diet (SSRD).
In this study, we used a SSRD accompanied by nutritional and culinary recommendations to measure the effects in IBS patients with diarrhoea.
In all, 34 participants completed a 4-week nutritional intervention based on SSRD. Symptoms, QoL and dietary habits were assessed by several questionnaires that were completed at the beginning, daily, after 2 weeks, at the end, and after 2 months.
85.29% of the participants reached the primary endpoint [reduction of 50 points or more in IBS-symptom severity scale (SSS)], and 58.82% the secondary endpoint (reduction of 50% or more in IBS-SSS). The relief of symptoms and improvement of the QoL were significant after 2 weeks of intervention, at the end and after 2 months. Dietary habits were consistent with the diet and high adherence was achieved.
SSRD and individualized nutritional and culinary guidance improved symptoms and QoL of IBS patients with diarrhoea, with a high adherence.
肠易激综合征（IBS）是一种常见的胃肠道疾病，给患者的生活质量（QoL）带来了沉重负担。由于目前尚无针对IBS的有效治疗方法，因此有人提出营养干预措施来缓解症状。
我们的目的是分析使用低淀粉和低蔗糖饮食（SSRD）的可行性。
在本研究中，我们采用了SSRD并辅以营养和烹饪建议，以测量对腹泻型IBS患者的影响。
共有34名参与者完成了一项基于SSRD的为期4周的营养干预。通过在开始时、每天、2周后、结束时以及2个月后完成的几份问卷对症状、生活质量和饮食习惯进行评估。
85.29%的参与者达到了主要终点[肠易激综合征症状严重程度量表（SSS）降低50分或更多]，58.82%的参与者达到了次要终点（肠易激综合征SSS降低50%或更多）。干预2周后、结束时以及2个月后，症状缓解和生活质量改善均显著。饮食习惯与饮食一致，依从性高。
SSRD以及个性化的营养和烹饪指导改善了腹泻型IBS患者的症状和生活质量，且依从性高。
