scholarly journals Feasibility of a low FODMAPs diet without initial dietician intervention in the management of patients with irritable bowel syndrome: a prospective study

2021 ◽  
Vol 84 (4) ◽  
pp. 593-600
Author(s):  
P Van Ouytsel ◽  
A Szalai ◽  
A Van Gossum ◽  
M Arvanitakis ◽  
H Louis

Background and aims: Efficiency of a low FODMAPs diet (LFD) to relieve symptoms in patients with irritable bowel syndrome (IBS) has been proved in several studies. Our study aimed to evaluate the management of IBS-patients when explanations about LFD are given by the physician without dietician intervention. Patients and methods: Patients with IBS were evaluated prospectively after explanations about the LFD were given with the help of a leaflet. A first questionnaire evaluating trigger foods and diet acceptability was submitted to the patient after the consultation. Six weeks later, a second questionnaire evaluated patient’s understanding and adherence to the diet, the evolution of symptoms, and the need for a specific dietetic support. Results: Thirty-five patients were included (69% female; mean age 45±15). Seventy-four percent of the patients thought that their symptoms were related to food ingestion, and 97% were ready to go on a diet to improve their symptoms. During the second visit, 91% of the patients reported understanding correctly the explanations, 52% followed LFD regularly, 28% sometimes and 20% did not follow LFD at all or barely. Multiple non-adherence factors were reported. All symptoms, except constipation, decreased significantly six weeks after starting LFD. Finally, 77% of the patients reported satisfaction with care and 69% were willing to be supported by a dietician. Conclusions: Most IBS patients understood explanations given by GI physicians, but low compliance to the diet and a wish for dietician support was highlighted, suggesting that a dietician intervention should be scheduled when LFD is implemented.

2016 ◽  
Vol 150 (4) ◽  
pp. S250
Author(s):  
Corbett Shelton ◽  
Mustafa Haroon ◽  
Gayatri Patel ◽  
Ling Guo ◽  
Howard Cabral ◽  
...  

2019 ◽  
pp. 4-9

Abstract: Introduction: Irritable bowel syndrome (IBS) is a very common entity that alters patient’s life quality worldwide. Several therapeutic modalities are available with variable results. Recently, the low-FODMAP diet effect on IBS symptoms has been proven. The aim of our study was to study the efficiency of this diet and to assess its applicability in a Tunisian IBS group of patients. Methods: A longitudinal, prospective study including 34 patients with IBS was conducted. Patients responded to a food frequency survey and had to follow a low FODMAP diet with a dietary guide education for 3 weeks. After the diet, a telephone questionnaire was conducted to evaluate adherence and treatment efficiency. Results: Mean of the population age was 56.5 (21 – 83 years) with a sex ratio of almost 1⁄4. The initial food survey showed a large consumption of white bread and fruits. Tolerance to rich in FODMAP foods was variable among patients. Up to 97% of patients adhered to the low FODMAP diet. A decrease in abdominal pain in 88% of cases and in bloating in 64.7% of cases (p = 0.007) were noted after the diet. Conclusion: In our patients, the low FODMAP diet showed satisfactory results with good adherence, and improvement of IBS symptoms. However, it is important to note the difficulty of a long-term diet in a population with a variable alimentary habit. Key words: low FODMAP diet; irritable bowel syndrome, applicability, Tunisia


2011 ◽  
Vol 140 (5) ◽  
pp. S-289
Author(s):  
Rami F. Abboud ◽  
Darrell S. Pardi ◽  
William J. Tremaine ◽  
Patricia P. Kammer ◽  
Edward V. Loftus

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