| Original Article |
Question: How are the symptoms, quality of life, and nutrient intake in patients with irritable bowel syndrome (IBS) with severe food avoidance?
Design/Method: Data from 4 prospective studies were used. One large study was focusing on the link between pathophysiology and symptoms, and 3 were intervention trials. IBS patients completed the IBS Quality of Life Instrument. The 3 questions constituting the food domain were used to identify patients with reported severe food avoidance and restriction. The patients also completed validated questionnaires to assess stool form, gastrointestinal (GI) symptom severity, psychological distress, GI-specific anxiety, and somatic symptom severity. A 4-day food diary was used to analyze food intake in patient
Setting: Sweden
Patient/Study community: 18-75 years old patients with IBS
Results: Although all aspects of quality of life are lower in patients with IBS, psychological, GI, and somatic symptoms are more severe. Severe food avoidance and restriction is associated with lower total energy intake, lower intake of protein, and carbohydrates. Also, loose stools are found to be independently associated with reported severe food avoidance and restriction
Commentary:
| Finding IBS patients is crucial because it will enable medical professionals to provide a multimodal treatment plan that focuses on this disease’s symptoms as well as dietary and psychological issues. In fact, it appears that these patients need extra care from doctors and nutritionists in order to prevent nutritional deficiencies, lessen symptom load, and enhance low QOL |
Citation: Chloé Melchior, Joost Algera, Esther Colomier, and et all. Food Avoidance and Restriction in Irritable Bowel Syndrome: Relevance for Symptoms, Quality of Life and Nutrient Intake. Clinical Gastroenterology and Hepatology. 2022; 20(6):1290–1298
DOI: 10.1016/j.cgh.2021.07.004
https://pubmed.ncbi.nlm.nih.gov/34229035/
Topics: Rome Criteria, Dietician, Self-Reported, IBS, Diarrhea
