A balanced diet is linked to IBS symptom relief

  • Paduano D & al.
  • Nutrients
  • 11 Jul 2019

  • International Clinical Digest
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Takeaway

  • Patients with irritable bowel syndrome (IBS) experience symptom relief while following balanced Mediterranean, gluten-free, and low fermentable carbohydrate (low-FODMAP) diets, but only the balanced diet had high adherence.

Why this matters

  • Although all 3 diets were associated with reduced abdominal pain and bloating and improved QoL, patient preference for the balanced diet makes it an appealing option for managing IBS.

Study design

  • Researchers studied consecutive patients presenting with IBS (n=42; mean age, 28.62±6.86 years; 83.33% women), assigning them to 3 diets consumed for 4 weeks each at 4-week intervals.
  • Funding: None.

Key results

  • 28 patients (66.67%) completed all 3 diets.
  • All diets were associated with reduced symptom severity, bloating, abdominal pain (all P<.01 and improved qol>
  • Patient adherence was 3% for the low-FODMAP diet, 11% for the gluten-free diet, and 86% for the balanced diet (P<.01>

Limitations

  • The study was single-center with a small sample size.
  • Diets were offered to all patients in the same order, without randomization or blinding.
  • Patient dietary intake was self-reported.

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