- 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.
- 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.
- 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>
- 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.