دورية أكاديمية

Low FODMAP diet in Egyptian patients with Crohn's disease in remission phase with functional gastrointestinal symptoms.

التفاصيل البيبلوغرافية
العنوان: Low FODMAP diet in Egyptian patients with Crohn's disease in remission phase with functional gastrointestinal symptoms.
المؤلفون: Elhusseiny MH; Gastroenterology Unit, Faculty of Medicine Alexandria University Alexandria Egypt.; HCPC UK., Amine AK; Department of Nutrition, High Institute of Public Health Alexandria University Alexandria Egypt., Salem OE; Gastroenterology Unit, Faculty of Medicine Alexandria University Alexandria Egypt., Tayel DI; Department of Nutrition, High Institute of Public Health Alexandria University Alexandria Egypt., Elsayed EA; Gastroenterology Unit, Faculty of Medicine Alexandria University Alexandria Egypt.
المصدر: JGH open : an open access journal of gastroenterology and hepatology [JGH Open] 2018 Feb 05; Vol. 2 (1), pp. 15-20. Date of Electronic Publication: 2018 Feb 05 (Print Publication: 2018).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: John Wiley & Sons Australia, Ltd Country of Publication: Australia NLM ID: 101730833 Publication Model: eCollection Cited Medium: Internet ISSN: 2397-9070 (Electronic) Linking ISSN: 23979070 NLM ISO Abbreviation: JGH Open Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Richmond, Victoria, Australia] : John Wiley & Sons Australia, Ltd., [2017]-
مستخلص: Background and Aim: Despite being in remission, functional gastrointestinal disease (FGID) in Crohn's disease (CD) patients can reduce their quality of life. The Egyptian daily diet contains a high amount of FODMAP (Fermentable Oligosaccharides, Disaccharides, Monosaccharides, And Polyols). As the low FODMAP diet has been proven to be effective in irritable bowel syndrome worldwide, it was reasonable to take a step further and begin to study the effect of low FODMAP in Egyptian CD patients with FGID. The outcomes were assessed in terms of improvement in symptoms and hence the quality of life, and the factors that led to this improvement were also recorded.
Methods: In total, 100 CD patients with FGID in the remission stage who were already on a low-fiber diet (± lactose-free diet) were selected to follow the low FODMAP diet. A structured interview was performed after 3 months with a number of scored-scale questionnaires comparing symptoms before and after the diet and the impact on quality of life. Evaluation of the adherence, satisfaction, palatability, and affordability of the diet was performed. Different demographic data were also evaluated in correspondence with improvements in the quality of life.
Results: The mean score of FGID improvement was 38.45 ± 21.56%. The quality of life was significantly improved; 90% of female patients versus 49.4% males had a better quality of life. The households (not working) as well as those with morning jobs (6 hours) reported an increase in quality of life. Although the Egyptian low FODMAP diet was expensive (in terms of gluten-free wheat), 67% were adherent to it (18.16 ± 6.85).
Conclusion: As a first step in Egypt, the low FODMAP diet was effective in improving the quality of life of CD patients with FGID.
References: J Hum Nutr Diet. 2015 Dec;28(6):687-96. (PMID: 25871564)
Therap Adv Gastroenterol. 2015 Nov;8(6):352-9. (PMID: 26557891)
World J Gastroenterol. 2016 Apr 21;22(15):4009-19. (PMID: 27099444)
J Psychosom Res. 2005 May;58(5):403-15. (PMID: 16026655)
Aliment Pharmacol Ther. 2005 Jun 15;21(12):1399-409. (PMID: 15948806)
Eur J Nutr. 2016 Apr;55(3):897-906. (PMID: 25982757)
Am J Gastroenterol. 1996 Aug;91(8):1571-8. (PMID: 8759664)
J Hum Nutr Diet. 2011 Oct;24(5):487-95. (PMID: 21615553)
Am J Gastroenterol. 2009 Apr;104(4):1003-12. (PMID: 19240705)
Gastroenterology. 1994 Feb;106(2):287-96. (PMID: 8299896)
Gastroenterology. 2006 Apr;130(5):1538-51. (PMID: 16678567)
J Crohns Colitis. 2009 Feb;3(1):8-14. (PMID: 21172242)
Gastroenterol Hepatol. 2015 Mar;38(3):113-22. (PMID: 25458546)
Mol Med Rep. 2012 Jun;5(6):1382-90. (PMID: 22446969)
Int J Clin Pract. 2013 Sep;67(9):895-903. (PMID: 23701141)
J Agric Food Chem. 2007 Aug 8;55(16):6619-27. (PMID: 17625872)
Neurogastroenterol Motil. 2013 Sep;25(9):756-e578. (PMID: 23731196)
Inflamm Bowel Dis. 2005 Feb;11(2):133-8. (PMID: 15677906)
Gastroenterology. 2015 Nov;149(6):1399-1407.e2. (PMID: 26255043)
Dig Dis Sci. 1988 Feb;33(2):129-34. (PMID: 3123181)
Am J Gastroenterol. 2006 Aug;101(8):1853-7. (PMID: 16817837)
فهرسة مساهمة: Keywords: Crohn's disease; FODMAP; diet; gastrointestinal symptoms
تواريخ الأحداث: Date Created: 20181129 Latest Revision: 20220330
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC6206999
DOI: 10.1002/jgh3.12037
PMID: 30483557
قاعدة البيانات: MEDLINE
الوصف
تدمد:2397-9070
DOI:10.1002/jgh3.12037