Literature Review

Journal of Clinical Gastroenterology - Tập 54 Số 3 - Trang 203-211 - 2020
Ligia Alfaro-Cruz1,2,3,4, Margaret Heitkemper5, Bruno P. Chumpitazi1,2,3,4, Robert J. Shulman2,3,4
1Department of Pediatrics, Baylor College of Medicine;
2Department of Pediatrics, Baylor College of Medicine, Houston, TX
3Section of Pediatric Gastroenterology, Hepatology, and Nutrition
4USDA/ARS Children’s Nutrition Research Center
5Department of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, WA

Tóm tắt

Dietary management is key in controlling functional gastrointestinal disorders (FGIDs) symptoms. However, the degree to which patients with FGIDs in clinical studies adhere to dietary recommendations is unknown. Our aim was to evaluate adherence, dietary education, and adherence-related factors in FGIDs dietary intervention trials. A literature search was performed using MEDLINE, Google Scholar, and SCOPUS for clinical trials evaluating dietary management of FGIDs. Full manuscripts published from January 2000 through August 2018 were reviewed. Data including definitions of adherence and rates, study design, dietary education, use of a dietitian, provision of study foods, potential adherence barriers, and dropouts were captured. A total of 21 publications were included. Fifteen (67%) focused on the low fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAP) diet, 5 (24%) on fiber supplementation, and 1 (9%) on a low carbohydrate diet. Fifteen (71%) were randomized controlled trials. Meals/supplements were provided to the study participants in 27%, 80%, and 100%, of the low FODMAP, fiber, and low carbohydrate studies, respectively, which appeared to significantly enhance adherence (P<0.03). Eighteen studies (81%) provided either written or oral diet information to study participants. Overall, only 10 publications (48%) provided adherence data. Nine (60%) of the low FODMAP studies provided adherence data (range, 30% to 100%); ranges could not be calculated for the other dietary trials. The most common method to measure adherence was via food diaries. Therefore, adherence is not often measured in FGIDs dietary intervention clinical trials; when reported, rates of adherence range widely. Studies providing food had the highest adherence rates.

Từ khóa


Tài liệu tham khảo

Marsh, 2016, Does a diet low in FODMAPs reduce symptoms associated with functional gastrointestinal disorders? A comprehensive systematic review and meta-analysis, Eur J Nutr, 55, 897, 10.1007/s00394-015-0922-1

Nanayakkara, 2016, Efficacy of the low FODMAP diet for treating irritable bowel syndrome: the evidence to date, Clin Exp Gastroenterol, 9, 131

Maagaard, 2016, Follow-up of patients with functional bowel symptoms treated with a low FODMAP diet, World J Gastroenterol, 22, 4009, 10.3748/wjg.v22.i15.4009

Lacy, 2017, Rome criteria and a diagnostic approach to irritable bowel syndrome, J Clin Med, 6, pii: E99, 10.3390/jcm6110099

Devanarayana, 2018, Irritable bowel syndrome in children: current knowledge, challenges and opportunities, World J Gastroenterol, 24, 2211, 10.3748/wjg.v24.i21.2211

Hyams, 2016, Functional disorders: children and adolescents, Gastroenterology, 150, 1456, 10.1053/j.gastro.2016.02.015

Chumpitazi, 2016, Self-perceived food intolerances are common and associated with clinical severity in childhood irritable bowel syndrome, J Acad Nutr Diet, 116, 1458, 10.1016/j.jand.2016.04.017

Chogle, 2014, Pediatric IBS: an overview on pathophysiology, diagnosis and treatment, Pediatr Ann, 43, e76, 10.3928/00904481-20140325-08

Chumpitazi, 2016, Underlying molecular and cellular mechanisms in childhood irritable bowel syndrome, Mol Cell Pediatr, 3, 11, 10.1186/s40348-016-0036-8

Hayes, 2014, Irritable bowel syndrome: the role of food in pathogenesis and management, Gastroenterol Hepatol (N Y), 10, 164

Halmos, 2014, A diet low in FODMAPs reduces symptoms of irritable bowel syndrome, Gastroenterology, 146, 67, 10.1053/j.gastro.2013.09.046

Chumpitazi, 2015, Randomised clinical trial: gut microbiome biomarkers are associated with clinical response to a low FODMAP diet in children with the irritable bowel syndrome, Aliment Pharmacol Ther, 42, 418, 10.1111/apt.13286

Böhn, 2015, Diet low in FODMAPs reduces symptoms of irritable bowel syndrome as well as traditional dietary advice: a randomized controlled trial, Gastroenterology, 149, 1399, 10.1053/j.gastro.2015.07.054

McIntosh, 2017, FODMAPs alter symptoms and the metabolome of patients with IBS: a randomised controlled trial, Gut, 66, 1241, 10.1136/gutjnl-2015-311339

Pedersen, 2014, Ehealth: low FODMAP diet vs Lactobacillus rhamnosus GG in irritable bowel syndrome, World J Gastroenterol, 20, 16215, 10.3748/wjg.v20.i43.16215

Eswaran, 2016, A randomized controlled trial comparing the low fODMAP diet vs. modified NICE guidelines in US adults with IBS-D, Am J Gastroenterol, 111, 1824, 10.1038/ajg.2016.434

Shepherd, 2008, Dietary triggers of abdominal symptoms in patients with irritable bowel syndrome: randomized placebo-controlled evidence, Clin Gastroenterol Hepatol, 6, 765, 10.1016/j.cgh.2008.02.058

Ong, 2010, Manipulation of dietary short chain carbohydrates alters the pattern of gas production and genesis of symptoms in irritable bowel syndrome, J Gastroenterol Hepatol, 25, 1366, 10.1111/j.1440-1746.2010.06370.x

Hustoft, 2017, Effects of varying dietary content of fermentable short-chain carbohydrates on symptoms, fecal microenvironment, and cytokine profiles in patients with irritable bowel syndrome, Neurogastroenterol Motil, 29, 10.1111/nmo.12969

Wilder-Smith, 2017, Predictors of response to a low-FODMAP diet in patients with functional gastrointestinal disorders and lactose or fructose intolerance, Aliment Pharmacol Ther, 45, 1094, 10.1111/apt.13978

Staudacher, 2011, Comparison of symptom response following advice for a die in fermentable carbohydrates (FODMAPs) versus standard dietary advice in patients with irritable bowel syndrome, J Hum Nutr Diet, 24, 487, 10.1111/j.1365-277X.2011.01162.x

de Roest, 2013, The low FODMAP diet improves gastrointestinal symptoms in patients with irritable bowel syndrome: a prospective study, Int J Clin Pract, 67, 895, 10.1111/ijcp.12128

Wong, 2018, Early experience with a low FODMAP diet in Asian patients with irritable bowel syndrome, JGH Open, 2, 178, 10.1002/jgh3.12069

Pourmand, 2018, Adherence to a Low FODMAP Diet in Relation to Symptoms of Irritable Bowel Syndrome in Iranian Adults, Dig Dis Sci, 63, 1261, 10.1007/s10620-018-4986-7

Parisi, 2002, High-fiber diet supplementation in patients with irritable bowel syndrome (IBS): a multicenter, randomized, open trial comparison between wheat bran diet and partially hydrolyzed guar gum (PHGG), Dig Dis Sci, 47, 1697, 10.1023/A:1016419906546

Bijkerk, 2009, Soluble or insoluble fibre in irritable bowel syndrome in primary care? Randomised placebo controlled trial, BMJ, 339, b3154, 10.1136/bmj.b3154

Rees, 2005, Randomised-controlled trial of a fibre supplement on the symptoms of irritable bowel syndrome, J R Soc Promot Health, 125, 30, 10.1177/146642400512500112

Aller, 2004, Effects of a high-fiber diet on symptoms of irritable bowel syndrome: a randomized clinical trial, Nutrition, 20, 735, 10.1016/j.nut.2004.05.016

Shulman, 2017, Psyllium fiber reduces abdominal pain in children with irritable bowel syndrome in a randomized, double-blind trial, Clin Gastroenterol Hepatol, 15, 712, 10.1016/j.cgh.2016.03.045

Austin, 2009, A very low-carbohydrate diet improves symptoms and quality of life in diarrhea-predominant irritable bowel syndrome, Clin Gastroenterol Hepatol, 7, 706, 10.1016/j.cgh.2009.02.023

Chumpitazi, 2018, Fructans exacerbate symptoms in a subset of children with irritable bowel syndrome, Clin Gastroenterol Hepatol, 16, 219, 10.1016/j.cgh.2017.09.043

Rao, 2015, Systematic review: dietary fibre and FODMAP-restricted diet in the management of constipation and irritable bowel syndrome, Aliment Pharmacol Ther, 41, 1256, 10.1111/apt.13167

Gibson, 2017, The evidence base for efficacy of the low FODMAP diet in irritable bowel syndrome: is it ready for prime time as a first-line therapy?, J Gastroenterol Hepatol, 32, 32, 10.1111/jgh.13693

Muhammad, 2017, Adherence to a gluten free diet is associated with receiving gluten free foods on prescription and understanding food labelling, Nutrients, 9, pii:E705, 10.3390/nu9070705

Mager, 2018, Adherence to the gluten-free diet and health-related quality of life in an ethnically diverse pediatric population with celiac disease, J Pediatr Gastroenterol Nutr, 66, 941, 10.1097/MPG.0000000000001873

Neshatbini Tehrani, 2019, The association between nutrition knowledge and adherence to a Mediterranean dietary pattern in Iranian female adolescents, Int J Adolesc Med Health

Clark, 2019, Educational intervention improves fruit and vegetable intake in young adults with metabolic syndrome components, Nutr Res, 62, 89, 10.1016/j.nutres.2018.11.010

Story, 2002, Individual and environmental influences on adolescent eating behaviors, J Am Diet Assoc, 102, S40, 10.1016/S0002-8223(02)90421-9

Patrick, 2005, A review of family and social determinants of children’s eating patterns and diet quality, J Am Coll Nutr, 24, 83, 10.1080/07315724.2005.10719448

Arcila-Agudelo, 2019, Determinants of adherence to healthy eating patterns in a population of children and adolescents: evidence on the mediterranean diet in the city of Mataro (Catalonia, Spain), Nutrients, 11, pii:E854, 10.3390/nu11040854