Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Adherence to a Low Fodmap Diet in Relation to Symptoms of Irritable Bowel Syndrome in Iranian Adults Publisher Pubmed



Pourmand H1, 2 ; Keshteli AH3 ; Saneei P4 ; Daghaghzadeh H5 ; Esmaillzadeh A2, 6, 7 ; Adibi P5
Authors
Show Affiliations
Authors Affiliations
  1. 1. Students’ Research Committee, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, P.O. Box 14155-6117, Tehran, Iran
  3. 3. Department of Medicine, University of Alberta, Edmonton, AB, Canada
  4. 4. Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Integrative Functional Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  6. 6. Obesity and Eating Habits Research Center, Endocrinology and Metabolism Molecular Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Digestive Diseases and Sciences Published:2018


Abstract

Background: Most studies assessing the influence of a low fermentable oligo-, di-, monosaccharides and polyols (FODMAP) diet on irritable bowel syndrome (IBS) symptoms were clinical trials with a small sample size. Objective: This study was done to examine the association between adherence to a low FODMAP diet and symptoms of irritable bowel syndrome in Iranian adults. Methods: In this cross-sectional study, data on 3362 Iranian adults were collected. Dietary intakes of study participants were assessed using a validated 106-item self-administered dish-based, semi-quantitative food frequency questionnaire. Based on earlier studies, we identified all foods with a high FODMAP content in our dataset. Participants were categorized into quartiles in terms of dietary intakes of these foods. Total FODMAP score for each individual was computed by summing up the scores of all foods. Individuals in the highest quintile of FODMAP score were defined as those with the greatest adherence to the low FODMAP diet. A modified Persian version of the ROME III questionnaire was used for assessment of IBS, which was defined according to ROME III criteria. Results: Adherence to the low FODMAP diet was significantly associated with low intakes of macro- and micro-nutrients as well as all food groups (P < 0.001 for all). Participants with the greatest adherence to the low FODMAP diet, compared to those with the lowest adherence, had not significantly lower odds for having IBS, either before (95% CI 0.93, 1.58, P < 0.05) or after adjustment for potential confounders (95% CI 0.80, 1.60, P < 0.05). This was also the case for IBS subtypes; such that those with the greatest adherence to the low FODMAP diet, compared to those with the lowest adherence, were not less likely to have these types of IBS. Conclusion: In conclusion, we did not find any significant association between adherence to the low FODMAP diet and IBS. Further studies are required to reach a definite conclusion in this regard. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.
Related Docs
View other Related Docs
1. Consumption of a Low Fermentable Oligo‑, Di‑, Mono‑Saccharides, and Polyols Diet and Irritable Bowel Syndrome: A Systematic Review, International Journal of Preventive Medicine (2017)
2. Effects of a Low Fodmap Diet on the Symptom Management of Patients With Irritable Bowel Syndrome: A Systematic Umbrella Review With the Meta-Analysis of Clinical Trials, Food and Function (2024)
3. Dietary Patterns and Prevalence of Irritable Bowel Syndrome in Iranian Adults, Neurogastroenterology and Motility (2016)
4. Empirically Derived Food-Based Inflammatory Potential of the Diet, Irritable Bowel Syndrome, and Its Severity, Nutrition (2019)
5. Adherence to Dietary Approaches to Stop Hypertension Eating Plan and Prevalence of Irritable Bowel Syndrome in Adults, Journal of Neurogastroenterology and Motility (2021)
6. Dietary Intake of Phytochemicals in Association With Irritable Bowel Syndrome in Adults, Clinical Nutrition ESPEN (2023)
7. The Relationship Between Meal Regularity With Irritable Bowel Syndrome (Ibs) in Adults, European Journal of Clinical Nutrition (2022)
8. Food Item Avoidance of Patients With Irritable Bowel Syndrome Compared With Healthy People, Archives of Iranian Medicine (2019)
Experts (# of related papers)
View all Related Experts
Ahmad Esmaillzadeh (15)
Shirin Hasani-Ranjbar (1)
Other Related Docs
9. The Association of Plant-Based Dietary Pattern With General and Abdominal Obesity: A Large Cross-Sectional Study, Journal of Diabetes and Metabolic Disorders (2023)
10. Low Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols Diet Is Associated With Increased Risk of Uninvestigated Chronic Dyspepsia and Its Symptoms in Adults, Minerva Gastroenterology (2023)
11. The Association Between Meal and Snack Frequency and Irritable Bowel Syndrome, Public Health Nutrition (2021)
12. The Relationship Between Linoleic Acid Intake and Psychological Disorders in Adults, Frontiers in Nutrition (2022)
13. Nocebo and Psychological Factors in Irritable Bowel Syndrome: A Scoping Review, International Journal of Body# Mind and Culture (2022)
14. Consumption of Dietary Fiber in Relation to Psychological Disorders in Adults, Frontiers in Psychiatry (2021)
15. Association of Coffee and Caffeine Intake With Irritable Bowel Syndrome in Adults, Frontiers in Nutrition (2021)
16. The Effect of Low Fodmap Diet With and Without Gluten on Irritable Bowel Syndrome: A Double Blind, Placebo Controlled Randomized Clinical Trial, Clinical Nutrition ESPEN (2022)
17. Association Between Adherence to Mind Diet and General and Abdominal Obesity: A Cross-Sectional Study, Nutrition Journal (2020)
18. Dietary Intake of Branched-Chain Amino Acids in Relation to General and Abdominal Obesity, Eating and Weight Disorders (2022)