Abstract：
Most female patients with irritable bowel syndrome (IBS) complain of abdominal bloating rather than abdominal pain and diarrhea. The higher incidence in women could be due to the so-called dysfunctional gas handling. Since diet seems the most effective and durable strategy for managing IBS symptoms, we aimed to evaluate the effects of a 12 week diet based on a relatively new cereal, Tritordeum (TBD), on gastrointestinal (GI) symptoms, anthropometric and bioelectrical impedance parameters, and psychological profiles in 18 diarrhea-predominant IBS (IBS-D) female patients with abdominal bloating as the dominant symptom. The IBS Severity Scoring System (IBS-SSS), the Symptom Checklist-90 Revised, the Italian version of the 36-Item Short-Form Health Survey, and the IBS-Quality of Life questionnaire were administered. The TBD reduces the IBS-SSS \"Intensity of abdominal bloating\" with a concomitant improvement in the anthropometric profile. No correlation was found between \"Intensity of abdominal bloating\" and \"Abdominal circumference\". Anxiety, depression, somatization, interpersonal sensitivity, and phobic and avoidance manifestations were significantly reduced after TBD. Lastly, anxiety was correlated with \"Intensity of abdominal bloating\". Overall, these results suggest the possibility of lowering abdominal bloating and improving the psychological profile of female IBS-D patients using a diet based on an alternative grain such as Tritordeum.
摘要：
大多数患有肠易激综合征（IBS）的女性患者抱怨腹胀而不是腹痛和腹泻。女性的发病率较高可能是由于所谓的气体处理功能失调。由于饮食似乎是管理IBS症状的最有效和持久的策略，我们的目的是评估基于相对较新的谷物的12周饮食的效果，Tritordeum(TBD),胃肠道（GI）症状，人体测量和生物电阻抗参数，18例以腹胀为主要症状的腹泻为主的IBS（IBS-D）女性患者的心理状况。IBS严重性评分系统(IBS-SSS)，症状检查表-90修订,36项短期健康调查的意大利语版本，并进行了IBS-生活质量问卷。TBD降低了IBS-SSS“腹胀强度”，并伴随着人体测量特征的改善。在“腹胀强度”和“腹围”之间没有发现相关性。焦虑,抑郁症,躯体化，人际关系敏感，TBD后恐惧和回避表现明显减少。最后,焦虑与“腹胀强度”相关。总的来说,这些结果表明,女性IBS-D患者使用以Tritordeum等替代谷物为基础的饮食有可能降低腹胀并改善其心理状况.
