Abstract：
BACKGROUND: High FODMAP (fermentable oligo-, di, monosaccharides and polyols) foods have been linked with worsening symptoms of IBS patients. The aim was to compare gastrointestinal symptoms and dietary intake of patients with irritable bowel syndrome following a low FODMAP diet, with or without individual nutrition therapy.
METHODS: A total of 54 patients that met Rome IV criteria for IBS were randomized into two groups, guided group (individual nutrition therapy, n=28) and self-management group (learned about low FODMAP diet online, n=26). Both groups followed low FODMAP diet for 4 weeks. Four-day food records were used to assess dietary intake. Symptoms were assessed by the IBS-severity scoring system (ISB-SSS).
RESULTS: The number of subjects who did not complete the study was 13, thereof five in the nutrition therapy and eight in the self-management group, leaving 23 and 18 subjects available for analysis, respectively. Symptoms declined from baseline to endpoint in both groups, by 183±101 points on average in the group receiving nutrition therapy (p< 0.001) and 132±110 points in the self-management group (p< 0.001), with no difference between groups. At baseline, about 80% of meals in both groups contained food high in FODMAP\'s. The corresponding proportion was 9% and 36% in week 3 in the nutrition therapy and self-management group, respectively (p< 0.001).
CONCLUSIONS: Both groups experienced relieve of symptoms, but compliance to the low FODMAP diet was better in the group receiving individual nutrition therapy compared with the group who only received instructions on how to learn about low FODMAP diet online.
METHODS: A total of 54 patients that met Rome IV criteria for IBS were randomized into two groups, guided group (individual nutrition therapy, n=28) and self-management group (learned about low FODMAP diet online, n=26). Both groups followed low FODMAP diet for 4 weeks. Four-day food records were used to assess dietary intake. Symptoms were assessed by the IBS-severity scoring system (ISB-SSS).
RESULTS: The number of subjects who did not complete the study was 13, thereof five in the nutrition therapy and eight in the self-management group, leaving 23 and 18 subjects available for analysis, respectively. Symptoms declined from baseline to endpoint in both groups, by 183±101 points on average in the group receiving nutrition therapy (p< 0.001) and 132±110 points in the self-management group (p< 0.001), with no difference between groups. At baseline, about 80% of meals in both groups contained food high in FODMAP\'s. The corresponding proportion was 9% and 36% in week 3 in the nutrition therapy and self-management group, respectively (p< 0.001).
CONCLUSIONS: Both groups experienced relieve of symptoms, but compliance to the low FODMAP diet was better in the group receiving individual nutrition therapy compared with the group who only received instructions on how to learn about low FODMAP diet online.
摘要：
背景：高FODMAP(可发酵寡头-，di,单糖和多元醇）食物与IBS患者症状恶化有关。目的是比较低FODMAP饮食后肠易激综合征患者的胃肠道症状和饮食摄入量，有或没有单独的营养治疗。
方法：将符合IBS罗马IV标准的54例患者随机分为两组，指导组(个体营养治疗，n=28）和自我管理组（在网上了解了低FODMAP饮食，n=26）。两组均遵循低FODMAP饮食4周。使用四天的食物记录来评估饮食摄入量。通过IBS严重程度评分系统（ISB-SSS）评估症状。
结果：未完成研究的受试者人数为13人，其中5人是营养治疗组，8人是自我管理组，留下23和18个受试者可供分析，分别。两组的症状从基线下降到终点，接受营养治疗组平均183±101分（p<0.001），自我管理组平均132±110分（p<0.001），组间没有差异。在基线,两组中大约80%的膳食含有高FODMAP的食物。营养治疗和自我管理组在第3周的相应比例为9%和36%，分别(p<0.001)。
结论：两组症状都有所缓解，但与仅接受在线了解低FODMAP饮食指导的组相比,接受个体营养治疗组的低FODMAP饮食依从性更好.
方法：将符合IBS罗马IV标准的54例患者随机分为两组，指导组(个体营养治疗，n=28）和自我管理组（在网上了解了低FODMAP饮食，n=26）。两组均遵循低FODMAP饮食4周。使用四天的食物记录来评估饮食摄入量。通过IBS严重程度评分系统（ISB-SSS）评估症状。
结果：未完成研究的受试者人数为13人，其中5人是营养治疗组，8人是自我管理组，留下23和18个受试者可供分析，分别。两组的症状从基线下降到终点，接受营养治疗组平均183±101分（p<0.001），自我管理组平均132±110分（p<0.001），组间没有差异。在基线,两组中大约80%的膳食含有高FODMAP的食物。营养治疗和自我管理组在第3周的相应比例为9%和36%，分别(p<0.001)。
结论：两组症状都有所缓解，但与仅接受在线了解低FODMAP饮食指导的组相比,接受个体营养治疗组的低FODMAP饮食依从性更好.
