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Article

A Dietary Intervention with Reduction of Starch and Sucrose Leads to Reduced Gastrointestinal and Extra-Intestinal Symptoms in IBS Patients

Department of Internal Medicine, Lund University, Skåne University Hospital, 205 02 Malmö, Sweden
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Nutrients 2019, 11(7), 1662; https://doi.org/10.3390/nu11071662
Received: 18 June 2019 / Revised: 12 July 2019 / Accepted: 17 July 2019 / Published: 20 July 2019
Patients with irritable bowel syndrome (IBS) exhibit low-grade inflammation and increased gut permeability. Dietary sugar has been shown to contribute to low-grade inflammation and increased gut permeability, and to correlate with gastrointestinal (GI) symptoms. The aim of the present study was to examine the effect of a starch- and sucrose-reduced diet (SSRD) on gastrointestinal (GI) and extra-intestinal symptoms in IBS. One hundred and five IBS patients (82 women, 46.06 ± 13.11 years), with irritable bowel syndrome-symptom severity scale (IBS-SSS) > 175, were randomized to SSRD for 4 weeks or continued ordinary eating habits. The visual analog scale for irritable bowel syndrome (VAS-IBS), IBS-SSS, and 4-day food diaries were collected at baseline and after 2 and 4 weeks. After the intervention, one-third of the patients did not fulfill the criteria for IBS/functional gastrointestinal disorder. Half of the participants changed from moderate/severe disease to no/mild disease according to IBS-SSS. Comparisons between the groups showed decreased weight and sweet cravings, and parallel decreases in total IBS-SSS and extra-intestinal IBS-SSS scores, in the intervention group compared to controls (p < 0.001 for all). When calculating separate extra-intestinal symptoms, belching (p = 0.001), muscle/joint pain (p = 0.029), urinary urgency (p = 0.017), and tiredness (p = 0.011) were decreased after introduction of SSRD compared to controls. In conclusion, SSRD improves both GI and extra-intestinal symptoms in IBS. View Full-Text
Keywords: diet; extra-intestinal symptoms; gastrointestinal symptoms; irritable bowel syndrome; starch; sucrose diet; extra-intestinal symptoms; gastrointestinal symptoms; irritable bowel syndrome; starch; sucrose
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MDPI and ACS Style

Nilholm, C.; Roth, B.; Ohlsson, B. A Dietary Intervention with Reduction of Starch and Sucrose Leads to Reduced Gastrointestinal and Extra-Intestinal Symptoms in IBS Patients. Nutrients 2019, 11, 1662. https://doi.org/10.3390/nu11071662

AMA Style

Nilholm C, Roth B, Ohlsson B. A Dietary Intervention with Reduction of Starch and Sucrose Leads to Reduced Gastrointestinal and Extra-Intestinal Symptoms in IBS Patients. Nutrients. 2019; 11(7):1662. https://doi.org/10.3390/nu11071662

Chicago/Turabian Style

Nilholm, Clara, Bodil Roth, and Bodil Ohlsson. 2019. "A Dietary Intervention with Reduction of Starch and Sucrose Leads to Reduced Gastrointestinal and Extra-Intestinal Symptoms in IBS Patients" Nutrients 11, no. 7: 1662. https://doi.org/10.3390/nu11071662

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