Reframing the Management of Irritable Bowel Syndrome: Investigating the Efficacy of a Modified Low Fodmap Diet Approach on Symptom Response
Background/ Objectives: Irritable bowel syndrome (IBS) is a disorder of gut-brain interaction with a multi-faceted pathogenesis. A diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs), known as a low FODMAP diet (LFD), is an effective management option for...
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| Language: | English |
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Technological University Dublin
2024-12-01
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| Series: | SURE Journal: (Science Undergraduate Research Experience Journal) |
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| Online Access: | https://arrow.tudublin.ie/sure_j/vol6/iss1/7 |
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| author | Tara Howley Lorraine Cooney Suzanne L Doyle |
| author_facet | Tara Howley Lorraine Cooney Suzanne L Doyle |
| author_sort | Tara Howley |
| collection | DOAJ |
| description | Background/ Objectives: Irritable bowel syndrome (IBS) is a disorder of gut-brain interaction with a multi-faceted pathogenesis. A diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs), known as a low FODMAP diet (LFD), is an effective management option for many, however, it is complex, costly, and restrictive. A milder, modified low FODMAP diet (MLFD) is one suggested alternative, however, data on this approach is lacking. This study aimed to explore the efficacy of a MLFD versus a LFD on symptom improvement in IBS.
Subjects/ Methods: Routine clinical data collected on individuals with a Rome IV IBS diagnosis between August 2018 and October 2022 from a specialist-dietitian led IBS clinic in Blackrock Health, Dublin was retrospectively analysed. Individuals had been recommended to follow a LFD or a MLFD for four weeks. Information on symptoms was collected using a modified gastrointestinal symptom rating scale (mGSRS) at initial assessment and at 4-week follow-up. Data was analysed using SPSS.
Results: Data on 108 individuals was available; 63 were recommended to follow the LFD, 45 the MLFD. Both the MLFD and LFD achieved significant improvements in mGSRS scores (p
Conclusion: The MLFD was associated with significant improvements in symptoms of IBS and normalised stool type. These findings suggest that such stringent restriction as seen in the LFD is not necessary as management options evolve. The future of IBS therapy should consider more liberalised approaches. |
| format | Article |
| id | doaj-art-abb62d22d67048f8b205f2e64d6a6b0a |
| institution | Kabale University |
| issn | 2990-8167 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Technological University Dublin |
| record_format | Article |
| series | SURE Journal: (Science Undergraduate Research Experience Journal) |
| spelling | doaj-art-abb62d22d67048f8b205f2e64d6a6b0a2025-01-31T10:28:14ZengTechnological University DublinSURE Journal: (Science Undergraduate Research Experience Journal)2990-81672024-12-016110.21427/v2jw-sj26Reframing the Management of Irritable Bowel Syndrome: Investigating the Efficacy of a Modified Low Fodmap Diet Approach on Symptom ResponseTara Howley0Lorraine Cooney1Suzanne L Doyle2Technological University DublinBlackrock HealthTechnological University DublinBackground/ Objectives: Irritable bowel syndrome (IBS) is a disorder of gut-brain interaction with a multi-faceted pathogenesis. A diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs), known as a low FODMAP diet (LFD), is an effective management option for many, however, it is complex, costly, and restrictive. A milder, modified low FODMAP diet (MLFD) is one suggested alternative, however, data on this approach is lacking. This study aimed to explore the efficacy of a MLFD versus a LFD on symptom improvement in IBS. Subjects/ Methods: Routine clinical data collected on individuals with a Rome IV IBS diagnosis between August 2018 and October 2022 from a specialist-dietitian led IBS clinic in Blackrock Health, Dublin was retrospectively analysed. Individuals had been recommended to follow a LFD or a MLFD for four weeks. Information on symptoms was collected using a modified gastrointestinal symptom rating scale (mGSRS) at initial assessment and at 4-week follow-up. Data was analysed using SPSS. Results: Data on 108 individuals was available; 63 were recommended to follow the LFD, 45 the MLFD. Both the MLFD and LFD achieved significant improvements in mGSRS scores (p Conclusion: The MLFD was associated with significant improvements in symptoms of IBS and normalised stool type. These findings suggest that such stringent restriction as seen in the LFD is not necessary as management options evolve. The future of IBS therapy should consider more liberalised approaches.https://arrow.tudublin.ie/sure_j/vol6/iss1/7irritable bowel syndromelow fodmapmodified low fodmapgastrointestinal symptoms |
| spellingShingle | Tara Howley Lorraine Cooney Suzanne L Doyle Reframing the Management of Irritable Bowel Syndrome: Investigating the Efficacy of a Modified Low Fodmap Diet Approach on Symptom Response SURE Journal: (Science Undergraduate Research Experience Journal) irritable bowel syndrome low fodmap modified low fodmap gastrointestinal symptoms |
| title | Reframing the Management of Irritable Bowel Syndrome: Investigating the Efficacy of a Modified Low Fodmap Diet Approach on Symptom Response |
| title_full | Reframing the Management of Irritable Bowel Syndrome: Investigating the Efficacy of a Modified Low Fodmap Diet Approach on Symptom Response |
| title_fullStr | Reframing the Management of Irritable Bowel Syndrome: Investigating the Efficacy of a Modified Low Fodmap Diet Approach on Symptom Response |
| title_full_unstemmed | Reframing the Management of Irritable Bowel Syndrome: Investigating the Efficacy of a Modified Low Fodmap Diet Approach on Symptom Response |
| title_short | Reframing the Management of Irritable Bowel Syndrome: Investigating the Efficacy of a Modified Low Fodmap Diet Approach on Symptom Response |
| title_sort | reframing the management of irritable bowel syndrome investigating the efficacy of a modified low fodmap diet approach on symptom response |
| topic | irritable bowel syndrome low fodmap modified low fodmap gastrointestinal symptoms |
| url | https://arrow.tudublin.ie/sure_j/vol6/iss1/7 |
| work_keys_str_mv | AT tarahowley reframingthemanagementofirritablebowelsyndromeinvestigatingtheefficacyofamodifiedlowfodmapdietapproachonsymptomresponse AT lorrainecooney reframingthemanagementofirritablebowelsyndromeinvestigatingtheefficacyofamodifiedlowfodmapdietapproachonsymptomresponse AT suzanneldoyle reframingthemanagementofirritablebowelsyndromeinvestigatingtheefficacyofamodifiedlowfodmapdietapproachonsymptomresponse |