Self-reported Food Intolerance in Korean Patients With Irritable Bowel Syndrome
Journal of Neurogastroenterology and Motility
; : 222-232, 2019.
Article
in En
| WPRIM
| ID: wpr-765937
Responsible library:
WPRO
ABSTRACT
BACKGROUND/AIMS:
Various foods trigger and/or worsen the symptoms of irritable bowel syndrome (IBS). However, Korean food-related gastrointestinal (GI) symptoms in IBS patients have not yet been investigated. This study aims to evaluate the prevalence of self-reported food intolerance in Korean IBS patients and determine the Korean food items and food groups perceived by patients to worsen their GI symptoms.METHODS:
We recruited 393 study subjects, comprising 101 IBS patients, 167 symptomatic non-IBS subjects, and 125 control subjects. All participants completed a questionnaire to identify the most problematic foods and assess the occurrence of GI symptoms caused by 119 Korean food items. They also completed the validated Rome III questionnaire for IBS.RESULTS:
The prevalence of self-reported food intolerance in Korean IBS patients was 79.2%, which was significantly higher than that in control subjects (44.8%, P < 0.001). The most problematic foods reported by IBS patients who experienced food intolerance were high-fat foods (25.0%), gluten foods (23.8%), spicy foods (15.0%), and dairy products (15.0%). A total of 63.4% of IBS patients reported GI symptoms related to the consumption of foods high in fermentable oligo-, di-, mono-saccharides, and polyols (FODMAP), while 48.5% of IBS patients reported symptoms associated with high-fat foods. Gas problems and loose stools were the most frequently reported symptoms.CONCLUSIONS:
A large proportion of Korean IBS patients complained of intolerance to certain food items, with high-fat and high-FODMAP foods being the main triggers. This study provides a basis for planning food intervention studies for Korean IBS patients.Key words
Full text:
1
Database:
WPRIM
Main subject:
Prevalence
/
Surveys and Questionnaires
/
Dairy Products
/
Irritable Bowel Syndrome
/
Diet
/
Glutens
Type of study:
Prevalence_studies
Limits:
Humans
Language:
En
Journal:
Journal of Neurogastroenterology and Motility
Year:
2019
Document type:
Article