Habitual diet and diet quality in Irritable Bowel Syndrome: A case-control study

E. F. Tigchelaar, Z. Mujagic, A. Zhernakova, M. A. M. Hesselink, S. Meijboom, C. W. M. Perenboom, A. A. M. Masclee, C. Wijmenga, E. J. M. Feskens, D. M. A. E. Jonkers*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

13 Citations (Web of Science)

Abstract

BackgroundDiet is considered to be a key factor in symptom generation in Irritable Bowel Syndrome (IBS) and patients tend to exclude food products from their diet in pursue of symptom relief, which may impair diet quality.

MethodsWe evaluated habitual dietary intake in IBS patients with regard to nutrients and food products using an extensive food frequency questionnaire. One hundred ninety-four IBS patients were compared to 186 healthy controls using multiple logistic regression analysis. An overall diet quality score was calculated for each participant based on the criteria of the Dutch Healthy Diet (DHD) index.

Key ResultsA lower DHD-score was found for IBS (mean [SD]: 52.9 [9.6]) vs controls (55.1 [9.2], P=.02). The diet of patients was lower in fibers (21g vs 25g per day, P=.002) and fructose (14g vs 16g, P=.033), while higher in total fat (37% vs 36% of total energy intake, P=.010) and added sugars (46g vs 44g, P=.029). Differences in daily intake of food products included lower consumption of apples (40g vs 69g, P

Conclusions and InferencesDifferences in habitual diet were described, showing lower diet quality in IBS patients compared to controls, with increased consumption of fat and lower intake of fibers and fructose. Our data support the importance of personalized and professional nutritional guidance of IBS patients.

Original languageEnglish
Article number13151
Number of pages10
JournalNeurogastroenterology and Motility
Volume29
Issue number12
DOIs
Publication statusPublished - Dec 2017

Keywords

  • diet quality
  • habitual diet
  • irritable bowel syndrome
  • RANDOMIZED CONTROLLED-TRIAL
  • LOW FODMAP DIET
  • OF-LIFE
  • GASTROINTESTINAL SYMPTOMS
  • GENERAL-POPULATION
  • CLINICAL-TRIAL
  • FOOD
  • PREVALENCE
  • ADULTS
  • IBS

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