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

doi:10.1111/nmo.13151

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 journal › Article › Academic › peer-review

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 language	English
Article number	13151
Number of pages	10
Journal	Neurogastroenterology and Motility
Volume	29
Issue number	12
DOIs	https://doi.org/10.1111/nmo.13151
Publication status	Published - 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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10.1111/nmo.13151

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@article{2d30ed684c6940a1a28785cf2d3c170d,

title = "Habitual diet and diet quality in Irritable Bowel Syndrome: A case-control study",

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, PConclusions 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.",

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",

author = "Tigchelaar, {E. F.} and Z. Mujagic and A. Zhernakova and Hesselink, {M. A. M.} and S. Meijboom and Perenboom, {C. W. M.} and Masclee, {A. A. M.} and C. Wijmenga and Feskens, {E. J. M.} and Jonkers, {D. M. A. E.}",

year = "2017",

month = dec,

doi = "10.1111/nmo.13151",

language = "English",

volume = "29",

journal = "Neurogastroenterology and Motility",

issn = "1350-1925",

publisher = "Wiley",

number = "12",

}

TY - JOUR

T1 - Habitual diet and diet quality in Irritable Bowel Syndrome

T2 - A case-control study

AU - Tigchelaar, E. F.

AU - Mujagic, Z.

AU - Zhernakova, A.

AU - Hesselink, M. A. M.

AU - Meijboom, S.

AU - Perenboom, C. W. M.

AU - Masclee, A. A. M.

AU - Wijmenga, C.

AU - Feskens, E. J. M.

AU - Jonkers, D. M. A. E.

PY - 2017/12

Y1 - 2017/12

N2 - 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, PConclusions 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.

AB - 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, PConclusions 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.

KW - diet quality

KW - habitual diet

KW - irritable bowel syndrome

KW - RANDOMIZED CONTROLLED-TRIAL

KW - LOW FODMAP DIET

KW - OF-LIFE

KW - GASTROINTESTINAL SYMPTOMS

KW - GENERAL-POPULATION

KW - CLINICAL-TRIAL

KW - FOOD

KW - PREVALENCE

KW - ADULTS

KW - IBS

U2 - 10.1111/nmo.13151

DO - 10.1111/nmo.13151

M3 - Article

C2 - 28714091

SN - 1350-1925

VL - 29

JO - Neurogastroenterology and Motility

JF - Neurogastroenterology and Motility

IS - 12

M1 - 13151

ER -