Research article

EFFECT OF LOW FODMAP DIETARY PROGRAM ON SYMPTOMS CONTROL OF IRRITABLE BOWEL SYNDROME AND QUALITY OF LIFE AMONG SAMPLE OF EGYPTIAN PATIENTS AT AIN SHAMS UNIVERSITY HOSPITALS

Rofida S.H. Foad1, Diaa M. Abd El-Hamid2, Essam M. B. Helal3, Wesam A. Ibrahim4, Ghada E. Amin5, Maha M. Wahdan6

Online First: December 07, 2022


Background: A low-fermentable oligosaccharide, disaccharides, monosaccharides, and polyols (FODMAP) diet has been reported to be associated with improving the symptoms of irritable bowel syndrome (IBS); however, comparison between low FODMAP and the UK National Institute for Health and Clinical Excellence (NICE) dietary guideline for IBS still limited. Objectives: to determine the impact of low a FODMAP diet on symptom control and satisfaction of improvement in patients with IBS according to ROME IV criteria and IBS related quality of life and disability before and after participation; and to compare the impact of low FODMAP diet and NICE guidelines on symptoms control and quality of life among IBS patients. Methods: A randomized two-arm clinical trial had been conducted on 60 IBS patients who were randomized either to an intervention group (n=30) followed low FODMAP diet or a control group (n=30) followed NICE dietary guideline. Results: After 12 weeks of intervention, there was a statistically significant difference in (QOL) score and improvement of IBS symptoms (p<0.001) between the intervention group and the control group, and there was a significant reduction (p<0.001) in waist circumference among the intervention group versus the control group. In addition, patients in the intervention group were strongly satisfied (p<0.001) than the control group Conclusion: a low FODMAP diet can improve global symptoms of IBS and quality of life more than NICE dietary guideline among group of Egyptian patients at Ain Shams University Hospitals.

Keywords

Egypt, Irritable bowel syndrome, Low FODMAP, Quality of Life, Symptoms Control