Comparison of Microbiota and Quality of Life for a Low FODMAPs and Standard Dietary in Irritable Bowel Syndrome Patients

NCT ID: NCT02902926

Last Updated: 2016-09-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-09-30

Study Completion Date

2017-03-31

Brief Summary

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IBS is a global disease, patients often because of long-term symptoms of recurrent, not timely diagnosis and treatment effect is not ideal and frequent treatment, seriously affect the quality of life, and cause the corresponding economic and social burden.At present,a number of studies suggest that fermentable oligosaccharides, disaccharides and monosaccharides and polyols (FODMAPs) can induce IBS symptoms.Data from large randomized controlled trials are limited, leaving clinicians with the challenge of providing patients with reliable guidance based on minimal evidence.

Detailed Description

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IBS is a global disease, patients often because of long-term symptoms of recurrent, not timely diagnosis and treatment effect is not ideal and frequent treatment, seriously affect the quality of life, and cause the corresponding economic and social burden.At present,a number of studies suggest that fermentable oligosaccharides, disaccharides and monosaccharides and polyols (FODMAPs) can induce IBS symptoms.Data from large randomized controlled trials are limited, leaving clinicians with the challenge of providing patients with reliable guidance based on minimal evidence.

This study will compare the effect of low FODMAPs diet and usual diet instruction on Intestinal flora, intestinal short chain fatty acids and quality of life by two groups.The results will answer the effect and long-term safety of Low FODMAPs diet.

Conditions

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Food Habits

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Low FODMAPs Diet

1. Instructed to low FODMAPs diet when patients signed the informed consent.
2. Answer doubts and correct unhealthy dietary behaviors,such as excessive diet, eating raw, spirits and other excitant food.

Group Type EXPERIMENTAL

Low FODMAPs Diet

Intervention Type BEHAVIORAL

Instruct to design and eat Low Fermentable,Oligo-,Di-,Mono-saccharides And Polyols(FODMAPs) Diet

Diet instruction

Intervention Type BEHAVIORAL

Answer the doubt and help the patient get the diet knowlege about the IBS.

Diet Instruction

1.Answer doubts and correct unhealthy dietary behaviors,such as excessive diet, eating raw, spirits and other excitant food.

Group Type PLACEBO_COMPARATOR

Diet instruction

Intervention Type BEHAVIORAL

Answer the doubt and help the patient get the diet knowlege about the IBS.

Interventions

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Low FODMAPs Diet

Instruct to design and eat Low Fermentable,Oligo-,Di-,Mono-saccharides And Polyols(FODMAPs) Diet

Intervention Type BEHAVIORAL

Diet instruction

Answer the doubt and help the patient get the diet knowlege about the IBS.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Diagnostic criteria for Rome Ⅲ
* IBS patients with diarrhea type
* By endoscopy, X-ray, B ultrasound and laboratory examination to exclude organic disease
* Patients be able to communicate well with the researchers and be willing to participate in the study

Exclusion Criteria

* Stomach, small intestine, colon surgery history
* irritable bowel disease (IBD) active period, celiac disease
* Alcoholics or drug abuse
* Pregnant or lactating women
* Recent drug users who use defecation
* Have a special diet
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Jinsong Wang

OTHER

Sponsor Role lead

Responsible Party

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Jinsong Wang

Director of Center for Clincal Epidemiology

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Hongcan Shi, Ph.D.,M.D.

Role: STUDY_CHAIR

Medical College

Locations

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YangzhouUniversity

Yangzhou, Jiangsu, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Tianqi Zhou, Dr.

Role: CONTACT

+8618852727248

Yamei Gu, Dr.

Role: CONTACT

15252573426

Facility Contacts

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Yamei Gu, Dr.

Role: primary

+8615252573426

Tianqi Zhou, Dr.

Role: backup

+8618852727248

References

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Canavan C, West J, Card T. Review article: the economic impact of the irritable bowel syndrome. Aliment Pharmacol Ther. 2014 Nov;40(9):1023-34. doi: 10.1111/apt.12938. Epub 2014 Sep 9.

Reference Type RESULT
PMID: 25199904 (View on PubMed)

Lovell RM, Ford AC. Global prevalence of and risk factors for irritable bowel syndrome: a meta-analysis. Clin Gastroenterol Hepatol. 2012 Jul;10(7):712-721.e4. doi: 10.1016/j.cgh.2012.02.029. Epub 2012 Mar 15.

Reference Type RESULT
PMID: 22426087 (View on PubMed)

Eswaran S, Tack J, Chey WD. Food: the forgotten factor in the irritable bowel syndrome. Gastroenterol Clin North Am. 2011 Mar;40(1):141-62. doi: 10.1016/j.gtc.2010.12.012.

Reference Type RESULT
PMID: 21333905 (View on PubMed)

Bohn L, Storsrud S, Tornblom H, Bengtsson U, Simren M. Self-reported food-related gastrointestinal symptoms in IBS are common and associated with more severe symptoms and reduced quality of life. Am J Gastroenterol. 2013 May;108(5):634-41. doi: 10.1038/ajg.2013.105.

Reference Type RESULT
PMID: 23644955 (View on PubMed)

Iacovou M, Tan V, Muir JG, Gibson PR. The Low FODMAP Diet and Its Application in East and Southeast Asia. J Neurogastroenterol Motil. 2015 Oct 1;21(4):459-70. doi: 10.5056/jnm15111.

Reference Type RESULT
PMID: 26350937 (View on PubMed)

De Giorgio R, Volta U, Gibson PR. Sensitivity to wheat, gluten and FODMAPs in IBS: facts or fiction? Gut. 2016 Jan;65(1):169-78. doi: 10.1136/gutjnl-2015-309757. Epub 2015 Jun 15.

Reference Type RESULT
PMID: 26078292 (View on PubMed)

Gibson PR, Varney J, Malakar S, Muir JG. Food components and irritable bowel syndrome. Gastroenterology. 2015 May;148(6):1158-74.e4. doi: 10.1053/j.gastro.2015.02.005. Epub 2015 Feb 11.

Reference Type RESULT
PMID: 25680668 (View on PubMed)

Hyland NP, Quigley EM, Brint E. Microbiota-host interactions in irritable bowel syndrome: epithelial barrier, immune regulation and brain-gut interactions. World J Gastroenterol. 2014 Jul 21;20(27):8859-66. doi: 10.3748/wjg.v20.i27.8859.

Reference Type RESULT
PMID: 25083059 (View on PubMed)

Jain I, Kumar V, Satyanarayana T. Xylooligosaccharides: an economical prebiotic from agroresidues and their health benefits. Indian J Exp Biol. 2015 Mar;53(3):131-42.

Reference Type RESULT
PMID: 25872243 (View on PubMed)

Halmos EP, Power VA, Shepherd SJ, Gibson PR, Muir JG. A diet low in FODMAPs reduces symptoms of irritable bowel syndrome. Gastroenterology. 2014 Jan;146(1):67-75.e5. doi: 10.1053/j.gastro.2013.09.046. Epub 2013 Sep 25.

Reference Type RESULT
PMID: 24076059 (View on PubMed)

Bohn L, Storsrud S, Liljebo T, Collin L, Lindfors P, Tornblom H, Simren M. Diet low in FODMAPs reduces symptoms of irritable bowel syndrome as well as traditional dietary advice: a randomized controlled trial. Gastroenterology. 2015 Nov;149(6):1399-1407.e2. doi: 10.1053/j.gastro.2015.07.054. Epub 2015 Aug 5.

Reference Type RESULT
PMID: 26255043 (View on PubMed)

Whigham L, Joyce T, Harper G, Irving PM, Staudacher HM, Whelan K, Lomer MC. Clinical effectiveness and economic costs of group versus one-to-one education for short-chain fermentable carbohydrate restriction (low FODMAP diet) in the management of irritable bowel syndrome. J Hum Nutr Diet. 2015 Dec;28(6):687-96. doi: 10.1111/jhn.12318. Epub 2015 Apr 14.

Reference Type RESULT
PMID: 25871564 (View on PubMed)

Marsh A, Eslick EM, Eslick GD. Does a diet low in FODMAPs reduce symptoms associated with functional gastrointestinal disorders? A comprehensive systematic review and meta-analysis. Eur J Nutr. 2016 Apr;55(3):897-906. doi: 10.1007/s00394-015-0922-1. Epub 2015 May 17.

Reference Type RESULT
PMID: 25982757 (View on PubMed)

Chumpitazi BP, Cope JL, Hollister EB, Tsai CM, McMeans AR, Luna RA, Versalovic J, Shulman RJ. Randomised clinical trial: gut microbiome biomarkers are associated with clinical response to a low FODMAP diet in children with the irritable bowel syndrome. Aliment Pharmacol Ther. 2015 Aug;42(4):418-27. doi: 10.1111/apt.13286. Epub 2015 Jun 24.

Reference Type RESULT
PMID: 26104013 (View on PubMed)

Other Identifiers

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20160805

Identifier Type: -

Identifier Source: org_study_id

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