Irritable Bowel Syndrome Clinical Trial
Official title:
The Effects of Lactose Intolerance on Gastrointestinal Function and Symptoms in a Chinese Population
Lactose is a carbohydrate found in milk,and Lactase Deficiency (LD) is a condition in which
the small intestine cannot digest this carbohydrate due to absent or insufficient amounts of
lactase.Individuals with LD may be intolerant of lactose in the diet and experience
abdominal cramps, bloating and diarrhea; however the response is variable.Some tolerate
moderate amounts of lactose without adverse effect,whereas others experience severe symptoms
in response to even small doses. These problems may be representative of wider issues
regarding individual tolerance to diet containing ubiquitous poorly absorbed, fermentable
carbohydrates (such as: fructose, fructans)and be relevant to symptom generated in patients
with diarrhea predominant irritable bowel syndrome (D-IBS).
This project will investigate the effects of diet,lifestyle stress and psychiatric dietary
on the development of functional gastrointestinal symptoms. Lactose will be used to assess
tolerance to dietary challenge, a test that is particularly relevant in a Chinese population
with a high prevalence of lactase deficiency.
Study #1: Questionnaire study in general Chinese population (n=2000).
Study #2: Physiologic study in patients attending gastroenterology clinic (n=600) including
in subgroups assessment of genetic factors,tolerance to lactose challenge and assessment of
visceral sensitivity.
Study #3: Assessment of appropriate dosage of lactose hydrogen breath test in a population
with high-prevalence of lactase deficiency.
Study #4: Impact of a determined dietary intervention on abdominal symptoms compatible with
D-IBS.
study #5: The association of visceral sensitivity induced by LI with mucosal immune
activation and psychological factors in D-IBS patients
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator)
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