IBS - Irritable Bowel Syndrome Clinical Trial
Official title:
Low FODMAP Diet Chronic Effect on Nutritional Status, Disease Activity and Gut Microbiota in Patients With IBS and UC
Gastrointestinal disorders represents 20-50% of referrals to the gastroenterologist; being the most affected womens, youths and older adults. Among these alterations are the Irritable Bowel Syndrome (IBS) and Ulcerative Colitis (UC), which affects the gut causing impaired motility. The pharmacological and nutritional treatment are modified according to the symptomatology and activity of each patients. Currently the implementation of low FODMAP diets for 6 to 8 weeks in patients whith IBS improves symptoms such as bloating, flatulence and abdominal pain. However due to the number of restricted foods a long term attachment could limited the nutritional content, consequently affecting the nutritional status, gut microbiota an quality of life. A low FODMAP diet are useful to improve gastrointestinal symptoms in patients with UC and causes changes in nutritional status.
Status | Recruiting |
Enrollment | 105 |
Est. completion date | August 31, 2020 |
Est. primary completion date | August 31, 2020 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 59 Years |
Eligibility |
Inclusion Criteria: - Irritable Bowel Syndrome confirmed by Rome criteria III - Ulcerative Colitis confirmed by Mayo Scale - Informed Consent signed - BMI between 18.5 and 29.9 kg/m2 - Males and females - Age between 18-59 years - Mexican patients Exclusion Criteria: - Chron´s disease diagnosed - Treatment whith antibiotis during the last two weeks - Bowel resection - Short bowel syndrome - Treatment wihth probiotics or enzimes (A-galactosidase) - Pregnancy - Nutritional deficiencies or anemia - Patients whith diet supplements |
Country | Name | City | State |
---|---|---|---|
Mexico | Nallely Bueno Hernández | Mexico City | Cuauhtémoc |
Lead Sponsor | Collaborator |
---|---|
Hospital General de Mexico |
Mexico,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Nutritional status | Changes from baseline of nutrtitional status measured with cholesterol (mg/dl), triglycerides (mg/dl), albumin (mg/dl), calcium (mg/dl), iron (mg/dl), vitamin B12 (mg/dl), vitamin D (mg/dl), hemoglobin (mg/dl), hematocrit (mg/dl), creatinin (mg/dl) on blood | The patients will be evaluated at weeks 1 and 10 | |
Secondary | Quality of life in patients with Irritable Bowel Syndrome and Inflammatory Bowel Disease | Changes from baseline of WHOQOL- BREF (World Health Organization Quality of Life) questionary score (the higher score, the higher quality of life represents) measured with a Likert scale at 10 weeks of nutritional intervention in patients wiht irritable bowel syndrome and inflammatory bowel disease | The patients will be evaluated at weeks 1, 5 and 10 | |
Secondary | Adherence to treatment | By 24 hour recalls during the ten weeks of the study and food frequencies at week one, five and ten. | The patients will be evaluated at weeks 1, 5 and 10 | |
Secondary | Body composition analysis | Changes from baseline of the percentage of body fat (%), muscle (%) and water (%) at 10 weeks of nutritional intervention, using RJL System IV | The patients will be evaluated at weeks 1, 5 and 10 | |
Secondary | Gut microbiota with a low FODMAP diet | The patient will be asked for a stool sample before and after the diet, the microbiota were measure by PCR | Participants will be evaluated at weeks 1, 5 and 10 | |
Secondary | Blood chemistry | Changes from baseline glucose, creatinine, high density lipoproteins, low density lipoproteins, cholesterol levels (mg/dL) at 10 weeks of nutritional intervention in patients with IBS and IBD | Participants will be evaluated at weeks 1 and 10 | |
Secondary | Irritable Bowel Syndrome Severity Score | Changes from baseline in the presence or absence of gastrointestinal symptoms where the higher the score, more severity of symptoms are assesed using a percentage scale 0-100%, at 10 weeks with low FODMAP diet in patients wih IBS and IBD | Participants will be evaluated at weeks 1, 5 and 10 | |
Secondary | Gastrointestinal Symptoms Severity | Changes from baseline of presence or abscense of gastrointestinal symptoms where the higher the score, the higher severity of symptoms (assesed using cualitative scale with options ranging from minimal symptoms to very annoying symptoms) at 10 weeks with low FODMAP diet in patients wih IBS and IBD | Participants will be evaluated at weeks 1, 5 and 10 | |
Secondary | Anthropometric measurements | Changes from baseline of arm, waist and hips circumferences in centimeters at 12 weeks of nutritional intervention in patientes with IBS anda IBD | Participants will be evaluated at weeks 1, 5 and 10 |
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