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Fructose malabsorption and symptoms of irritable bowel syndrome: guidelines for effective dietary management.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Shepherd, Susan Joy Gibson, Peter R. |
| Copyright Year | 2006 |
| Abstract | Dietary fructose induces abdominal symptoms in patients with fructose malabsorption, but there are no published guidelines on its dietary management. The objective was to retrospectively evaluate a potentially successful diet therapy in patients with irritable bowel syndrome and fructose malabsorption. Tables detailing the content of fructose and fructans in foods were constructed. A dietary strategy comprising avoidance of foods containing substantial free fructose and short-chain fructans, limitation of the total dietary fructose load, encouragement of foods in which glucose was balanced with fructose, and co-ingestion of free glucose to balance excess free fructose was devised. Sixty-two consecutively referred patients with irritable bowel syndrome and fructose malabsorption on breath hydrogen testing underwent dietary instruction. Dietary adherence and effect on abdominal symptoms were evaluated via telephone interview 2 to 40 months (median 14 months) later. Response to the diet was defined as improvement of all symptoms by at least 5 points on a -10- to 10-point scale. Forty-eight patients (77%) adhered to the diet always or frequently. Forty-six (74%) of all patients responded positively in all abdominal symptoms. Positive response overall was significantly better in those adherent than nonadherent (85% vs 36%; P<0.01), as was improvement in individual symptoms (P<0.01 for all symptoms). This comprehensive fructose malabsorption dietary therapy achieves a high level of sustained adherence and good symptomatic response. |
| File Format | PDF HTM / HTML |
| DOI | 10.1016/j.jada.2006.07.010 |
| PubMed reference number | 17000196 |
| Journal | Medline |
| Volume Number | 106 |
| Issue Number | 10 |
| Alternate Webpage(s) | http://neponosimosti.com/wp-content/uploads/2010/10/fructose-malabsorption-diet-rev-shepherd-1.pdf |
| Alternate Webpage(s) | https://www.metsol.com/assets/sites/2/Fructose_malabsorption.pdf |
| Alternate Webpage(s) | http://sacfs.asn.au/download/SueShepherd_sarticle.pdf |
| Alternate Webpage(s) | https://doi.org/10.1016/j.jada.2006.07.010 |
| Journal | Journal of the American Dietetic Association |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
