Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
권호 표지
DOI QR코드

DOI QR Code

The Relationship of Eating Habits and Trigger Foods to Symptom Severity of Irritable Bowel Syndrome

과민대장증후군 환자의 증상의 중증도와 식습관 및 증상유발식품과의 관련성

  • Received : 2015.09.04
  • Accepted : 2015.10.26
  • Published : 2015.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to investigate eating habits and the frequency of trigger-food consumption in patients with irritable bowel syndrome (IBS) and to examine the associations of these variables with IBS symptom severity. Methods: We included 145 ROME III-positive IBS patients (mean age 31.2 years, 73.8% of female). Subjects completed an eating-habits and food-consumption questionnaire, IBS-Symptom Severity Scale (IBS-SSS) and Brief Symptom Inventory-18 (BSI-18) for psychological distress. Results: Subjects with unhealthy eating-habits such as irregular meal times, frequently eating out and overeating tended to show higher IBS symptom severity. The severity of IBS symptoms related to the frequency of the consumption of trigger foods. Subjects who ate trigger-foods (i.e., tofu, beans, almonds, and peanuts) less frequently showed higher IBS symptom severity (p=.045, .042, .016, and .019, respectively). However, subjects who ate spicy foods, instant foods, and noodles more frequently experienced more severe IBS symptoms (p=.018, .011, and .023 respectively). Conclusion: This study showed that IBS symptom severity was related to meal intake patterns and frequency of trigger food consumption. These findings could provide a basis for developing an intervention program for IBS patients.

Keywords

References

  1. Drossman DA, Chang L, Bellamy N, Gallo-Torres HE, Lembo A, Mearin F, et al. Severity in irritable bowel syndrome: A Rome Foundation Working Team report. The American Journal of Gastroenterology. 2011;106(10):1749-1759. https://doi.org/10.1038/ajg.2011.201
  2. Brandt LJ, Chey WD, Foxx-Orenstein AE, Schiler LR, Schoenfeld PS, Spiegel BM, et al. American college of gastroenterology task force on irritable bowel syndrome. An evidence-based position statement on the management of irritable bowel syndrome. The American Journal of Gastroenterology. 2009;104(1):S1-35.
  3. Park JH, Byeon JS, Shin WG, Yoon YH, Chen JH, Lee KJ, et al. Diagnosis of irritable bowel syndrome: A systematic review. The Korean Journal of Gastroenterology. 2010;55(5):308-315. https://doi.org/10.4166/kjg.2010.55.5.308
  4. Camilleri M, Di Lorenzo C. Brain-gut axis: From basic understanding to treatment of IBS and related disorders. Journal of Pediatric Gastroenterology and Nutrition. 2012;54(4):446-453. https://doi.org/10.1097/MPG.0b013e31823d34c3
  5. Guo YB, Zhuang KM, Kuang L, Zhan Q, Wang XF, Liu SD. Association between diet and lifestyle habits and irritable bowel syndrome: A case-control study. Gut and Liver. 2015;9(5):649-656. https://doi.org/10.5009/gnl13437
  6. 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. The American Journal of Gastroenterology. 2013;108(5):634-641. https://doi.org/10.1038/ajg.2013.105
  7. Gibson PR, Barrett JS, Muir JG. Functional bowel symptoms and diet. Internal Medicine Journal. 2013;43(10):1067-1074. https://doi.org/10.1111/imj.12266
  8. Kim KH. Characteristics of dietary habits and intake of irritable bowel syndrome patients taken periodical medical examination [master's thesis]. Busan: Donga University; 2008. p.1-16.
  9. Heizer WD, Southern S, McGovern S. The role of diet in symptoms of irritable bowel syndrome in adult: A narrative review. Journal of the American Dietetic Association. 2009;109(7):1204-1214. https://doi.org/10.1016/j.jada.2009.04.012
  10. Simren M, Mansson A, Langkilde AM, Svedlund J, Abrahamsson H, Bengtsson U, et al. Food-related gastrointestinal symptoms in the irritable bowel syndrome. Digestion. 2001;63(2):108-115. https://doi.org/10.1159/000051878
  11. Halpert A, Dalton CB, Palssom O, Morris C, Hu Y, Bangdiwala S, et al. What patients know about irritable bowel syndrome (IBS) and what they would like to know national survey on patient educational needs in IBS and development and validation of the patient educational needs questionnaire (PEQ). The American Journal of Gastroenterology. 2007;102(9):1972-1982. https://doi.org/10.1111/j.1572-0241.2007.01254.x
  12. Cuomo R, Andreozzi P, Zito FP, Passananti V, De Carlo G, Sarnelli G. Irritable bowel syndrome and food interaction. World Journal of Gastroenterology. 2014;20(27):8837-8845. https://doi.org/10.3748/wjg.v20.i27.8837
  13. Kim JH, Sung IK. Strategy to manage irritable bowel syndrome in Korea. The Korean Journal of Medicine. 2014;86(6):695-697. https://doi.org/10.3904/kjm.2014.86.6.695
  14. Farzaneh N, Ghobaklou M, Moghimi-Dehkordi B, Naderi N, Fadai F. Effects of demographic factors, body mass index, alcohol drinking and smoking habits on irritable bowel syndrome: A case control study. Annals of Medical and Health Sciences Research. 2013;3(3):391-396. https://doi.org/10.4103/2141-9248.117958
  15. Johannesson E, Ringstrom G, Abrahamsson H, Sadik R. Intervention to increase physical activity in irritable bowel syndrome shows long-term positive effects. World Journal of Gastroenterology. 2015;21(2):600-608. https://doi.org/10.3748/wjg.v21.i2.600
  16. Jarrett M, Visser R, Heitkemper M. Diet triggers symptoms in women with irritable bowel syndrome: The patient's perspective. Gastroenterology Nursing. 2001;24(5);246-252. https://doi.org/10.1097/00001610-200109000-00006
  17. Kang SH, Choi SW, Lee SJ, Chung WS, Lee HR, Chung KY, et al. The effects of lifestyle modification on symptoms and quality of life in patients with irritable bowel syndrome: A prospective observation study. Gut and Liver. 2011;5(4):472-477. https://doi.org/10.5009/gnl.2011.5.4.472
  18. Reding KW, Cain KC, Jarrett ME, Eugenio MD, Heitkemper MM. Relationship between patterns of alcohol consumption and gastrointestinal symptoms among patients with irritable bowel syndrome. The American Journal of Gastroenterology. 2013:108(2):270-276. https://doi.org/10.1038/ajg.2012.414
  19. Shin MH. Food allergy education and meals management guidelines. Seoul: Chungaram; 2010. p.98-115.
  20. Francis CY, Morris J, Whorwell PJ. The irritable bowel severity scoring system: A simple method of monitoring irritable bowel syndrome and its progress. Alimentary Pharmacology and Therapeutics. 1997;11(2):395-402. https://doi.org/10.1046/j.1365-2036.1997.142318000.x
  21. Lee JM. Relationship between symptom severity, sleep quality, and quality of life in patients with irritable bowel syndrome [master's thesis]. Daegu: Keimyung University; 2012. p.1-62.
  22. Cho JS. Development of a questionnaire for dietary habit survey of Korean adult [dissertation]. Chungju: Chungbuk University; 2013. p.1-209.
  23. Derogatis LR. Brief symptom inventory 18(BSI-18); Administration, scoring, and procedures manual. 15th ed. Minneapolis: NCS person; 2001. p.1-8.
  24. Shepherd SJ, Lomer MC, Gibson PR. Short-chain carbohydrates and functional gastrointestinal disorders. The American Journal of Gastroenterology. 2013; 108(5):707-717. https://doi.org/10.1038/ajg.2013.96
  25. Halmos EP, Power VA, Shepherd SJ, Gibson PR, Muir JG. A diet low in FODMAPs reduces symptoms of irritable bowel syndrome. Gastroenterology. 2014;146(1):67-75. https://doi.org/10.1053/j.gastro.2013.09.046
  26. Gonlachanvit S, Mahayosnond A, Kullavanijaya P. Effects of child on postprandial gastrointestinal symptoms in diarrhea predominant irritable bowel syndrome: Evidence for capsaicin-sensitive visceral nociception hypersensitivity. Neurogastroenterology and Motility. 2009;21(1):23-32. https://doi.org/10.1111/j.1365-2982.2008.01167.x
  27. Schwartz HJ. Sensitivity to ingested metabisulfite: Variations in clinical presentation. The Journal of Allergy and Clinical Immunology. 1983;71(5):487-489. https://doi.org/10.1016/0091-6749(83)90466-9
  28. Wahnschaffe U, Schulzke JD, Zeitz M, Ullrich R. Predictors of response to gluten-free diet in patients diagnosed with diarrhea-predominant irritable bowel syndrome. Clinical Gastroenterology and Hepatology. 2007;5(7):844-850. https://doi.org/10.1016/j.cgh.2007.03.021
  29. Feinle-Bisset C, Azprioz F. Dietary and lifestyle factors in functional dyspepsia. Nature Reviews Gastroenterology and Hepatology. 2013;10(3):150-157. https://doi.org/10.1038/nrgastro.2012.246
  30. Gelincik A, Buyukozturk S, Gul H, Isik E, Issever H, Ozseker F, et al. Confirmed prevalence of food allergy and non-allergic food hypersensitivity in a Mediterranean population. Clinical and Experimental Allergy. 2008;38(8):1333-1341. https://doi.org/10.1111/j.1365-2222.2008.03019.x

Cited by

  1. Association Between Constipation-Predominant Irritable Bowel Syndrome and Dietary Habits of the Elderly Aged Over 65 vol.20, pp.2, 2016, https://doi.org/10.4235/jkgs.2016.20.2.94
  2. 과민대장증후군 여대생을 위한 동기강화 자가관리 프로그램의 효과 vol.22, pp.2, 2015, https://doi.org/10.7586/jkbns.2020.22.2.148
  3. 대학생의 생활습관, 스마트폰 중독, 정신건강이 과민대장증후군에 미치는 영향 vol.33, pp.2, 2015, https://doi.org/10.15434/kssh.2020.33.2.89