AI Article Synopsis
- A low-FODMAPs Diet (LFD) is a dietary strategy for managing irritable bowel syndrome (IBS), which requires personalization after an initial strict phase, particularly for patients who may also have fibromyalgia.
- A study followed 51 IBS patients, including those with fibromyalgia, over an average of 62.5 months to assess their symptoms, adherence to the diet, and psychological status.
- Results showed that while comorbid fibromyalgia had a minimal impact on overall IBS symptom relief and diet adherence, all patients experienced improvements, suggesting that the LFD can be effective for managing IBS symptoms in both populations.
Article Abstract
Background/objectives: A low-FODMAPs Diet (LFD) is considered a "second line" dietary strategy for irritable bowel syndrome (IBS) but, after a period of strict restriction of all FODMAP foods, it has to be adapted and tailored to each patient (AdLFD). Fibromyalgia often coexists with IBS in up to 65% of cases. Our aims were to evaluate if comorbid fibromyalgia influenced the long-term clinical outcomes and adherence to an AdLFD in IBS patients.
Methods: IBS patients with or without fibromyalgia who had started an AdLFD were enrolled. Patients had been evaluated before starting the LFD (T0). After a mean follow-up of 62.5 ± 22.7 months (T1), they were re-evaluated using questionnaires on disease severity, bowel habits, psychological status, and adherence to AdLFD.
Results: In total, 51 IBS patients entered the study. Nineteen of them had comorbid fibromyalgia. Thirty patients reported a reduction in symptom severity at T1 in comparison with T0. Despite some slight differences in single IBS Symptom Severity Score items, comorbid fibromyalgia did not influence the IBS-SSS total score at T1. Patients with comorbid fibromyalgia showed a higher Hospital Anxiety and Depression Scale (HADS) score at baseline. A total of 44 patients showed good long-term adherence to the AdLFD. All patients improved their HADS score and had long-term adherence to the AdLFD.
Conclusions: Comorbid fibromyalgia showed only a slight influence on long-term outcomes of an AdLFD on IBS symptoms, without affecting the relief of global symptoms. No influence on long-term adherence to AdLFD was detected. Hence, this approach can be taken into account in fibromyalgia patients for a nonpharmacological management of IBS symptoms. However, multicentric studies on larger samples would be welcome in the future.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11478509 | PMC |
| http://dx.doi.org/10.3390/nu16193419 | DOI Listing |
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