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논문 기본 정보

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저자정보
Hyo Jeong Lee (Health Screening and Promotion Center Asan Medical Center University of Ulsan College of Medicine S) Hyun Jin Kim (Department of Internal Medicine Gyeongsang National University Changwon Hospital Changwon Korea) Eun Hee Kang (Health Screening and Promotion Center Asan Medical Center University of Ulsan College of Medicine S) 정기욱 (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Seung-Jae Myung (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Yang Won Min (Department of Medicine Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Kore) Chang Hwan Choi (Department of Internal Medicine Chung-Ang University College of Medicine Seoul Korea) Han Seung Ryu (Department of Internal Medicine Wonkwang University College of Medicine and Digestive Disease Resea) Jong Kyoung Choi (Department of Internal Medicine National Medical Center Seoul Korea) Joong Goo Kwon (Department of Internal Medicine Catholic University of Daegu School of Medicine Daegu Korea) Kyoung Sup Hong (Department of Gastroenterology Mediplex Sejong Hospital Incheon Korea) Kyung Sik Park (Department of Internal Medicine Keimyung University School of Medicine Daegu Korea)
저널정보
대한소화관운동학회(현 대한소화기능성질환.운동학회) Journal of Neurogastroenterology and Motility (JNM) Journal of Neurogastroenterology and Motility (JNM) Vol.25 No.2
발행연도
2019.1
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222 - 232 (11page)

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Background/Aims: Various foods trigger and/or worsen the symptoms of irritable bowel syndrome (IBS). However, Korean food-related gastrointestinal (GI) symptoms in IBS patients have not yet been investigated. This study aims to evaluate the prevalence of self-reported food intolerance in Korean IBS patients and determine the Korean food items and food groups perceived by patients to worsen their GI symptoms. Methods: We recruited 393 study subjects, comprising 101 IBS patients, 167 symptomatic non-IBS subjects, and 125 control subjects. All participants completed a questionnaire to identify the most problematic foods and assess the occurrence of GI symptoms caused by 119 Korean food items. They also completed the validated Rome III questionnaire for IBS. Results: The prevalence of self-reported food intolerance in Korean IBS patients was 79.2%, which was significantly higher than that in control subjects (44.8%, P < 0.001). The most problematic foods reported by IBS patients who experienced food intolerance were high-fat foods (25.0%), gluten foods (23.8%), spicy foods (15.0%), and dairy products (15.0%). A total of 63.4% of IBS patients reported GI symptoms related to the consumption of foods high in fermentable oligo-, di-, mono-saccharides, and polyols (FODMAP), while 48.5% of IBS patients reported symptoms associated with high-fat foods. Gas problems and loose stools were the most frequently reported symptoms. Conclusions: A large proportion of Korean IBS patients complained of intolerance to certain food items, with high-fat and high-FODMAP foods being the main triggers. This study provides a basis for planning food intervention studies for Korean IBS patients.
#Diet #Food intolerance #Irritable bowel syndrome #Surveys and questionnaires

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참고문헌 (42)

참고문헌 신청
Ford AC / 2017 / Irritable bowel syndrome / N Engl J Med 376:2566~2578 google schola Longstreth GF / 2006 / Functional bowel disorders / Gastroenterology 130:1480~1491 google schola Lovell RM / 2012 / Global prevalence of and risk factors for irritable bowel syndrome : a meta-analysis / Clin Gastroenterol Hepatol 10:712~721, e4 google schola Han SH / 2006 / Prevalence of irritable bowel syndrome in Korea : population-based survey using the Rome II criteria / J Gastroenterol Hepatol 21:1687~1692 google schola Dong Won Park / 2010 / The Differences in Prevalence and Sociodemographic Characteristics of Irritable Bowel Syndrome According to Rome II and Rome III / Journal of Neurogastroenterology and Motility (JNM) 16(2):186~193 dbpia

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