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Kelly Corfman Thesis.pdf (733.92 KB)

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At What Point in the Elimination Phase of the Low FODMAP Diet is the Level of Symptom Improvement Highest in Patients with Irritable Bowel Syndrome?

Corfman, Kelly
http://rave.ohiolink.edu/etdc/view?acc_num=osu1492002775426125

Abstract Details

2017, Master of Science, Ohio State University, Allied Medicine.
Background: Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder that affects patients worldwide. A diet low in fermentable oligo-, di-, and monosaccharides and polyols (FODMAPs) has shown to improve symptoms of a majority of patients with IBS. Current literature is insufficient to provide guidelines for how long patients should follow the elimination phase of the diet. Methods: Patients attended a low FODMAP diet education class and were followed for six weeks. Every two weeks, patients completed the validated IBS-Symptom Severity Scale questionnaire. Patients also completed checklists of all high FODMAP foods consumed daily, to measure adherence. Results: Five patients participated in this study. By week two, all 5 patients had composite symptom scores classified at least one severity level lower than baseline. By week six, 1 patient’s symptoms had returned to baseline severity classification, indicating an 80% response rate overall. Patients were non-adherent to the diet on 24/210 total patient days (11.4%). Adherence was directly related to symptom severity. Conclusion: Some patients may benefit from a shortened elimination phase of the low FODMAP diet, while some may require the full six weeks for best effect. Adherence to the diet ensures likelihood of symptom improvement.
Marcia Nahikian-Nelms (Advisor)
Kristen Roberts (Committee Member)
Jill Clutter (Committee Member)
98 p.
Nutrition
Irritable Bowel Syndrome; Low FODMAP Diet; length of time for elimination phase of Low FODMAP Diet

Recommended Citations

Citations

  • Corfman, K. (2017). At What Point in the Elimination Phase of the Low FODMAP Diet is the Level of Symptom Improvement Highest in Patients with Irritable Bowel Syndrome? [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1492002775426125

    APA Style (7th edition)

  • Corfman, Kelly. At What Point in the Elimination Phase of the Low FODMAP Diet is the Level of Symptom Improvement Highest in Patients with Irritable Bowel Syndrome? 2017. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1492002775426125.

    MLA Style (8th edition)

  • Corfman, Kelly. "At What Point in the Elimination Phase of the Low FODMAP Diet is the Level of Symptom Improvement Highest in Patients with Irritable Bowel Syndrome?" Master's thesis, Ohio State University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=osu1492002775426125

    Chicago Manual of Style (17th edition)

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This open access ETD is published by The Ohio State University and OhioLINK.