Is Bacillus coagulans supplementation plus low FODMAP diet superior to low FODMAP diet in irritable bowel syndrome management?

Abhari, K. and Saadati, S. and Hosseini-Oskouiee, F. and Yari, Z. and Hosseini, H. and Sohrab, G. and Hejazi, E. and Agah, S. and Sadeghi, A. and Hekmatdoost, A. (2020) Is Bacillus coagulans supplementation plus low FODMAP diet superior to low FODMAP diet in irritable bowel syndrome management? European Journal of Nutrition, 59 (5). pp. 2111-2117.

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Purpose: The aim of this study was to assess the superiority of low fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) diet plus Bacillus coagulans supplementation to low FODMAP diet alone in the reduction of irritable bowel syndrome (IBS) symptoms. Methods: In this randomized clinical trial, fifty IBS patients who met Rome IV criteria for IBS were randomly assigned to receive a low FODMAP diet plus either a probiotic or a placebo capsule for 8 weeks. Probiotic capsules contained 109B. coagulans spores and 400 mg inulin, while placebo capsules consisted of 500 mg rice starch. Results: Significant improvements were observed in abdominal pain intensity and frequency, abdominal distension, satisfaction with bowel habits, quality of life, defecation consistency, and patient-reported severity score in both groups; however, only improvement in severity score was significantly higher in probiotic group compared with placebo group (P = 0.001). Moreover, the frequency of patients with clinical improvement in IBS-symptom severity scale (IBS-SSS) was significantly more in probiotic group compared to placebo group (P = 0.038). Conclusion: Our results indicate that the addition of probiotic supplement containing B. coagulans to the low FODMAP diet might be superior to low FODMAP diet in alleviating IBS symptoms. © 2019, Springer-Verlag GmbH Germany, part of Springer Nature.

Item Type: Article
Additional Information: cited By 0
Uncontrolled Keywords: inulin; placebo; probiotic agent, abdominal distension; abdominal pain; adult; Article; Bacillus coagulans; bacterial spore; clinical article; constipation; controlled study; defecation; defecation habit; diarrhea; disease severity; double blind procedure; female; human; irritable colon; low FODMAP diet; male; pain intensity; patient satisfaction; quality of life; randomized controlled trial; remission; visual analog scale
Subjects: WB Practice of Medicine
Depositing User: eprints admin
Date Deposited: 22 Sep 2020 09:09
Last Modified: 22 Sep 2020 09:09

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