Abstract
The aims of this study are to investigate dietary factors, food intolerance, and the body mass index data, as an indicator of nutritional status, in functional dyspepsia patients. Forty-one functional dyspepsia patients and 30 healthy volunteers answered a standardized questionnaire to identify eating habits and food intolerance, and then completed a 7-day alimentary diary. There was no significant difference in daily total caloric intake between patients and controls. Patients associated their symptoms with the ingestion of several foods, but in general maintained their regular intake, with the exception of a small reduction in the proportion of fat in comparison with controls (median 28 vs. 34%; P = 0.001). No patient was underweight. In conclusion, our results suggest that food intolerance has no remarkable influence on food pattern and nutritional status in most functional dyspepsia patients. Further studies are necessary to clarify the role of fat in the generation of dyspeptic symptoms.
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Tack J, Lee KJ. Pathophysiology and treatment of functional dyspepsia. J Clin Gastroenterol. 2005;39:S211–S216. doi:10.1097/01.mcg.0000156109.97999.d1.
Tack J, Talley NJ, Camilleri M, et al. Functional gastroduodenal disorders. Gastroenterology. 2006;130:1466–1479. doi:10.1053/j.gastro.2005.11.059.
Feinle-Bisset C, Vozzo R, Horowitz M, Talley NJ. Diet, food intake, and disturbed physiology in the pathogenesis of symptoms in functional dyspepsia. Am J Gastroenterol. 2004;99:170–181. doi:10.1111/j.1572-0241.2004.04003.x.
Cuperus P, Keeling PW, Gibney MJ. Eating patterns in functional dyspepsia: a case control study. Eur J Clin Nutr. 1996;50:520–523.
Mullan A, Kavanagh P, O’Mahony P, Joy T, Gleeson F, Gibney MJ. Food and nutrient intakes and eating patterns in functional and organic dyspepsia. Eur J Clin Nutr. 1994;48:97–105.
Tack J, Piessevaux H, Coulie B, Caenepeel P, Janssens J. Role of impaired gastric accommodation to a meal in functional dyspepsia. Gastroenterology. 1998;115:1346–1352. doi:10.1016/S0016-5085(98)70012-5.
Karamanolis G, Tack J. Nutrition and motility disorders. Best Pract Res Clin Gastroenterol. 2006;20:485–505. doi:10.1016/j.bpg.2006.01.005.
Kearney J, Kennedy NP, Keeling PW, et al. Dietary intakes and adipose tissue levels of linolei acid in peptic ulcer disease. Br J Nutr. 1989;62:699–706. doi:10.1079/BJN19890070.
Feinle-Bisset C, Horowitz M. Dietary factors in functional dyspepsia. Neurogastroenterol Motil. 2006;18:608–618. doi:10.1111/j.1365-2982.2006.00790.x.
Saito YA, Locke RG, Weaver AL, Zinsmeister AR, Talley NJ. Diet and functional gastrointestinal disorders: a population-based case–control study. Am J Gastroenterol. 2005;100:2743–2748. doi:10.1111/j.1572-0241.2005.00288.x.
Bardella MT, Minoli G, Ravizza D, et al. Increased prevalence of celiac disease in patients with dyspepsia. Arch Intern Med. 2000;160:1489–1491. doi:10.1001/archinte.160.10.1489.
Lima VM, Gandolfi L, Pires JAA, Pratesi R. Prevalence of celiac disease in dyspeptic patients. Arq Gastroenterol. 2005;42:153–156. doi:10.1590/S0004-28032005000300005.
Sevá-Pereira A, Beiguelman B. Primary lactose malabsorption in healthy Brazilian adult caucasoid, negroid and mongoloid subjects. Arq Gastroenterol. 1982;19:133–138.
DiBaise JK. A randomized, double-blind comparison of two different coffee-roasting processes on development of heartburn and dyspepsia in coffee-sensitive individuals. Dig Dis Sci. 2003;48:652–656. doi:10.1023/A:1022860019852.
Boekema PJ, Samsom M, van Berge Henegouwen GP, Smout AJPM. Coffee and gastrointestinal function: facts and fiction. A review. Scand J Gastroenterol. 1999;34(Suppl):35–39. doi:10.1080/003655299750025525.
Elta GH, Behler EM, Colturi TJ. Comparison of coffee intake and coffee-induced symptoms in patients with duodenal ulcer, nonulcer dyspepsia, and normal controls. Am J Gastroenterol. 1990;85:1339–1342.
Feinle-Bisset C, Meier B, Fried M, Beglinger C. Role of cognitive factors in symptom induction following high and low fat meals in patients with functional dyspepsia. Gut. 2003;52:1414–1418. doi:10.1136/gut.52.10.1414.
Stanghellini V, Tosetti C, Paternicò A, et al. Risk indicators of delayed gastric emptying of solids in patients with functional dyspepsia. Gastroenterology. 1996;110:1036–11042. doi:10.1053/gast.1996.v110.pm8612991.
Talley NJ, Locke GR III, Lahr BD, et al. Functional dyspepsia, delayed gastric emptying, and impaired quality of life. Gut. 2006;55:933–939. doi:10.1136/gut.2005.078634.
Houghton LA, Mangnall YF, Read NW. Effect of incorporating fat into a liquid test meal on the relation between intragastric distribution and gastric emptying in human volunteers. Gut. 1990;31:1226–1229. doi:10.1136/gut.31.11.1226.
Tack J, Caenepeel P, Fischler B, Piessevaux H, Janssens J. Symptoms associated with hypersensitivity to gastric distention in functional dyspepsia. Gastroenterology. 2001;121:526–535. doi:10.1053/gast.2001.27180.
Delgado-Aros S, Camilleri M, Cremonini F, Ferber I, Stephens D, Burton D. Contributions of gastric volumes and gastric emptying to meal size and postmeal symptoms in functional dyspepsia. Gastroenterology. 2004;127:1685–1694. doi:10.1053/j.gastro.2004.09.006.
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Carvalho, R.V.B., Lorena, S.L.S., de Souza Almeida, J.R. et al. Food Intolerance, Diet Composition, and Eating Patterns in Functional Dyspepsia Patients. Dig Dis Sci 55, 60–65 (2010). https://doi.org/10.1007/s10620-008-0698-8
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DOI: https://doi.org/10.1007/s10620-008-0698-8