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Study M1036

Study name

Chojnacki C 2023c

Title

The usefulness of the Low-FODMAP diet with limited tryptophan intake in the treatment of diarrhea-predominant irritable bowel syndrome

Overall design

The aim of this study was to evaluate the efficacy of a low-fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (low-FODMAP) diet with a concomitant reduction in tryptophan intake in irritable bowel syndrome with diarrhea predominance (IBS-D) in relation to its metabolism via the serotonin and kynurenine pathways. The study involved 40 healthy people (control group) and 80 patients with IBS-D (IBS-D group). IBS-D patients were randomly divided into two groups (Groups IIA and IIB). In Group IIA, the low-FODMAP diet was recommended for 8 weeks (IBS-D with FODMAP diet subgroup, n =40), while in Group IIB, the same diet was recommended but with limited tryptophan intake for 8 weeks (IBS-D with low-tryptophan and FODMAP diet subgroup, n =40). The concentrations of tryptophan and its metabolites in urine were determined using an LC-MS/MS method, before and after diet intervention. Depression levels were ameliorated by diet intervention in both subgroups.

Study Type

Type1;

Type2;

Data available

Unavailable

Organism

Human;

Categories of depression

Depressive symptom; Depressive symptom with comorbidity; Depressive symptom with comorbidity;

Criteria for depression

Not reported

Sample size

120

Tissue

Peripheral; Urine; Urine;

Platform

MS-based; LC-MS: not reported;

PMID

37111056

DOI

10.3390/nu15081837

Citation

Chojnacki C, Poplawski T, Blonska A, et al. The usefulness of the Low-FODMAP diet with limited tryptophan intake in the treatment of diarrhea-predominant irritable bowel syndrome. Nutrients. 2023 Apr 11;15(8):1837.

Metabolite

5-Hydroxyindoleacetic acid;

L-Kynurenine;

Kynurenic acid;

Quinolinic acid;