Effects of rice-based and wheat-based diets on bowel movements in young Korean women with functional constipation.
Journal
European journal of clinical nutrition
ISSN: 1476-5640
Titre abrégé: Eur J Clin Nutr
Pays: England
ID NLM: 8804070
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
19
08
2019
accepted:
02
04
2020
revised:
04
03
2020
pubmed:
24
4
2020
medline:
25
6
2021
entrez:
24
4
2020
Statut:
ppublish
Résumé
Although several studies have reported the effects that dietary fiber intake from different types of grains and fiber components have on bowel movements, insufficient attention has been paid to comparing and evaluating the effects of rice-based and wheat-based diets. This study compared and evaluated the effects of ingesting rice-based (brown rice-based diet: BRD; white rice-based diet: WRD) and wheat-based diet (WD) on the bowel movements of young women with functional constipation. Based on an open, randomized, controlled, and parallel design, 39 subjects were assigned to BRD, WRD, and WD groups (13 in each group). Each participant had received three types of experimental diets over the course of 4 weeks and we recommended that the subjects eat only the test diet provided during the study. Primary outcomes (total colon transit time TCTT) and secondary outcomes (bowel movements, short-chain fatty acid content, and fecal enzyme activity) were compared before and after the 4-week intervention period. After the 4-week study, the rice-based diet (BRD and WRD) groups and the WD group had a statistically significant difference in TCTT (p = 0.028). The TCTT of the BRD group was significantly reduced (p = 0.028) compared with the WRD group (-16.5 ± 8.1 vs +6.8 ± 2.1), and the TCTT of the WD group was also significantly reduced (p = 0.022) compared with that of the WRD group (-17.1 ± 11.9 vs +6.8 ± 2.1). Among women with functional constipation, the BRD and WD both improved bowel function by reducing TCTT and increasing the number of bowel movements compared with the WRD group.
Sections du résumé
BACKGROUND
Although several studies have reported the effects that dietary fiber intake from different types of grains and fiber components have on bowel movements, insufficient attention has been paid to comparing and evaluating the effects of rice-based and wheat-based diets. This study compared and evaluated the effects of ingesting rice-based (brown rice-based diet: BRD; white rice-based diet: WRD) and wheat-based diet (WD) on the bowel movements of young women with functional constipation.
METHOD
Based on an open, randomized, controlled, and parallel design, 39 subjects were assigned to BRD, WRD, and WD groups (13 in each group). Each participant had received three types of experimental diets over the course of 4 weeks and we recommended that the subjects eat only the test diet provided during the study. Primary outcomes (total colon transit time TCTT) and secondary outcomes (bowel movements, short-chain fatty acid content, and fecal enzyme activity) were compared before and after the 4-week intervention period.
RESULTS
After the 4-week study, the rice-based diet (BRD and WRD) groups and the WD group had a statistically significant difference in TCTT (p = 0.028). The TCTT of the BRD group was significantly reduced (p = 0.028) compared with the WRD group (-16.5 ± 8.1 vs +6.8 ± 2.1), and the TCTT of the WD group was also significantly reduced (p = 0.022) compared with that of the WRD group (-17.1 ± 11.9 vs +6.8 ± 2.1).
CONCLUSION
Among women with functional constipation, the BRD and WD both improved bowel function by reducing TCTT and increasing the number of bowel movements compared with the WRD group.
Identifiants
pubmed: 32322048
doi: 10.1038/s41430-020-0636-1
pii: 10.1038/s41430-020-0636-1
pmc: PMC7606135
doi:
Substances chimiques
Dietary Fiber
0
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1565-1575Subventions
Organisme : Korea Institute of Planning and Evaluation for Technology in Food, Agriculture, Forestry and Fisheries (iPET)
ID : 2012-10
Références
Guerin A, Mody R, Fok B, Lasch KL, Zhou Z, Wu EQ, et al. Risk of developing colorectal cancer and benign colorectal neoplasm in patients with chronic constipation. Aliment Pharm Ther. 2014;40:83–92.
doi: 10.1111/apt.12789
Kim J, Kim O, Yoo H, Kim T, Kim W, Yoon Y. Effects of fiber supplements on functional constipation. Korean J Nutr. 2006;39:35–43.
Shin JE, Jung HK, Lee TH, Jo Y, Lee H, Song KH, et al. Guidelines for the diagnosis and treatment of chronic functional constipation in Korea, 2015 Revised Edition. J Neurogastroenterol Motil. 2016;22:383–411.
doi: 10.5056/jnm15185
Eswaran S, Muir J, Chey WD. Fiber and functional gastrointestinal disorders. Am J Gastroenterol. 2013;108:718–27.
doi: 10.1038/ajg.2013.63
Gwee KA, Ghoshal UC, Gonlachanvit S, Chua AS, Myung SJ, Rajindrajith S, et al. Primary care management of chronic constipation in Asia: the ANMA chronic constipation tool. J Neurogastroenterol Motil. 2013;19:149–60.
doi: 10.5056/jnm.2013.19.2.149
Yang J, Wang HP, Zhou L, Xu CF. Effect of dietary fiber on constipation: a meta analysis. World J Gastroenterol. 2012;18:7378–83.
doi: 10.3748/wjg.v18.i48.7378
Lambeau KV, McRorie JW Jr. Fiber supplements and clinically proven health benefits: How to recognize and recommend an effective fiber therapy. J Am Assoc Nurse Pr. 2017;29:216–23.
Watanabe N, Suzuki M, Yamaguchi Y, Egashira Y. Effects of resistant maltodextrin on bowel movements: a systematic review and meta-analysis. Clin Exp Gastroenterol. 2018;11:85–96.
doi: 10.2147/CEG.S153924
Chen HL, Cheng HC, Wu WT, Liu YJ, Liu SY. Supplementation of konjac glucomannan into a low-fiber Chinese diet promoted bowel movement and improved colonic ecology in constipated adults: a placebo-controlled, diet-controlled trial. J Am Coll Nutr. 2008;27:102–8.
doi: 10.1080/07315724.2008.10719681
Micka A, Siepelmeyer A, Holz A, Theis S, Schon C. Effect of consumption of chicory inulin on bowel function in healthy subjects with constipation: a randomized, double-blind, placebo-controlled trial. Int J Food Sci Nutr. 2017;68:82–9.
doi: 10.1080/09637486.2016.1212819
McRorie JW Jr. Evidence-based approach to fiber supplements and clinically meaningful health benefits, part 1: what to look for and how to recommend an effective fiber therapy. Nutr Today. 2015;50:82–9.
doi: 10.1097/NT.0000000000000082
McRorie JW Jr. Evidence-based approach to fiber supplements and clinically meaningful health benefits, part 2: what to look for and how to recommend an effective fiber therapy. Nutr Today. 2015;50:90–7.
doi: 10.1097/NT.0000000000000089
Ansell J, Butts CA, Paturi G, Eady SL, Wallace AJ, Hedderley D, et al. Kiwifruit-derived supplements increase stool frequency in healthy adults: a randomized, double-blind, placebo-controlled study. Nutr Res. 2015;35:401–8.
doi: 10.1016/j.nutres.2015.04.005
Alexandre V, Bertin C, Boubaya M, Airinei G, Bouchoucha M, Benamouzig R. Randomized clinical trial: efficacy of a food supplement, TRANSITECH, on healthy individuals with mild intermittent constipation. Eur J Gastroenterol Hepatol. 2016;28:1087–93.
doi: 10.1097/MEG.0000000000000672
McRorie JW, Chey WD. Fermented fiber supplements are no better than placebo for a laxative effect. Dig Dis Sci. 2016;61:3140–6.
doi: 10.1007/s10620-016-4304-1
de Vries J, Miller PE, Verbeke K. Effects of cereal fiber on bowel function: a systematic review of intervention trials. World J Gastroenterol. 2015;21:8952–63.
doi: 10.3748/wjg.v21.i29.8952
Lembo A, Camilleri M. Chronic constipation. N. Engl J Med. 2003;349:1360–8.
doi: 10.1056/NEJMra020995
Schiller LR. Review article: the therapy of constipation. Aliment Pharm Ther. 2001;15:749–63.
doi: 10.1046/j.1365-2036.2001.00982.x
Vuholm S, Nielsen DS, Iversen KN, Suhr J, Westermann P, Krych L, et al. Whole-grain rye and wheat affect some markers of gut health without altering the fecal microbiota in healthy overweight adults: a 6-week randomized trial. J Nutr. 2017;147:2067–75.
Holma R, Hongisto SM, Saxelin M, Korpela R. Constipation is relieved more by rye bread than wheat bread or laxatives without increased adverse gastrointestinal effects. J Nutr. 2010;140:534–41.
doi: 10.3945/jn.109.118570
Jenkins DJ, Kendall CW, Vuksan V, Augustin LS, Li YM, Lee B, et al. The effect of wheat bran particle size on laxation and colonic fermentation. J Am Coll Nutr. 1999;18:339–45.
doi: 10.1080/07315724.1999.10718873
Taniguchi K, Komae K, Takahashi A, Yoshioka T, Sone Y. Effect of waxy barley, Kirarimochi, consumption on bowel movements of late-stage elderly residents at Roken nursing home. J Physiol Anthropol. 2017;36:17.
doi: 10.1186/s40101-017-0131-0
Grasten SM, Juntunen KS, Poutanen KS, Gylling HK, Miettinen TA, Mykkanen HM. Rye bread improves bowel function and decreases the concentrations of some compounds that are putative colon cancer risk markers in middle-aged women and men. J Nutr. 2000;130:2215–21.
doi: 10.1093/jn/130.9.2215
Vuksan V, Jenkins AL, Jenkins DJ, Rogovik AL, Sievenpiper JL, Jovanovski E. Using cereal to increase dietary fiber intake to the recommended level and the effect of fiber on bowel function in healthy persons consuming North American diets. Am J Clin Nutr. 2008;88:1256–62.
Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC. Functional bowel disorders. Gastroenterology. 2006;130:1480–91.
doi: 10.1053/j.gastro.2005.11.061
The Korean Nutrition Society. Dietary Reference Intakes for Koreans (KDRIs) 2010. Seoul: The Korean Nutrition Society, 2010.
Metcalf AM, Phillips SF, Zinsmeister AR, MacCarty RL, Beart RW, Wolff BG. Simplified assessment of segmental colonic transit. Gastroenterology. 1987;92:40–7.
doi: 10.1016/0016-5085(87)90837-7
Arhan P, Devroede G, Jehannin B, Lanza M, Faverdin C, Dornic C, et al. Segmental colonic transit time. Dis Colon Rectum. 1981;24:625–9.
doi: 10.1007/BF02605761
Woo HI, Kwak SH, Lee Y, Choi JH, Cho YM, Om AS. A controlled, randomized, double-blind trial to evaluate the effect of vegetables and whole grain powder that is rich in dietary fibers on bowel functions and defecation in constipated young adults. J Cancer Prev. 2015;20:64–9.
doi: 10.15430/JCP.2015.20.1.64
Lawton CL, Walton J, Hoyland A, Howarth E, Allan P, Chesters D, et al. Short term (14 days) consumption of insoluble wheat bran fibre-containing breakfast cereals improves subjective digestive feelings, general wellbeing and bowel function in a dose dependent manner. Nutrients. 2013;5:1436–55.
doi: 10.3390/nu5041436
Cummings J. The effect of dietary fiber on fecal weight and composition. In: Spiller GS, editor. CRC Handbook on dietary fiber in nutrition. 2nd ed. Boca Raton, FL: CRC Press; 1993.
lee J, Kim D, Yoon I, Jung K. Diet and nutritional management in functional gastrointestinal disorder constipation. Korean J Med. 2016;90:111–4.
doi: 10.3904/kjm.2016.90.2.111
Goldin BR. Intestinal microflora: metabolism of drugs and carcinogens. Ann Med. 1990;22:43–8.
doi: 10.3109/07853899009147240
Valeur J, Puaschitz NG, Midtvedt T, Berstad A. Oatmeal porridge: impact on microflora-associated characteristics in healthy subjects. Br J Nutr. 2016;115:62–7.
doi: 10.1017/S0007114515004213
Choi SS, Ha NJ. Fecal microflora of mice in relation to diet. Kor J Micro. 1999;35:128–32.
Rowland IR. Toxicology of the colon. In: Gibson GR, Macfarlane GT editors. Human Colonic Bacteria: Role of the intestinal microflora. Boca Raton, FL: CRC Press; 1995. p. 155–74.
Clinton SK, Bostwick DG, Olson LM, Mangian HJ, Visek WJ. Effects of ammonium acetate and sodium cholate on N-methyl-N'-nitro-N-nitrosoguanidine-induced colon carcinogenesis of rats. Cancer Res. 1988;48:3035–9.