Factors Associated With Adherence to a Low Fermentable Carbohydrate Diet in Children With Functional Gastrointestinal Disorders.
Adherence
Functional gastrointestinal disorders
Low FODMAP diet
Pediatrics
Journal
Journal of the Academy of Nutrition and Dietetics
ISSN: 2212-2672
Titre abrégé: J Acad Nutr Diet
Pays: United States
ID NLM: 101573920
Informations de publication
Date de publication:
07 Sep 2023
07 Sep 2023
Historique:
received:
11
04
2022
revised:
10
08
2023
accepted:
05
09
2023
pubmed:
9
9
2023
medline:
9
9
2023
entrez:
8
9
2023
Statut:
aheadofprint
Résumé
The low-fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) diet (LFD) has been associated with reduced symptomology in pediatric functional gastrointestinal disorders (FGIDs). The LFD is a complex dietary intervention that may be difficult to follow; thus, there is great interest in determining factors that contribute to adherence. To examine whether baseline abdominal pain, emotional/behavioral problems, or quality of life predict adherence to the LFD in children with FGIDs. This was a single-group pre-post intervention design within a larger randomized controlled trial. Thirty 7- to 12-year-old children with FGIDs were recruited from pediatric gastrointestinal and primary care settings throughout Texas from 2019 to 2021. Evaluated participants were randomized to an LFD intervention as part of a larger randomized controlled trial. Participants received dietary counseling and followed the LFD for 3 weeks. Emotional or behavioral problems and quality of life were obtained via parent report, and abdominal pain was measured via child report. Adherence was assessed by using diet records and computed by a decrease in consumption of overall FODMAP intake. A hierarchical generalized linear mixed regression model examined factors associated with adherence. Greater baseline quality of life was associated with better adherence to the LFD (beta coefficient β = -.02, P = 0.03), and baseline emotional/behavioral problems and abdominal pain complaints were not significantly associated with adherence (all Ps > 0.28). Higher child quality of life as reported by parents was related to increased adherence to this complex dietary intervention.
Sections du résumé
BACKGROUND
BACKGROUND
The low-fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) diet (LFD) has been associated with reduced symptomology in pediatric functional gastrointestinal disorders (FGIDs). The LFD is a complex dietary intervention that may be difficult to follow; thus, there is great interest in determining factors that contribute to adherence.
OBJECTIVE
OBJECTIVE
To examine whether baseline abdominal pain, emotional/behavioral problems, or quality of life predict adherence to the LFD in children with FGIDs.
DESIGN
METHODS
This was a single-group pre-post intervention design within a larger randomized controlled trial.
PARTICIPANTS/SETTING
METHODS
Thirty 7- to 12-year-old children with FGIDs were recruited from pediatric gastrointestinal and primary care settings throughout Texas from 2019 to 2021. Evaluated participants were randomized to an LFD intervention as part of a larger randomized controlled trial.
INTERVENTION
METHODS
Participants received dietary counseling and followed the LFD for 3 weeks.
MEASURES
METHODS
Emotional or behavioral problems and quality of life were obtained via parent report, and abdominal pain was measured via child report. Adherence was assessed by using diet records and computed by a decrease in consumption of overall FODMAP intake.
STATISTICAL ANALYSES PERFORMED
METHODS
A hierarchical generalized linear mixed regression model examined factors associated with adherence.
RESULTS
RESULTS
Greater baseline quality of life was associated with better adherence to the LFD (beta coefficient β = -.02, P = 0.03), and baseline emotional/behavioral problems and abdominal pain complaints were not significantly associated with adherence (all Ps > 0.28).
CONCLUSIONS
CONCLUSIONS
Higher child quality of life as reported by parents was related to increased adherence to this complex dietary intervention.
Identifiants
pubmed: 37683726
pii: S2212-2672(23)01524-1
doi: 10.1016/j.jand.2023.09.001
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2023 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.