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İrritabl Bağırsak Sendromunda Diyet Müdahaleleri

Yıl 2025, Cilt: 5 Sayı: 3 , 423 - 437 , 31.12.2025
https://doi.org/10.56061/fbujohs.1661914
https://izlik.org/JA65LW46LK

Öz

İrritabl bağırsak sendromu (İBS), kronik karın ağrısı ve değişen bağırsak hareketleri (kabızlık veya ishal) ile karakterize yaygın bir kronik gastrointestinal fonksiyon bozukluğudur. Etiyolojisi kesin olarak bilinmemekle birlikte, stres, bozulmuş bağırsak mikrobiyotası, immünolojik disfonksiyon, besin alerjileri veya intoleransları, değişmiş bağırsak motilitesi, fizyolojik faktörler ve genetik yatkınlığa bağlı olduğu düşünülmektedir. Hastalık kaynaklı kramp, karın ağrısı, şişkinlik, gaz, diyare ve konstipasyon gibi semptomlar çeşitli beslenme tedavisi ve /veya diyetler ile azaltılabilmektedir. Bu derleme makale, İBS ve beslenme üzerine yapılan araştırmalara genel bir bakış sunmayı ve bunların sağlık açısından hem fizyolojik hem de davranışsal önemini vurgulamayı amaçlamaktadır.

Kaynakça

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Dietary Interventions in Irritable Bowel Syndrome

Yıl 2025, Cilt: 5 Sayı: 3 , 423 - 437 , 31.12.2025
https://doi.org/10.56061/fbujohs.1661914
https://izlik.org/JA65LW46LK

Öz

Irritable bowel syndrome (IBS) is a prevalent chronic gastrointestinal disorder, characterized by persistent abdominal pain and abnormal bowel movements, such as constipation or diarrhea. While its exact etiology remains uncertain, several factors are believed to contribute, including stress, dysbiosis of the intestinal microbiota, immunological dysfunction, food allergies or intolerances, altered intestinal motility, physiological factors, and genetic predisposition. Symptoms associated with IBS, such as cramping, abdominal discomfort, bloating, gas, diarrhea, and constipation, can be mitigated through various nutritional interventions and dietary approaches. This review article seeks to provide a comprehensive overview of the existing research on IBS and nutrition, highlighting both the physiological and behavioral significance of dietary factors in managing the condition and promoting overall health.

Teşekkür

Support from artificial intelligence has been obtained to ensure English language fluency.

Kaynakça

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  • Melina, V., Craig, W., & Levin, S. (2016). Position of the Academy of Nutrition and Dietetics: Vegetarian Diets. Journal of the Academy of Nutrition and Dietetics, 116(12), 1970–1980. https://doi.org/10.1016/j.jand.2016.09.025
  • Metcalfe‐Roach, A., Yu, A. C., Golz, E., Cirstea, M., Sundvick, K., Kliger, D., Foulger, L. H., Mackenzie, M., Finlay, B. B., & Appel‐Cresswell, S. (2021). MIND and Mediterranean Diets Associated with Later Onset of Parkinson’s Disease. Movement Disorders, 36(4), 977–984. https://doi.org/10.1002/mds.28464
  • Moayyedi, P., Andrews, C. N., MacQueen, G., Korownyk, C., Marsiglio, M., Graff, L., Kvern, B., Lazarescu, A., Liu, L., Paterson, W. G., Sidani, S., & Vanner, S. (2019). Canadian Association of Gastroenterology Clinical Practice Guideline for the Management of Irritable Bowel Syndrome (IBS). Journal of the Canadian Association of Gastroenterology, 2(1), 6–29. https://doi.org/10.1093/jcag/gwy071
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  • Morze, J., Danielewicz, A., Przybyłowicz, K., Zeng, H., Hoffmann, G., & Schwingshackl, L. (2021). An updated systematic review and meta-analysis on adherence to mediterranean diet and risk of cancer. European Journal of Nutrition, 60(3), 1561–1586. https://doi.org/10.1007/s00394-020-02346-6
  • Mullin, G. E., Shepherd, S. J., Chander Roland, B., Ireton-Jones, C., & Matarese, L. E. (2014). Irritable bowel syndrome: contemporary nutrition management strategies. JPEN. Journal of Parenteral and Enteral Nutrition, 38(7), 781–799. https://doi.org/10.1177/0148607114545329
  • Muniz-Santos, R., Lucieri-Costa, G., Almeida, M. A. P. de, Moraes-de-Souza, I., Brito, M. A. D. S. M., Silva, A. R., & Gonçalves-de-Albuquerque, C. F. (2023). Lipid oxidation dysregulation: an emerging player in the pathophysiology of sepsis. Frontiers in Immunology, 14. https://doi.org/10.3389/fimmu.2023.1224335
  • Nilholm, C., Larsson, E., Sonestedt, E., Roth, B., & Ohlsson, B. (2021). Assessment of a 4-Week Starch- and Sucrose-Reduced Diet and Its Effects on Gastrointestinal Symptoms and Inflammatory Parameters among Patients with Irritable Bowel Syndrome. Nutrients, 13(2), 416. https://doi.org/10.3390/nu13020416
  • Nouri-Majd, S., Salari-Moghaddam, A., Keshteli, A. H., Esmaillzadeh, A., & Adibi, P. (2022). The Association between Adherence to the MIND Diet and Irritable Bowel Syndrome. Digestive Diseases (Basel, Switzerland), 40(2), 198–205. https://doi.org/10.1159/000517015
  • Nybacka, S., Colomier, E., Páll Hreinsson, J., Störsrud, S., Tack, J., Törnblom, H., & Simrén, M. (2024). Dietary Intake and Quality in Irritable Bowel Syndrome: A Comparative Study With Controls and the Association With Symptom Severity. The American Journal of Gastroenterology. https://doi.org/10.14309/ajg.0000000000003249
  • Ohlsson, B. (2021). Theories behind the effect of starch and sucrose reduced diets on gastrointestinal symptoms in irritable bowel syndrome (Review). Molecular Medicine Reports, 24(4). https://doi.org/10.3892/mmr.2021.12372
  • Oka, P., Parr, H., Barberio, B., Black, C. J., Savarino, E. V, & Ford, A. C. (2020). Global prevalence of irritable bowel syndrome according to Rome III or IV criteria: a systematic review and meta-analysis. The Lancet. Gastroenterology & Hepatology, 5(10), 908–917. https://doi.org/10.1016/S2468-1253(20)30217-X
  • Oncina-Cánovas, A., Vioque, J., González-Palacios, S., Martínez-González, M. Á., Salas-Salvadó, J., Corella, D., Zomeño, D., Martínez, J. A., Alonso-Gómez, Á. M., Wärnberg, J., Romaguera, D., López-Miranda, J., Estruch, R., Bernal-Lopez, R. M., Lapetra, J., Serra-Majem, J. L., Bueno-Cavanillas, A., Tur, J. A., Martín-Sánchez, V., … García-de-la-Hera, M. (2022). Pro-vegetarian food patterns and cardiometabolic risk in the PREDIMED-Plus study: a cross-sectional baseline analysis. European Journal of Nutrition, 61(1), 357–372. https://doi.org/10.1007/s00394-021-02647-4
  • Orlando, A., Chimienti, G., Notarnicola, M., & Russo, F. (2022). The Ketogenic Diet Improves Gut-Brain Axis in a Rat Model of Irritable Bowel Syndrome: Impact on 5-HT and BDNF Systems. International Journal of Molecular Sciences, 23(3). https://doi.org/10.3390/ijms23031098
  • Oussalah, A., Levy, J., Berthezène, C., Alpers, D. H., & Guéant, J.-L. (2020). Health outcomes associated with vegetarian diets: An umbrella review of systematic reviews and meta-analyses. Clinical Nutrition (Edinburgh, Scotland), 39(11), 3283–3307. https://doi.org/10.1016/j.clnu.2020.02.037
  • Özer, E. R., & Tekinşen, K. (2021). Akdeniz Diyeti ve Sağlık. Akademik Et ve Süt Kurumu Dergisi, 2, 13–23. https://dergipark.org.tr/tr/pub/aeskd/issue/66211/988627
  • Palma-Morales, M., Mateos, A., Rodríguez, J., Casuso, R. A., & Huertas, J. R. (2022). Food made us human: Recent genetic variability and its relevance to the current distribution of macronutrients. Nutrition, 101, 111702. https://doi.org/10.1016/j.nut.2022.111702
  • Peng, A. W., Juraschek, S. P., Appel, L. J., Miller, E. R., & Mueller, N. T. (2019). Effects of the DASH Diet and Sodium Intake on Bloating: Results From the DASH-Sodium Trial. The American Journal of Gastroenterology, 114(7), 1109–1115. https://doi.org/10.14309/ajg.0000000000000283
  • Pohl, K., Moodley, P., & Dhanda, A. D. (2021). Alcohol’s Impact on the Gut and Liver. Nutrients, 13(9), 3170. https://doi.org/10.3390/nu13093170
  • Popiolek-Kalisz, J. (2024). Ketogenic diet and cardiovascular risk – state of the art review. Current Problems in Cardiology, 49(3), 102402. https://doi.org/10.1016/j.cpcardiol.2024.102402
  • Rangnekar, A. S., & Chey, W. D. (2009). The FODMAP Diet for Irritable Bowel Syndrome: Food Fad or Roadmap to a New Treatment Paradigm? Gastroenterology, 137(1), 383–386. https://doi.org/10.1053/j.gastro.2009.05.023
  • Rej, A., Avery, A., Aziz, I., Black, C. J., Bowyer, R. K., Buckle, R. L., Seamark, L., Shaw, C. C., Thompson, J., Trott, N., Williams, M., & Sanders, D. S. (2022). Diet and irritable bowel syndrome: an update from a UK consensus meeting. BMC Medicine, 20(1), 287. https://doi.org/10.1186/s12916-022-02496-w
  • Rej, A., Sanders, D. S., Shaw, C. C., Buckle, R., Trott, N., Agrawal, A., & Aziz, I. (2022). Efficacy and Acceptability of Dietary Therapies in Non-Constipated Irritable Bowel Syndrome: A Randomized Trial of Traditional Dietary Advice, the Low FODMAP Diet, and the Gluten-Free Diet. Clinical Gastroenterology and Hepatology : The Official Clinical Practice Journal of the American Gastroenterological Association, 20(12), 2876-2887.e15. https://doi.org/10.1016/j.cgh.2022.02.045
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  • Roth, B., Myllyvainio, J., D’Amato, M., Larsson, E., & Ohlsson, B. (2022). A Starch- and Sucrose-Reduced Diet in Irritable Bowel Syndrome Leads to Lower Circulating Levels of PAI-1 and Visfatin: A Randomized Controlled Study. Nutrients, 14(9). https://doi.org/10.3390/nu14091688
  • Roth, B., Nseir, M., Jeppsson, H., D’Amato, M., Sundquist, K., & Ohlsson, B. (2024). A Starch- and Sucrose-Reduced Diet Has Similar Efficiency as Low FODMAP in IBS-A Randomized Non-Inferiority Study. Nutrients, 16(17). https://doi.org/10.3390/nu16173039
  • Różańska, D. (2024). The Mediterranean Diet, the DASH Diet, and the MIND Diet in Relation to Sleep Duration and Quality: A Narrative Review. Nutrients, 16(23). https://doi.org/10.3390/nu16234191
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  • Singh, P., Tuck, C., Gibson, P. R., & Chey, W. D. (2022). The Role of Food in the Treatment of Bowel Disorders: Focus on Irritable Bowel Syndrome and Functional Constipation. American Journal of Gastroenterology, 117(6), 947–957. https://doi.org/10.14309/ajg.0000000000001767
  • Soltani, S., Keshteli, A. H., Esmaillzadeh, A., & Adibi, P. (2021). Adherence to Dietary Approaches to Stop Hypertension Eating Plan and Prevalence of Irritable Bowel Syndrome in Adults. Journal of Neurogastroenterology and Motility, 27(1), 78–86. https://doi.org/10.5056/jnm20007
  • Sun, Y., Chen, X., Wang, S., Deng, M., Xie, Y., Wang, X., Chen, J., & Hesketh, T. (2021). Gluten-free Diet Reduces the Risk of Irritable Bowel Syndrome: A Mendelian Randomization Analysis. Frontiers in Genetics, 12, 684535. https://doi.org/10.3389/fgene.2021.684535
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  • Wu, S., Yang, Z., Yuan, C., Liu, S., Zhang, Q., Zhang, S., & Zhu, S. (2023). Coffee and tea intake with long-term risk of irritable bowel syndrome: a large-scale prospective cohort study. International Journal of Epidemiology, 52(5), 1459–1472. https://doi.org/10.1093/ije/dyad024
  • Yang, Z.-Q., Yang, Z., & Duan, M.-L. (2019). Dietary approach to stop hypertension diet and risk of coronary artery disease: a meta-analysis of prospective cohort studies. International Journal of Food Sciences and Nutrition, 70(6), 668–674. https://doi.org/10.1080/09637486.2019.1570490
  • Zhao, Y., Zhu, S., Dong, Y., Xie, T., Chai, Z., Gao, X., Dai, Y., & Wang, X. (2024). The Role of Gut Microbiome in Irritable Bowel Syndrome: Implications for Clinical Therapeutics. Biomolecules, 14(12). https://doi.org/10.3390/biom14121643
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Toplam 99 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Beslenme, Beslenme ve Diyetetik (Diğer)
Bölüm Derleme
Yazarlar

Zeynep Türker 0009-0002-3514-1535

Havvanur Yoldaş İlktaç 0000-0002-7433-6370

Gönderilme Tarihi 20 Mart 2025
Kabul Tarihi 15 Aralık 2025
Yayımlanma Tarihi 31 Aralık 2025
DOI https://doi.org/10.56061/fbujohs.1661914
IZ https://izlik.org/JA65LW46LK
Yayımlandığı Sayı Yıl 2025 Cilt: 5 Sayı: 3

Kaynak Göster

APA Türker, Z., & Yoldaş İlktaç, H. (2025). Dietary Interventions in Irritable Bowel Syndrome. Fenerbahçe University Journal of Health Sciences, 5(3), 423-437. https://doi.org/10.56061/fbujohs.1661914