Premium
The analysis of protein consumption patterns in patients with SIBO
Author(s) -
Isakov Vasily,
Pilipenko Vladimir,
Vlasova Alina
Publication year - 2017
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.31.1_supplement.968.7
Subject(s) - lactulose , small intestinal bacterial overgrowth , medicine , gastroenterology , breath test , calorie , food science , irritable bowel syndrome , biology , helicobacter pylori
Small intestinal bacterial overgrowth (SIBO) is common in patients with gastrointestinal diseases. SIBO symptoms are improved with antimicrobial treatment, but recurrence rate is high (approximately 40%). Dietary modification is essential for prevention of recurrence of SIBO however there are no detailed studies of nutrition in SIBO patients. Protein consumption is considered important for SIBO, as the proteins from animal source are essential for growth of CH4/H2‐producing microorganisms. The aim of the study was to assess the protein consumption patterns in patients with different types of SIBO. Three‐day food diary was collected from 574 patients, undergoing CH4/H2 lactulose breath test. The photographs used to estimate the size of the portions eaten. According to food composition and portion all dishes in food diary were converted into constituent products by food groups. Each food group were compared with the normal levels of a healthy diet pyramid based on daily calories (normal value = 1.0). According to the breath test results the patients were divided into 4 subgroups of different SIBO types (H2, CH4, H2 and CH4) and a subgroup with no signs of SIBO ( Tab. 1). All types SIBO patients consumed less meat than control (no signs of SIBO), however patients with hyperproduction of CH4 only demonstrated highest consumption of fish, and it was a trend in patients with isolated H2‐hyperproduction to consume more poultry than other groups. There were no differences between groups in consumption of processed meat foods or eggs. In conclusion, there are specific animal protein consumption patterns related to the type of the SIBO, which can be used for the planning of dietetic interventions in patients for prevention of SIBO recurrence. 1 Consumption of protein products in SIBO patients.Food No SIBOn=65 H2 SIBO (> 20ppM) n=312 CH4 SIBO (> 12ppM) n = 77 H2/CH4 SIBOn = 123 SignificanceMeat 0.58±0.71 0.37±0.58 0.42±0.67 0.31±0.45 p=0.015 no SIBO vs H2 SIBO;p=0.017 no SIBO vs H2/CH4 SIBO;p=0.059 no SIBO vs CH4 SIBO Poultry 0.38±0.49 0.52±0.63 0.41±0.50 0.39±0.48 p=0.074 H2 SIBO vs H2/CH4 SIBO Eggs 0.11±0.19 0.14±0.22 0.13±0.21 0.10±0.17 NS Fish 0.27±0.37 0.22±0.43 0.56±0.75 0.33±0.77 p=0.001 CH4 SIBO vs H2 SIBO;p=0.004 CH4 SIBO vs H2/CH4 SIBO;p= 0.024 CH4 SIBO vs No SIBO Processed meat products (sausages, etc) 0.08±0.11 0.12±0.14 0.07±0.11 0.08±0.12 NS