Delivered Dietary Intervention for Children With Irritable Bowel Syndrome
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Purpose
The purpose of this study is to determine whether a specific diet may help children with irritable bowel syndrome.
| Condition | Intervention |
|---|---|
|
Irritable Bowel Syndrome Abdominal Pain |
Other: Low fermentable substrate diet Other: High fermentable substrate diet |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Crossover Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Delivered Dietary Intervention for Children With Irritable Bowel Syndrome |
- Average daily abdominal pain frequency [ Time Frame: 9 days (2 dietary intervention periods) ] [ Designated as safety issue: No ]Comparisons of abdominal pain frequency (number of abdominal pain episodes per day) will be made between each two day dietary period spanning a 9 days.
- Abdominal pain severity [ Time Frame: 9 days (2 dietary intervention periods) ] [ Designated as safety issue: No ]The severity of abdominal pain episodes will be measured on a 1-10 (10 being most severe) ordinal scale. Average severity per abdominal pain episode during each two day dietary period will be compared over 9 days.
- Hydrogen gas production [ Time Frame: 9 days (2 dietary intervention periods) ] [ Designated as safety issue: No ]Daily hydrogen gas production (parts per million) will be compared between each 2 day dietary intervention period over 9 days.
| Estimated Enrollment: | 40 |
| Study Start Date: | January 2011 |
| Estimated Study Completion Date: | December 2013 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: High fermentable substrate diet
High fermentable substrate diet provided for two days
|
Other: High fermentable substrate diet
Diet high in fermentable oligosaccharides, disaccharides, monosaccharides and polyols
|
|
Experimental: Low fermentable substrate diet
Low fermentable substrate diet provided for two days
|
Other: Low fermentable substrate diet
Diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols.
|
Detailed Description:
Many children experience stomach pain or discomfort at some point during their lives. Some children have belly discomfort frequently while others rarely have this problem. There have been very few studies to test treatments for recurrent stomach discomfort in children. Recently, studies in adults with recurrent stomach discomfort suggest that diet changes may help. Currently, we do not know if these same diets will work in children with the same problem.
In this study, two different diets will be provided (delivered) for two days with at least 5 days in between each provided diet. The child's symptoms will be recorded over the two days of each diet. Children will be asked to capture samples of their breath during the last day of the each two day delivered diet. Stool samples will also be collected.
Eligibility| Ages Eligible for Study: | 7 Years to 17 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Must include all of the following:
- Children between the ages of 7-17 years;
- Meet the criteria for IBS based on the Questionnaire on Pediatric Gastrointestinal Symptoms Rome III Version, including pain/discomfort a minimum of twice per week;
- Negative physician evaluation for an organic etiology of the pain within the past year
Exclusion Criteria:
Will include any of the following:
- Diabetes or other disease process requiring specialized dietary management;
- Malnutrition or obesity (BMI >95%);
- Inability to eat by mouth;
- Antibiotic or medicinal probiotic usage within the past 3 months (excluding yogurt);
- Neuromodulator (e.g. amitriptyline) usage within the past 3 months
- Start of, or change in gastrointestinal medication (e.g. laxative) dose that may cause or ameliorate abdominal symptoms within the past month
Contacts and Locations| Contact: Cynthia Tsai | ct2@bcm.edu |
| United States, Texas | |
| Children's Nutrition Research Center | Recruiting |
| Houston, Texas, United States, 77030 | |
| Contact: Cynthia M Tsai ct2@bcm.edu | |
| Principal Investigator: Bruno P Chumpitazi, MD, MPH | |
| Texas Children's Hospital | Recruiting |
| Houston, Texas, United States, 77030 | |
| Contact: Cynthia Tsai ct@bcm.edu | |
| Principal Investigator: Bruno P Chumpitazi, MD, MPH | |
| Principal Investigator: | Bruno P Chumpitazi, MD, MPH | Baylor College of Medicine |
More Information
No publications provided
| Responsible Party: | Bruno Chumpitazi, Assistant Professor, Baylor College of Medicine |
| ClinicalTrials.gov Identifier: | NCT01339117 History of Changes |
| Other Study ID Numbers: | H-28050 |
| Study First Received: | April 14, 2011 |
| Last Updated: | May 11, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Baylor College of Medicine:
|
irritable bowel syndrome children chronic abdominal pain recurrent abdominal pain |
Additional relevant MeSH terms:
|
Abdominal Pain Irritable Bowel Syndrome Pain Signs and Symptoms Signs and Symptoms, Digestive |
Colonic Diseases, Functional Colonic Diseases Intestinal Diseases Gastrointestinal Diseases Digestive System Diseases |
ClinicalTrials.gov processed this record on May 16, 2013