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Treatment effects of partially hydrolyzed guar gum on symptoms and quality of life of patients with irritable bowel syndrome. A multicenter randomized open trial.

Giancarlo Parisi, Enrico Bottona, Maurizio Carrara, Fabrizio Cardin, Alessandra Faedo et al.
RCT Digestive diseases and sciences 2005 55 citations
PubMed DOI
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Study Design

Study Type
Randomized Controlled Trial
Sample Size
86
Population
IBS patients
Duration
12 weeks
Intervention
Treatment effects of partially hydrolyzed guar gum on symptoms and quality of life of patients with irritable bowel syndrome. A multicenter randomized open trial. PHGG 5g/day or 10g/day
Comparator
Baseline comparison
Primary Outcome
GSRS, SF-36, HADS scores
Effect Direction
Positive
Risk of Bias
Moderate

Abstract

The effects of partially hydrolyzed guar gum (PHGG) were compared in patients with irritable bowel syndrome, at 10 g/day (N = 40) and 5 g/day (N = 46) for 12 weeks. Gastrointestinal symptoms (GSRS), quality of life (SF-36), and psychological symptoms (HADS) were evaluated at baseline, during treatment (months 1 and 3), and at follow-up (month 6). In both groups symptoms and quality of life improved significantly after the first month of administration until follow-up compared to those at baseline. However, the improvement was significantly reduced at follow-up compared to the end of treatment. PHGG was effective for improving somatic (gastrointestinal symptoms) and psychological (quality of life and psychological distress) symptoms over the short term. Since the improvement tended to decrease after the end of the treatment period, further studies should evaluate the benefits of PHGG at a maintenance dosage.

TL;DR

In patients with irritable bowel syndrome symptoms and quality of life improved significantly after the first month of administration until follow-up compared to those at baseline, but the improvement was significantly reduced at follow- up compared to the end of treatment.

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