{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T04:24:05Z","timestamp":1781843045794,"version":"3.54.5"},"reference-count":42,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T00:00:00Z","timestamp":1616544000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010394","name":"British Dietetic Association","doi-asserted-by":"publisher","award":["General Education Trust Funding"],"award-info":[{"award-number":["General Education Trust Funding"]}],"id":[{"id":"10.13039\/100010394","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Evidence suggests that dietary interventions can improve symptoms in people with irritable bowel syndrome (IBS), although most data explore the short\u2010term (immediate) impact. Data on long\u2010term (&gt;6\u00a0months) impact are limited, especially from primary care settings. The present study aimed to investigate the long\u2010term effect of dietetic\u2010led interventions for IBS delivered in primary care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A service evaluation of a dietetic\u2010led IBS clinic was completed, analysing data on symptom severity, stool frequency and consistency, and healthcare input. Data were collected before and immediately after dietary intervention as part of patients\u2019 routine clinical appointments. Long\u2010term data were collected via a postal questionnaire at least 11\u00a0months later.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 211 patients responded to the long\u2010term follow\u2010up questionnaire at a median of 13\u00a0months (interquartile range 12\u201316\u00a0months) post follow\u2010up appointment. Of these, 84% had been advised to follow a low FODMAP (i.e., fermentable oligosaccharides, disaccharides, monosaccharides and polyols carbohydrates) diet. All symptoms were reported significantly less frequently short term, and all except heartburn and acid regurgitation remained so over the long term. The four most commonly reported bowel symptoms reduced in frequency were abdominal pain (62%), bloating (50%), increased wind (48%) and urgency to open bowels (49%) (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). The percentage of patients reporting satisfactory relief of gut symptoms was 10% at baseline and 55% at long\u2010term follow\u2010up (<jats:italic>p\u00a0<\/jats:italic>&lt;\u00a00.001). Visits to a general practitioner were reduced (from 96% to 34%; <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001), as were those to the gastroenterologist (from 37% to 12%; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.002), during the year prior to long\u2010term follow\u2010up compared to the year prior to dietary intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with IBS who received dietetic\u2010led interventions in primary care reported long\u2010term symptoms improvements that may result in reduced healthcare usage.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jhn.12860","type":"journal-article","created":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T19:14:27Z","timestamp":1616613267000},"page":"890-900","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Long\u2010term symptom severity in people with irritable bowel syndrome following dietetic treatment in primary care: A service evaluation"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9495-3491","authenticated-orcid":false,"given":"Leah","family":"Seamark","sequence":"first","affiliation":[{"name":"Community Dietetics Somerset NHS Foundation Trust Bridgwater, Somerset UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne","family":"Barclay","sequence":"additional","affiliation":[{"name":"Community Dietetics Somerset NHS Foundation Trust Bridgwater, Somerset UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ceri","family":"Marchant","sequence":"additional","affiliation":[{"name":"Community Dietetics Somerset NHS Foundation Trust Bridgwater, Somerset UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianne","family":"Williams","sequence":"additional","affiliation":[{"name":"Community Dietetics Somerset NHS Foundation Trust Bridgwater, Somerset UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7996-0095","authenticated-orcid":false,"given":"Mary","family":"Hickson","sequence":"additional","affiliation":[{"name":"Plymouth Institute of Health Research University of Plymouth Plymouth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3,24]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(20)30217-X"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1756283X17718677"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40273-015-0339-y"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.46.1.78"},{"key":"e_1_2_10_6_1","first-page":"71","article-title":"The epidemiology of irritable bowel syndrome","volume":"6","author":"Canavan C","year":"2014","journal-title":"Clin Epidemiol"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.300.15.1793"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2013.105"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.2165\/00019053-200220070-00003"},{"key":"e_1_2_10_10_1","unstructured":"National Institute for Health and Clinical Excellence.Irritable bowel syndrome in adults: Diagnosis and management of irritable bowel syndrome in primary care. 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