{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T04:15:54Z","timestamp":1768536954956,"version":"3.49.0"},"reference-count":0,"publisher":"National Institute of Public Health NIH (National Research Institute)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rocz Panstw Zakl Hig"],"abstract":"<p><strong>ABSTRACT<\/strong><br \/><strong>Background<\/strong>. Irritable bowel syndrome (IBS) is the most common gastrointestinal disorder that is driven by the gutbrain\u00a0axis and affects 1-20% of the population. Most patients note that various foods elicit abdominal symptoms,\u00a0and they eliminate these products from their diets. A diet that is low in fermentable oligosaccharides, disaccharides,\u00a0monosaccharides and polyols (FODMAP) is currently one of the mainstays in IBS treatment.<br \/><strong>Objective<\/strong>. The aim of this study was to assess the knowledge of IBS patients about the disease, treatment and the\u00a0principles of the low-FODMAP diet that can alleviate gastrointestinal symptoms.<br \/><strong>Material and methods<\/strong>. The participants were adults diagnosed with IBS, the inclusion criteria were: absence of\u00a0comorbidities requiring an elimination diet, age over 18 years, and consent to participate in the study. The respondents\u00a0filled out an anonymous questionnaire containing questions about the IBS diagnosis, disease history and treatment, as\u00a0well as 45 questions assessing the participants\u2019 knowledge about the low-FODMAP diet.<br \/><strong>Results<\/strong>. In 28% of the cases, IBS was diagnosed by a general practitioner; in nearly 40% of the cases \u2013 by a gastroenterology\u00a0specialist; in 10% of the cases \u2013 by a dietitian, whereas the remaining respondents had arrived at the diagnosis independently or with the help of support groups for IBS patients. After diagnosis, only every fourth respondent sought treatment in\u00a0a gastroenterology clinic. In the studied population, 237 of the respondents had followed to the low-FODMAP diet, and\u00a0the differentiating factors were sex (p=0.002), place of residence (city with a population higher than 100,000 vs. rural\u00a0area; p=0.0001) and education (university vs. vocational school p=0.0043). Respondents who had been recently diagnosed\u00a0with IBS (less than 12 months vs. more than 12 months before the study) were more likely to follow the FODMAP diet.<br \/><strong>Conclusions<\/strong>. The surveyed population was characterized by high levels of knowledge about the low-FODMAP diet,\u00a0but many respondents did not strictly comply with dietary guidelines, in particular the duration of each dietary phase.\u00a0Age was significantly correlated with the respondents\u2019 knowledge, and the participants\u2019 familiarity with low-FODMAP\u00a0guidelines decreased with age. Nutritional consultations did not significantly improve the respondents\u2019 knowledge about\u00a0the low-FODMAP diet.<\/p>\n<p><strong>STRESZCZENIE<\/strong><br \/><strong>Wprowadzenie<\/strong>. Zesp\u00f3\u0142 jelita dra\u017cliwego (IBS- irritable bowel syndrome) okre\u015bla si\u0119 jako najcz\u0119stsz\u0105 czynno\u015bciow\u0105\u00a0chorob\u0119 przewodu pokarmowego wyst\u0119puj\u0105cy u oko\u0142o 1\u201320% populacji. Wi\u0119kszo\u015b\u0107 pacjent\u00f3w zauwa\u017ca, \u017ce r\u00f3\u017cne\u00a0pokarmy wywo\u0142uj\u0105 objawy brzuszne i eliminuj\u0105 te produkty ze swojej diety. Dieta uboga w fermentuj\u0105ce oligosacharydy,\u00a0disacharydy, monosacharydy i poliole (FODMAP) jest obecnie jednym ze sposob\u00f3w leczenia IBS.<br \/><strong>Cel<\/strong>. Celem przeprowadzonego badania by\u0142a ocena wiedzy os\u00f3b choruj\u0105cych na zesp\u00f3\u0142 jelita dra\u017cliwego na temat samej\u00a0choroby, jej leczenia i post\u0119powania \u017cywieniowego z zastosowaniem diety o niskiej zawarto\u015bci FODMAP, kt\u00f3re mo\u017ce\u00a0przyczynia\u0107 si\u0119 do \u0142agodzenia objaw\u00f3w.<br \/><strong>Materia\u0142y i metody<\/strong>. W badaniu wzi\u0119\u0142y udzia\u0142 osoby ze zdiagnozowanym zespo\u0142em jelita dra\u017cliwego, kryterium\u00a0w\u0142\u0105czenia do bada\u0144 by\u0142 brak innych chor\u00f3b wymagaj\u0105cych stosowania diety eliminacyjnej, wiek powy\u017cej 18 lat oraz\u00a0wyra\u017cona zgoda na udzia\u0142 w badaniach. Wykorzystano anonimowy kwestionariusz ankiety zawieraj\u0105cy metryczk\u0119\u00a0dotycz\u0105c\u0105 diagnozowania choroby, jej przebiegu i leczenia, oraz cz\u0119\u015b\u0107 w\u0142a\u015bciw\u0105 sk\u0142adaj\u0105c\u0105 si\u0119 z 45 pyta\u0144 dotycz\u0105cych\u00a0wiedzy na temat diety low-FODMAP.<br \/><strong>Wyniki<\/strong>. Diagnoz\u0119 u 28% pacjent\u00f3w postawi\u0142 lekarz rodzinny, w prawie 40% przypadk\u00f3w lekarz gastroeneterolog,\u00a0u co 10 osoby dietetyk, a pozosta\u0142e osoby zdiagnozowa\u0142y si\u0119 samodzielnie lub na grupach wsparcia dla os\u00f3b z IBS. Po rozpoznaniu choroby tylko co 4 chory deklarowa\u0142, \u017ce jest pod opiek\u0105 poradni gastroenterologicznej. Respondenci jako\u00a0jedn\u0105 z metod leczenia stosowali diet\u0119 o niskiej zawarto\u015bci FODMAP, taki spos\u00f3b leczenia \u017cywieniowego wskaza\u0142o 237\u00a0os\u00f3b, czynnikami r\u00f3\u017cnicuj\u0105cymi by\u0142a p\u0142e\u0107 (p=0.002), miejsce zamieszkania (miasto powy\u017cej 100 tysi\u0119cy mieszka\u0144c\u00f3w\u00a0vs wie\u015b, p=0.0001) i wykszta\u0142cenie (wy\u017csze vs zawodowe, p=0.0043). Diet\u0119 low-FODMAP cz\u0119\u015bciej stosowa\u0142y osoby,\u00a0u kt\u00f3rych niedawno rozpoznano IBS (poni\u017cej 12 m-cy od diagnozy vs powy\u017cej 12 m-cy).<br \/><strong>Wnioski<\/strong>. Wiedza na temat diety low-FODMAP w badanej populacji by\u0142a dobra, ale jej zastosowanie w praktyce w wielu\u00a0przypadkach by\u0142o b\u0142\u0119dne, szczeg\u00f3lnie w zakresie d\u0142ugo\u015bci trwania etap\u00f3w diety. Wiek by\u0142 istotnie statystycznie powi\u0105zany\u00a0z poziomem wiedzy, im wy\u017cszy wiek ankietowanych tym ni\u017csza wiedza na temat diety w IBS. Opieka dietetyka podczas\u00a0stosowania diety o niskiej zawarto\u015bci FODMAP nie wp\u0142yn\u0119\u0142a znacz\u0105co na poziom wiedzy respondent\u00f3w.<\/p><\/jats:p>","DOI":"10.32394\/rpzh.2021.0181","type":"journal-article","created":{"date-parts":[[2021,12,17]],"date-time":"2021-12-17T10:24:36Z","timestamp":1639736676000},"page":"419-426","source":"Crossref","is-referenced-by-count":1,"title":["The low-FODMAP diet as an effective tool for managing irritable bowel syndrome \u2013 an assessment of adult patients\u2019 knowledge of dietary guidelines"],"prefix":"10.32394","volume":"72","author":[{"given":"Ma\u0142gorzata","family":"Kostecka","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna","family":"Kostecka-Jarecka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariola","family":"Kowal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"17323","published-online":{"date-parts":[[2021,12,31]]},"container-title":["Roczniki Pa\u0144stwowego Zak\u0142adu Higieny"],"original-title":[],"link":[{"URL":"https:\/\/roczniki.pzh.gov.pl\/pdf-182692-103188","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/roczniki.pzh.gov.pl\/pdf-182692-103188","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T11:02:42Z","timestamp":1768474962000},"score":1,"resource":{"primary":{"URL":"https:\/\/roczniki.pzh.gov.pl\/The-low-FODMAP-diet-as-an-effective-tool-for-managing-irritable-bowel-syndrome-an,182692,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,31]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021]]}},"alternative-id":["182692"],"URL":"https:\/\/doi.org\/10.32394\/rpzh.2021.0181","relation":{},"ISSN":["0035-7715","2451-2311"],"issn-type":[{"value":"0035-7715","type":"print"},{"value":"2451-2311","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,31]]}}}