{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T15:34:52Z","timestamp":1774366492143,"version":"3.50.1"},"reference-count":37,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T00:00:00Z","timestamp":1721001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Disorders of gut\u2013brain interaction are chronic or recurrent symptoms originating in the gastrointestinal tract that cannot be substantiated by the results of standard clinical tests, such as radiologic studies, morphologies, or endoscopic examination. The diagnosis of these disorders is mainly based on symptoms and the standardized Rome IV criteria. These criteria classify functional disorders of the gastrointestinal tract according to anatomical location and define each disorder according to a set of symptoms. Methods: This study was conducted between October 2021 and February 2022. Participants in the study were patients of a gastroenterology outpatient clinic with a functional disease diagnosed by a gastroenterologist. A questionnaire was used to conduct the study, with questions regarding perceived functional discomforts of the gastrointestinal tract, dietary changes to alleviate discomforts, and frequency of consumption of various food groups. Results: Based on the study, statistical significance was demonstrated between the gender of the respondents and the severity of gastrointestinal complaints after the consumption of legumes and alcohol. The analysis performed confirmed the correlation between the age of the respondents and the severity of complaints when consuming raw vegetables and fruits, brassica vegetables, legumes, fried products, and spicy products. There was also a significant correlation between the body mass index (BMI) of the respondents and the severity of complaints after alcohol consumption. Conclusions: The results identify abdominal pain, bloating, and constipation as the most commonly reported gastrointestinal symptoms among participants. The association between the consumption of certain foods, such as milk and dairy products, as well as fried and fatty foods, and the severity of disorders of gut\u2013brain interaction symptoms was confirmed. Despite this, the majority of respondents did not eliminate any food products to alleviate the discomfort.<\/jats:p>","DOI":"10.3390\/jcm13144132","type":"journal-article","created":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T15:17:06Z","timestamp":1721056626000},"page":"4132","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Evaluation of Diet and Symptom Severity in Disorder of Gut\u2013Brain Interaction"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1970-1539","authenticated-orcid":false,"given":"Wioleta","family":"Faruga-Lewicka","sequence":"first","affiliation":[{"name":"Department of Food Technology and Quality Evaluation, Department of Dietetics, Faculty of Public Health in Bytom, Medical University of Silesia in Katowice, 41-808 Zabrze, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnieszka","family":"Bielaszka","sequence":"additional","affiliation":[{"name":"Department of Food Technology and Quality Evaluation, Department of Dietetics, Faculty of Public Health in Bytom, Medical University of Silesia in Katowice, 41-808 Zabrze, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2420-5935","authenticated-orcid":false,"given":"Wiktoria","family":"Sta\u015bkiewicz-Bartecka","sequence":"additional","affiliation":[{"name":"Department of Food Technology and Quality Evaluation, Department of Dietetics, Faculty of Public Health in Bytom, Medical University of Silesia in Katowice, 41-808 Zabrze, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabina","family":"Opio\u0142ka","sequence":"additional","affiliation":[{"name":"Department of Food Technology and Quality Evaluation, Department of Dietetics, Faculty of Public Health in Bytom, Medical University of Silesia in Katowice, 41-808 Zabrze, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4531-2038","authenticated-orcid":false,"given":"Agata","family":"Kiciak","sequence":"additional","affiliation":[{"name":"Department of Food Technology and Quality Evaluation, Department of Dietetics, Faculty of Public Health in Bytom, Medical University of Silesia in Katowice, 41-808 Zabrze, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4810-1025","authenticated-orcid":false,"given":"Marek","family":"Kardas","sequence":"additional","affiliation":[{"name":"Department of Food Technology and Quality Evaluation, Department of Dietetics, Faculty of Public Health in Bytom, Medical University of Silesia in Katowice, 41-808 Zabrze, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,7,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1664","DOI":"10.1016\/S0140-6736(20)32115-2","article-title":"Functional gastrointestinal disorders: Advances in understanding and management","volume":"396","author":"Black","year":"2020","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Settembre, C., D\u2019Antonio, E., Moscato, P., Loi, G., Santonicola, A., and Iovino, P. (2022). Association among Disorders of Gut-Brain Interaction (DGBI) and Fibromyalgia: A Prospective Study. J. Clin. Med., 11.","DOI":"10.3390\/jcm11030809"},{"key":"ref_3","first-page":"346","article-title":"Functional gastrointestinal disorders. How to manage them without medication","volume":"120","author":"Toca","year":"2022","journal-title":"Arch. Argent Pediatr."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1443","DOI":"10.1053\/j.gastro.2016.02.016","article-title":"Childhood functional gastrointestinal disorders: Neonate\/toddler","volume":"150","author":"Benninga","year":"2016","journal-title":"Gastroenterology"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1053\/j.gastro.2020.04.014","article-title":"Worldwide Prevalence and Burden of Functional Gastrointestinal Disorders, Results of Rome Foundation Global Study","volume":"160","author":"Sperber","year":"2021","journal-title":"Gastroenterology"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1016\/j.pop.2023.03.006","article-title":"Functional Gastrointestinal Disorders","volume":"50","author":"Duffy","year":"2023","journal-title":"Prim. Care"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1159\/000485409","article-title":"Pathophysiology of Functional Gastrointestinal Disorders: A Holistic Overview","volume":"35","author":"Holtmann","year":"2017","journal-title":"Dig. Dis."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1262","DOI":"10.1053\/j.gastro.2016.02.032","article-title":"Functional Gastrointestinal Disorders: History, Pathophysiology, Clinical Features and Rome IV","volume":"150","author":"Drossman","year":"2016","journal-title":"Gastroenterology"},{"key":"ref_9","unstructured":"Wallner, G., Dziki, A., and D\u0105browski, A. (2018). Zaburzenia Czynno\u015bciowe Uk\u0142adu Pokarmowego, Czelej."},{"key":"ref_10","first-page":"52","article-title":"Nowo\u015bci i modyfikacje w Kryteriach Rzymskich IV","volume":"8","author":"Mulak","year":"2016","journal-title":"Gastroenterol. Klin."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1038\/nrn3071","article-title":"Gut feelings: The emerging biology of gut-brain communication","volume":"12","author":"Mayer","year":"2011","journal-title":"Nat. Rev. Neurosci."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"14S","DOI":"10.1177\/0148607111413772","article-title":"Gut microbiota, intestinal permeability, obesity-induced inflammation, and liver injury","volume":"35","author":"Frazier","year":"2011","journal-title":"JPEN J. Parenter. Enteral Nutr."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1016\/j.coph.2013.09.008","article-title":"Gut microbiota, enteroendocrine functions and metabolism","volume":"13","author":"Cani","year":"2013","journal-title":"Curr. Opin. Pharmacol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1136\/gutjnl-2012-302167","article-title":"Intestinal microbiota in functional bowel disorders: A Rome foundation report","volume":"62","author":"Barbara","year":"2013","journal-title":"Gut"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1500","DOI":"10.1053\/j.gastro.2014.02.037","article-title":"Brain\u2013gut microbiome interactions and functional bowel disorders","volume":"146","author":"Mayer","year":"2014","journal-title":"Gastroenterology"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1016\/S2468-1253(23)00144-9","article-title":"DGBI overlap: A model for a transdiagnostic approach?","volume":"8","author":"Atkins","year":"2023","journal-title":"Lancet Gastroenterol. Hepatol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/s13030-019-0152-5","article-title":"Specific foods can reduce symptoms of irritable bowel syndrome and functional constipation: A review","volume":"13","author":"Okawa","year":"2019","journal-title":"Biopsychosoc. Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1111\/jhn.12506","article-title":"Food and functional dyspepsia: A systematic review","volume":"31","author":"Duncanson","year":"2018","journal-title":"J. Hum. Nutr. Diet"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1211","DOI":"10.1053\/j.gastro.2023.02.033","article-title":"Factor Analysis of the Rome IV Criteria for Major Disorders of Gut-Brain Interaction (DGBI) Globally and Across Geographical, Sex, and Age Groups","volume":"164","author":"Hreinsson","year":"2023","journal-title":"Gastroenterology"},{"key":"ref_20","unstructured":"Wadolowska, L., and Stasiewicz, B. (2014). Procedura Opracowania Danych \u017bywieniowych z Kwestionariusza QEB, Uniwersytet Warmi\u0144sko-Mazurski w Olsztynie."},{"key":"ref_21","unstructured":"WHO (2023, August 27). Physical Activity. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/physical-activity."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1111\/apt.13143","article-title":"Functional gastrointestinal disorders in 35,447 adults and their association with body mass index","volume":"41","author":"Bouchoucha","year":"2015","journal-title":"Aliment. Pharmacol. Ther."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1111\/j.1365-2982.2011.01872.x","article-title":"Life style in persons with functional gastrointestinal disorders large scale internet survey of lifestyle in Japan","volume":"24","author":"Miwa","year":"2012","journal-title":"Neurogastroenterol. Motil."},{"key":"ref_24","first-page":"89","article-title":"Rola FODMAP w zaburzeniach czynno\u015bciowych przewodu pokarmowego Cz\u0119\u015b\u0107 2. Dieta z ograniczeniem FODMAP. Za\u0142o\u017cenia, efekty kliniczne, niepo\u017c\u0105dane nast\u0119pstwa","volume":"12","year":"2015","journal-title":"Stand. Med. Pediatr."},{"key":"ref_25","first-page":"227","article-title":"Ocena zale\u017cno\u015bci mi\u0119dzy sposobem od\u017cywiania a dolegliwo\u015bciami u os\u00f3b z zaburzeniami czynno\u015bciowymi przewodu pokarmowego","volume":"4","year":"2014","journal-title":"Piel. Zdr. Publ."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1701","DOI":"10.1038\/s41395-018-0256-8","article-title":"Burden of Gastrointestinal Symptoms in the United States: Results of a Nationally Representative Survey of Over 71,000 Americans","volume":"113","author":"Almario","year":"2018","journal-title":"Am. J. Gastroenterol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"946","DOI":"10.4103\/jfmpc.jfmpc_173_18","article-title":"Efficiency of diet change in irritable bowel syndrome","volume":"7","author":"Bardisi","year":"2018","journal-title":"J. Family Med. Prim. Care"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"329","DOI":"10.32383\/farmpol\/138856","article-title":"Rola diety i metod leczenia \u017cywieniowego w ograniczeniu dolegliwo\u015bci zespo\u0142u jelita dra\u017cliweg","volume":"77","author":"Balwierz","year":"2021","journal-title":"Farm Pol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"903","DOI":"10.3109\/00365521.2016.1164238","article-title":"Nutritional habits in functional dyspepsia and its subgroups: A comparative study","volume":"51","author":"Dikmen","year":"2016","journal-title":"Scand. J. Gastroenterol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1111\/jhn.12114","article-title":"A dietary survey of patients with irritable bowel syndrome","volume":"27","author":"Hayes","year":"2014","journal-title":"J. Hum. Nutr. Diet"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"222","DOI":"10.5056\/jnm18125","article-title":"Self-reported Food Intolerance in Korean Patients With Irritable Bowel Syndrome","volume":"25","author":"Lee","year":"2019","journal-title":"J. Neurogastroenterol. Motil."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1038\/ajg.2013.105","article-title":"Self-reported food-related gastrointestinal symptoms in IBS are common and associated with more 74 severe symptoms and reduced quality of life","volume":"108","author":"Bengtsson","year":"2013","journal-title":"Am. J. Gastroenterol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"649","DOI":"10.5009\/gnl13437","article-title":"Association between Diet and Lifestyle Habits and Irritable Bowel Syndrome: A Case-Control Study","volume":"9","author":"Guo","year":"2015","journal-title":"Gut Liver"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"73","DOI":"10.5152\/tjg.2015.150238","article-title":"The role of diet in the overlap between gastroesophageal reflux disease and functional dyspepsia","volume":"27","author":"Chirila","year":"2016","journal-title":"Turk. J. Gastroenterol."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Ligaarden, S.C., Lydersen, S., and Farup, P.G. (2012). Diet in subjects with irritable bowel syndrome: A cross-sectional study in the general population. BMC Gastroenterol., 12.","DOI":"10.1186\/1471-230X-12-61"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"0300060520939702","DOI":"10.1177\/0300060520939702","article-title":"Correlation between lifestyle and social factors in functional dyspepsia among college freshmen","volume":"48","author":"Huang","year":"2020","journal-title":"J. Int. Med. Res."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Nilholm, C., Larsson, E., Roth, B., Gustafsson, R., and Ohlsson, B. (2019). Irregular Dietary Habits with a High Intake of Cereals and Sweets Are Associated with More Severe Gastrointestinal Symptoms in IBS Patients. Nutrients, 11.","DOI":"10.3390\/nu11061279"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/14\/4132\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:17:16Z","timestamp":1760109436000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/14\/4132"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,15]]},"references-count":37,"journal-issue":{"issue":"14","published-online":{"date-parts":[[2024,7]]}},"alternative-id":["jcm13144132"],"URL":"https:\/\/doi.org\/10.3390\/jcm13144132","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,15]]}}}