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. 2023 Aug;36(4):1529-1538.
doi: 10.1111/jhn.13158. Epub 2023 Mar 9.

Nutritional practices and dietetic provision in the endometriosis population, with a focus on functional gut symptoms

Komal Deepak Kumar  1   2 , Bridie Appleby-Gunnill  2 , Kate Maslin  2
Affiliations

Nutritional practices and dietetic provision in the endometriosis population, with a focus on functional gut symptoms

Komal Deepak Kumar et al. J Hum Nutr Diet. 2023 Aug.

Abstract

Background: Endometriosis is a common condition causing chronic pain, fatigue and gut symptoms. Research suggests that dietary changes may improve symptoms; however, evidence is lacking. The present study aimed to investigate the nutritional practices and needs of individuals with endometriosis (IWE) and the management of endometriosis by dietitians in the UK, focusing on gut symptoms.

Methods: Two online questionnaires were distributed via social media: a survey of dietitians working with IWE and functional gut symptoms and a survey of IWE.

Results: All respondents to the dietitian survey (n = 21) used the low fermentable oligosaccharides disaccharides monosaccharides and polyols (FODMAP) diet in IWE, with the majority 69.3% (n = 14), reporting positive adherence and patient benefit. Dietitians recommended more training (85.7%, n = 18) and resources (81%, n = 17) for IWE. Of those who completed the IWE questionnaire (n = 1385), 38.5% (n = 533) had coexisting irritable bowel syndrome. Only 24.1% (n = 330) had satisfactory relief of gut symptoms. The most common symptoms were tiredness, bloating and abdominal pain, experienced by 85.5% (n = 1163), 75.3% (n = 1025) and 67.3% (n = 917), respectively. Some 52.2% (n = 723) had tried dietary modifications to relieve their gut symptoms; 36.7% (n = 500) ate a restricted diet at present; 13.5% (n = 184) experienced recent unintentional weight loss and 29.8% (n = 407) a decreased appetite Some 13.2% (n = 183) had seen a dietitian regarding their gut symptoms. Of those who had not seen a dietitian, 57.7% (n = 693) would find it useful to.

Conclusions: Gut symptoms and dietary restriction are very common in IWE; however, dietetic input is not. More research on the role of nutrition and dietetics in the management of endometriosis is recommended.

Keywords: dietetic provision; endometriosis; functional gut symptoms; irritable bowel syndrome.

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References

REFERENCES

    1. Zondervan KT, Becker CM, Koga K, Missmer SA, Taylor RN, Viganò P. Endometriosis. Nat Rev Dis Primers. 2018;4:9.
    1. Zondervan KT, Becker CM, Missmer SA. Endometriosis. N Engl J Med. 2020;382:1244-56.
    1. All Party Parliamentary Group on Endometriosis. Endometriosis in the UK: Time for change. APPG on Endometriosis Inquiry Report 2020. https://www.endometriosis-uk.org/sites/default/files/files/Endometriosis... (2020). Accessed July 2022.
    1. Tomassetti C, Johnson NP, Petrozza J, Abrao MS, Einarsson JI, Horne AW, et al. An international terminology for endometriosis, 2021. J Minim Invasive Gynecol. 2021;28:1849-59.
    1. Saunders PTK, Horne AW. Endometriosis: etiology, pathobiology, and therapeutic prospects. Cell. 2021;184:2807-24.

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