The short term effects of GAPS diet protocol in patients with irritable bowel disease

The aim of this study is the evaluate the short term effects of GAPS diet protocol on irratable bowel syndrome patients. Between 30 December 2017 and 30 March 2018, 15 voluntary (Female 8, Male 7) adult patients were enrolled in the study who was referred to Kocaeli Unıversity Gastroenterology Polyclinic and was diagnosed as irratable bowel disease. The personality of patients and some dietary habits are recorded with an questionnary form. The dietary status of patients and the form of frequency for dietary consumption were determined by a 24 hour dietary consumption record. The antropometric values of patients were recorded and their degrees of quality of life were determined by IBS QOL scale. The mean age of patients were 30.3 ±11.60 years. When the dietary status of patients were evaluated and the mean energy measurement was calculated as 1777,2 ± 697,7 kcal, with mean protein measurement as 77,21 ± 34,67 gr, mean lipid measurement as 68,54± 26,60 gr, mean carbohydrate measurement as 205,89 ± 99,75 gr , mean cholesterol measurement as 318,15 ± 196,92 mg, mean fiber measurement as 20,75 ± 11,73 gr, mean multiple undigested fat measurement as 14,39 ± 7,49 respectively. At the beginning BMI values of patients were between 18,5 kg/m² - 42,2 kg/m² and mean BMI value was calculated as 23,85 ± 5,61 kg/m². At the end BMI values of patients were between 18,3 kg/m² - 42,2 kg/m² and mean BMI value was calculated as 23,77 ± 5,62 kg/m². 33,3 % of the patients were graduated from high school and 66,7% of the patients were graduated from university or higher degree. 20% of patients were performing exercises regularly. 73,3% of them reported that they had a change in their body weight in the last 6 months. 46,7 % of them reported that they had sunbathed and 6,7% of them reported that they smoke and 20% of them reported that they drink alcohol. All of the patients reported that the present problem they have been facing is affecting their life adversely. Family history was recorded in 26% of them. 46,7% of them were newly diagnosed as IBS, while 53,3% of them were diagnosed before . 60 % of the patients had compliant of bloating and meteorism while 26,7% of them were complianing from diarrhea and 13,3% of them constipation. 46,7% of the patients reported that they had sitophobia because of the disease symptoms. 57,1% of the patients with sitophobia reported that they avoid consumpting legume family while 14,3% of the patients avoid consumpting raw vegetables and fruits and 28,6% of the patients avoid consumpting margines and fatty diets. 20% of the patients reported that they use a special diet given by a doctor/dietitian. 80% of the patient which have a knowledge about GAPS Feeding Protocol reported that they got the information from a doctor/dietitian while 20% of them got the information from their friends. All of the patients repoted that they don't have enough information about GAPS Feeding Protocol.20% of them reported they had information about prebiotic/probiotic food. 13,3% of them reported they use kefir while 86,7% reported that they do not use probiotic food. As a result, it was reported that symptoms related to feeding, changes from person to person in Irrıtable Bowel Disease. As a second result of study, GAPS Feeding Protocol was found to increase life quality of patients with irritable bowel disease with concomitant medical treatment and psychological treatment.