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Symptoms Associated With Dietary Fiber Supplementation Over Time in Individuals With Fecal Incontinence

Permanent URL:
http://handle.nal.usda.gov/10113/49561
Abstract:
Background: Knowledge about adverse symptoms over time from fiber supplementation is lacking. Purpose: The aim of this study was to compare the severity of adverse gastrointestinal (GI) symptoms during supplementation with dietary fiber or placebo over time in adults with fecal incontinence. A secondary aim was to determine the relationship between symptom severity and emotional upset and their association with study attrition and reducing fiber dose. Methods: Participants (N = 189; 77% female; 92% White; age, M = 58 years, SD = 14 years) with fecal incontinence were randomly assigned to a placebo or a supplement of 16 g total dietary fiber per day from 1 of 3 sources: gum arabic, psyllium, or carboxymethylcellulose. They reported GI symptoms daily during baseline (14 days), incremental fiber dosing (6 days), and 2 segments of steady full fiber dose (32 days total). Results: Severity of symptoms in all groups was minimal. Adjusting for study segment and day, a greater feeling of fullness in the psyllium group was the only symptom that differed from symptoms in the placebo group. The odds of having greater severity of flatus, belching, fullness, and bloating were 1.2-2.0 times greater in the steady dose segment compared with baseline. There was a positive association between symptom severity and emotional upset. Participants with a greater feeling of fullness or bloating or higher scores for total symptom severity or emotional upset were more likely to withdraw from the study sooner or reduce fiber dose. Conclusions: Persons with fecal incontinence experience a variety of GI symptoms over time. Symptom severity and emotional upset appear to influence fiber tolerance and study attrition. Supplements seemed well tolerated.
Author(s):
Bliss, Donna Z. , Savik, Kay , Jung, Hans-Joachim G. , Whitebird, Robin , Lowry, Ann
Subject(s):
middle-aged adults , Whites , women , digestive system diseases , disease severity , signs and symptoms (animals and humans) , bloat , nutritional intervention , dietary fiber , dietary nutrient sources , gum arabic , psyllium gum , carboxymethylcellulose , satiety , psychological stress
Format:
p. S58-S67.
Note:
Includes references
Source:
Nursing research 2011 May-June, v. 60, suppl. 3
Language:
English
Year:
2011
Collection:
Journal Articles, USDA Authors, Peer-Reviewed
File:
Download [PDF File]
Rights:
Works produced by employees of the U.S. Government as part of their official duties are not copyrighted within the U.S. The content of this document is not copyrighted.