Gut Liver.  2011 Mar;5(1):22-28.

Probiotic Fermented Milk Containing Dietary Fiber Has Additive Effects in IBS with Constipation Compared to Plain Probiotic Fermented Milk

Affiliations
  • 1Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. plrhee@skku.edu
  • 2Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
  • 3Nano Bio-Resources Center, Sookmyung Women's University, Seoul, Korea.
  • 4Department of Food and Nutrition, Sookmyung Women's University, Seoul, Korea.
  • 5R&D Center, NamYang Dairy Products Co., Ltd., Gongju, Korea.

Abstract

BACKGROUND/AIMS
Although controversial, probiotics and dietary fiber are commonly used for patients with irritable bowel syndrome (IBS). We evaluated the effects of multistrain probiotics on the symptoms of IBS to determine whether the addition of dietary fi ber had an additive effect on constipation-predominant IBS.
METHODS
A total of 142 participants who met the Rome III criteria were recruited and randomized into a control group or a test group. Participants in the control group received multistrain probiotic fermented milk with Streptococcus thermophilus, Lactobacillus acidophilus and Bifidobacterium infantis; the participants in the test group received the same probiotic fermented milk mixed with dietary fi ber such as sea tangle extracts, radish extracts and glasswort extracts. The patients were treated for four weeks.
RESULTS
Most of the symptoms of IBS, with the exception of fl atulence, stool consistency, and frequency of defecation, signifi cantly improved in both groups. In the analysis of IBS subtypes, especially constipation-predominant IBS, the frequency and duration of defecation and straining at stool were improved more in the test group than in the control group.
CONCLUSIONS
Dietary fiber had additive benefits for the symptoms of constipation, especially in constipation-predominant IBS.

Keyword

Constipation; Dietary fiber; Irritable bowel syndrome; Probiotic fermented milk

MeSH Terms

Bifidobacterium
Constipation
Defecation
Dietary Fiber
Humans
Irritable Bowel Syndrome
Lactobacillus acidophilus
Milk
Probiotics
Raphanus
Rome
Sprains and Strains
Streptococcus thermophilus
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