- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05738343
Dieta Mediterranea e Sindrome Dell'Intestino Irritabile in Pazienti Pediatrici
Adesione Alla Dieta Mediterranea Dei Pazienti Pediatrici Affetti Dalla Sindrome Dell'Intestino Irritabile (IBS): Studio Pilota
The goal of this observational study is to observe pediatric patients with IBS (irritable bowel syndrome). The main question it aims to answer are:
- adherence to the Mediterranean diet of children with IBS
- in patients not adhering to the Mediterranean diet, evaluate the efficacy of the nutritional intervention Participants will be visited, blood samples will be taken, abdomen ultrasound and they will answer questionnaires.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The goal of this observational study is to observe pediatric patients with IBS (irritable bowel syndrome). the diagnosis of IBS will be placed in reference to the Rome IV criteria. To make a diagnosis, at least 2 of:
- abdominal pain for at least 4 days per month associated with one or more of: pain associated with bowel movements, change in bowel frequency, change in stool consistency must be present.
- In children with constipation, pain persists as the constipation resolves.
- The symptoms are not explained by another medical condition. Participants will be visited, blood samples will be taken, abdomen ultrasound if necessary will be performed and they will answer questionnaires.
The main question it aims to answer are:
- adherence to the Mediterranean diet of children with IBS
- in patients not adhering to the Mediterranean diet, evaluate the efficacy of the nutritional intervention. if BMI between 5 and 85, nutritional education will be carried out for a healthy and correct diet. If BMI between 85 and 95 or greater than 95, personalized Mediterranean food scheme.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Giulia Muzi
- Phone Number: +393289343322
- Email: giulia25muzi@gmail.com
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- diagnosis of IBS, based on Rome IV criteria.
Exclusion Criteria:
- use of NSAIDs in the last 3 months;
- allergies or intolerances;
- recent diagnosis (last 3 months) of bacterial or parasitic infections of the gastrointestinal tract;
- psychiatric diseases;
- chronic inflammatory diseases of the gastrointestinal tract.
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
pediatric patients with IBS adherence to the Mediterranean diet
Time Frame: Day 0
|
adherent patients on enrolled patients
|
Day 0
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
How many pediatric IBS patients who do not adhere to the Mediterranean diet, respond to nutritional intervention?
Time Frame: Day 7
|
Pediatric IBS patients who do not adhere to the Mediterranean diet will be instructed in a correct diet according to the Mediterranean diet or they will have a personalized diet and then the Rome IV criteria will be re-evaluated
|
Day 7
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Giovanni Di Nardo, Sapienza, Università di Roma
Publications and helpful links
General Publications
- WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards based on length/height, weight and age. Acta Paediatr Suppl. 2006 Apr;450:76-85. doi: 10.1111/j.1651-2227.2006.tb02378.x.
- Henry CJ. Basal metabolic rate studies in humans: measurement and development of new equations. Public Health Nutr. 2005 Oct;8(7A):1133-52. doi: 10.1079/phn2005801.
- Iaccarino Idelson P, Scalfi L, Valerio G. Adherence to the Mediterranean Diet in children and adolescents: A systematic review. Nutr Metab Cardiovasc Dis. 2017 Apr;27(4):283-299. doi: 10.1016/j.numecd.2017.01.002. Epub 2017 Jan 12.
- Saps M, Biring HS, Pusatcioglu CK, Mintjens S, Rzeznikiewiz D. A comprehensive review of randomized placebo-controlled pharmacological clinical trials in children with functional abdominal pain disorders. J Pediatr Gastroenterol Nutr. 2015 May;60(5):645-53. doi: 10.1097/MPG.0000000000000718.
- Devanarayana NM, Rajindrajith S. Irritable bowel syndrome in children: Current knowledge, challenges and opportunities. World J Gastroenterol. 2018 Jun 7;24(21):2211-2235. doi: 10.3748/wjg.v24.i21.2211.
- Cassar GE, Youssef J G, Knowles SR, Moulding R, Austin D. The Impact of Diagnostic Status on Quality of Life in Irritable Bowel Syndrome. Turk J Gastroenterol. 2021 Oct;32(10):808-818. doi: 10.5152/tjg.2021.20517.
- Hyams JS, Di Lorenzo C, Saps M, Shulman RJ, Staiano A, van Tilburg M. Functional Disorders: Children and Adolescents. Gastroenterology. 2016 Feb 15:S0016-5085(16)00181-5. doi: 10.1053/j.gastro.2016.02.015. Online ahead of print.
- Saps M, Miranda A. Gastrointestinal Pharmacology. Handb Exp Pharmacol. 2017;239:147-176. doi: 10.1007/164_2016_119.
- Bhesania N, Cresci GAM. A nutritional approach for managing irritable bowel syndrome. Curr Opin Pediatr. 2017 Oct;29(5):584-591. doi: 10.1097/MOP.0000000000000536.
- Paduano D, Cingolani A, Tanda E, Usai P. Effect of Three Diets (Low-FODMAP, Gluten-free and Balanced) on Irritable Bowel Syndrome Symptoms and Health-Related Quality of Life. Nutrients. 2019 Jul 11;11(7):1566. doi: 10.3390/nu11071566.
- Manzano-Carrasco S, Felipe JL, Sanchez-Sanchez J, Hernandez-Martin A, Gallardo L, Garcia-Unanue J. Weight Status, Adherence to the Mediterranean Diet, and Physical Fitness in Spanish Children and Adolescents: The Active Health Study. Nutrients. 2020 Jun 4;12(6):1680. doi: 10.3390/nu12061680.
- Serra-Majem L, Tomaino L, Dernini S, Berry EM, Lairon D, Ngo de la Cruz J, Bach-Faig A, Donini LM, Medina FX, Belahsen R, Piscopo S, Capone R, Aranceta-Bartrina J, La Vecchia C, Trichopoulou A. Updating the Mediterranean Diet Pyramid towards Sustainability: Focus on Environmental Concerns. Int J Environ Res Public Health. 2020 Nov 25;17(23):8758. doi: 10.3390/ijerph17238758.
- Mannocci A, Di Thiene D, Del Cimmuto A, Masala D, Boccia A, De Vito E, La Torre G. International Physical Activity Questionnaire: validation and assessment in an Italian sample. Ital J Public Health 2010; 7(4):369-76.
- Veiga OL, Gomez-Martinez S, Martinez-Gomez D, Villagra A, Calle ME, Marcos A; AFINOS Study Group. Physical activity as a preventive measure against overweight, obesity, infections, allergies and cardiovascular disease risk factors in adolescents: AFINOS Study protocol. BMC Public Health. 2009 Dec 19;9:475. doi: 10.1186/1471-2458-9-475.
- Zanini B, Simonetto A, Bertolotti P, Marullo M, Marconi S, Becchetti C, Gilioli G, Valerio A, Donato F, Ricci C, Castellano M. A new self-administered semi-quantitative food frequency questionnaire to estimate nutrient intake among Italian adults: development design and validation process. Nutr Res. 2020 Aug;80:18-27. doi: 10.1016/j.nutres.2020.05.008. Epub 2020 May 19.
- Archero F, Ricotti R, Solito A, Carrera D, Civello F, Di Bella R, Bellone S, Prodam F. Adherence to the Mediterranean Diet among School Children and Adolescents Living in Northern Italy and Unhealthy Food Behaviors Associated to Overweight. Nutrients. 2018 Sep 18;10(9):1322. doi: 10.3390/nu10091322.
- Bonaccorsi G, Furlan F, Scocuzza M, Lorini C. Adherence to Mediterranean Diet among Students from Primary and Middle School in the Province of Taranto, 2016-2018. Int J Environ Res Public Health. 2020 Jul 28;17(15):5437. doi: 10.3390/ijerph17155437.
- Trapanotto M, Giorgino D, Zulian F, Benini F, Varni JW. The Italian version of the PedsQL in children with rheumatic diseases. Clin Exp Rheumatol. 2009 Mar-Apr;27(2):373-80.
- Gallagher D, Andres A, Fields DA, Evans WJ, Kuczmarski R, Lowe WL Jr, Lumeng JC, Oken E, Shepherd JA, Sun S, Heymsfield SB. Body Composition Measurements from Birth through 5 Years: Challenges, Gaps, and Existing & Emerging Technologies-A National Institutes of Health workshop. Obes Rev. 2020 Aug;21(8):e13033. doi: 10.1111/obr.13033. Epub 2020 Apr 20.
- Van Eyck A, Eerens S, Trouet D, Lauwers E, Wouters K, De Winter BY, van der Lee JH, Van Hoeck K, Ledeganck KJ. Body composition monitoring in children and adolescents: reproducibility and reference values. Eur J Pediatr. 2021 Jun;180(6):1721-1732. doi: 10.1007/s00431-021-03936-0. Epub 2021 Jan 22.
- Dos Santos RRG, Forte GC, Mundstock E, Amaral MA, da Silveira CG, Amantea FC, Variani JF, Booij L, Mattiello R. Body composition parameters can better predict body size dissatisfaction than body mass index in children and adolescents. Eat Weight Disord. 2020 Oct;25(5):1197-1203. doi: 10.1007/s40519-019-00750-4. Epub 2019 Jul 23.
- Orsso CE, Gonzalez MC, Maisch MJ, Haqq AM, Prado CM. Using bioelectrical impedance analysis in children and adolescents: Pressing issues. Eur J Clin Nutr. 2022 May;76(5):659-665. doi: 10.1038/s41430-021-01018-w. Epub 2021 Oct 7.
- Guida B, Pietrobelli A, Trio R, Laccetti R, Falconi C, Perrino NR, Principato S, Pecoraro P. Body mass index and bioelectrical vector distribution in 8-year-old children. Nutr Metab Cardiovasc Dis. 2008 Feb;18(2):133-41. doi: 10.1016/j.numecd.2006.08.008. Epub 2007 Feb 16.
- Savino F, Cresi F, Grasso G, Oggero R, Silvestro L. The Biagram vector: a graphical relation between reactance and phase angle measured by bioelectrical analysis in infants. Ann Nutr Metab. 2004;48(2):84-9. doi: 10.1159/000077042. Epub 2004 Feb 25.
- Galan-Lopez P, Sanchez-Oliver AJ, Pihu M, Gisladottir T, Dominguez R, Ries F. Association between Adherence to the Mediterranean Diet and Physical Fitness with Body Composition Parameters in 1717 European Adolescents: The AdolesHealth Study. Nutrients. 2019 Dec 27;12(1):77. doi: 10.3390/nu12010077.
- Garcia-Hermoso A, Vegas-Heredia ED, Fernandez-Vergara O, Ceballos-Ceballos R, Andrade-Schnettler R, Arellano-Ruiz P, Ramirez-Velez R. Independent and combined effects of handgrip strength and adherence to a Mediterranean diet on blood pressure in Chilean children. Nutrition. 2019 Apr;60:170-174. doi: 10.1016/j.nut.2018.08.019. Epub 2018 Oct 18.
- Iglesias-Soler E, Rua-Alonso M, Rial-Vazquez J, Lete-Lasa JR, Clavel I, Giraldez-Garcia MA, Rico-Diaz J, Corral MR, Carballeira-Fernandez E, Dopico-Calvo X. Percentiles and Principal Component Analysis of Physical Fitness From a Big Sample of Children and Adolescents Aged 6-18 Years: The DAFIS Project. Front Psychol. 2021 Feb 19;12:627834. doi: 10.3389/fpsyg.2021.627834. eCollection 2021.
- Fuentes-Servin J, Avila-Nava A, Gonzalez-Salazar LE, Perez-Gonzalez OA, Servin-Rodas MDC, Serralde-Zuniga AE, Medina-Vera I, Guevara-Cruz M. Resting Energy Expenditure Prediction Equations in the Pediatric Population: A Systematic Review. Front Pediatr. 2021 Dec 6;9:795364. doi: 10.3389/fped.2021.795364. eCollection 2021.
- Al-Biltagi M, El Amrousy D, El Ashry H, Maher S, Mohammed MA, Hasan S. Effects of adherence to the Mediterranean diet in children and adolescents with irritable bowel syndrome. World J Clin Pediatr. 2022 Jul 9;11(4):330-340. doi: 10.5409/wjcp.v11.i4.330. eCollection 2022 Jul 9.
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CE 6885/2022
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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