NCT05738343

Brief Summary

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.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
50

participants targeted

Target at P25-P50 for all trials

Timeline
Completed

Started Feb 2023

Shorter than P25 for all trials

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 24, 2023

Completed
27 days until next milestone

Study Start

First participant enrolled

February 20, 2023

Completed
2 days until next milestone

First Posted

Study publicly available on registry

February 22, 2023

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 20, 2024

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

February 20, 2024

Completed
Last Updated

February 22, 2023

Status Verified

February 1, 2023

Enrollment Period

11 months

First QC Date

January 24, 2023

Last Update Submit

February 10, 2023

Conditions

Keywords

irritable bowel syndromepediatricmediterranean dietchildhoodibstreatment

Outcome Measures

Primary Outcomes (1)

  • pediatric patients with IBS adherence to the Mediterranean diet

    adherent patients on enrolled patients

    Day 0

Secondary Outcomes (1)

  • How many pediatric IBS patients who do not adhere to the Mediterranean diet, respond to nutritional intervention?

    Day 7

Interventions

nutritional education or Mediterranean food scheme

Also known as: mediterranean diet

Eligibility Criteria

Age4 Years - 18 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)
Sampling MethodNon-Probability Sample
Study Population

Patients belonging to the Sant'Andrea hospital pediatric gastroenterology clinic, in Rome.

You may qualify if:

  • \- diagnosis of IBS, based on Rome IV criteria.

You may not qualify if:

  • 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.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (29)

  • 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.

    PMID: 29881232BACKGROUND
  • 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.

    PMID: 34787085BACKGROUND
  • 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.

    PMID: 27144632BACKGROUND
  • Saps M, Miranda A. Gastrointestinal Pharmacology. Handb Exp Pharmacol. 2017;239:147-176. doi: 10.1007/164_2016_119.

    PMID: 28236087BACKGROUND
  • 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.

    PMID: 25906454BACKGROUND
  • 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.

    PMID: 28737582BACKGROUND
  • 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.

    PMID: 31336747BACKGROUND
  • 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.

    PMID: 28254269BACKGROUND
  • 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.

    PMID: 32512886BACKGROUND
  • 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.

    PMID: 33255721BACKGROUND
  • 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.

    BACKGROUND
  • 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.

    PMID: 20021690BACKGROUND
  • 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.

    PMID: 32673962BACKGROUND
  • 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.

    PMID: 30231531BACKGROUND
  • 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.

    PMID: 32731568BACKGROUND
  • 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.

    PMID: 19473585BACKGROUND
  • 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.

    PMID: 32314544BACKGROUND
  • 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.

    PMID: 33481106BACKGROUND
  • 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.

    PMID: 31338791BACKGROUND
  • 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.

    PMID: 34620999BACKGROUND
  • 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.

    PMID: 17307345BACKGROUND
  • 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.

    PMID: 14988637BACKGROUND
  • 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.

    PMID: 31892139BACKGROUND
  • 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.

    PMID: 16277825BACKGROUND
  • 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.

    PMID: 30611079BACKGROUND
  • 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.

    PMID: 33679548BACKGROUND
  • 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.

    PMID: 16817681BACKGROUND
  • 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.

    PMID: 34938700BACKGROUND
  • 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.

MeSH Terms

Conditions

Irritable Bowel SyndromeIchthyosis Bullosa of Siemens

Interventions

Diet, Mediterranean

Condition Hierarchy (Ancestors)

Colonic Diseases, FunctionalColonic DiseasesIntestinal DiseasesGastrointestinal DiseasesDigestive System DiseasesIchthyosisSkin AbnormalitiesCongenital AbnormalitiesCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesSkin Diseases, GeneticGenetic Diseases, InbornInfant, Newborn, DiseasesKeratosisSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

Diet, Plant-BasedDiet TherapyNutrition TherapyTherapeuticsDietNutritional Physiological PhenomenaDiet, Food, and NutritionPhysiological Phenomena

Study Officials

  • Giovanni Di Nardo

    Sapienza, UniversitĂ  di Roma

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
observational
Observational Model
CASE ONLY
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

January 24, 2023

First Posted

February 22, 2023

Study Start

February 20, 2023

Primary Completion

January 20, 2024

Study Completion

February 20, 2024

Last Updated

February 22, 2023

Record last verified: 2023-02

Data Sharing

IPD Sharing
Will not share