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Fructose- and Sorbitol-reduced Diet Improves
Fructose- and Sorbitol-reduced Diet Improves Mood and Gastrointestinal
Disturbances in Fructose Malabsorbers
M. Ledochowski, B. Widner, H. Bair, T. Probst D. Fuchs
Dept. of Clinical Nutrition, Institute of Medical Chemistry and Biochemistry, and
Dept. of Gastroenterology, University of Innsbruck, Innsbruck, Austria
Ledochowski M, Widner B, Bair H, Probst T, Fuchs D. Fructose- and sorbitol-reduced diet im-
proves mood and gastrointestinal disturbances in fructose malabsorbers. Scand J Gastroenterol 2000;
35:1048–1052.
Background: Fructose malabsorption is characterized by the inability to absorb fructose efficiently. As a
consequence fructose reaches the colon where it is broken down by bacteria to short fatty acids, CO2 and
H2. Bloating, cramps, osmotic diarrhea and other symptoms of irritable bowel syndrome are the
consequences and can be seen in about 50% of fructose malabsorbers. We have previously shown that
fructose malabsorption is associated with early signs of mental depression and low serum tryptophan
concentrations. It was therefore of interest whether a fructose-reduced diet could not only improve
gastrointestinal complaints but also depressive signs seen in fructose malabsorbers. Methods: Fifty-three
adults (12 males, 41 females), who were identified as fructose malabsorbers according to their breath-H2
concentrations, filled out a Beck’s depression inventory-questionnaire, and a questionnaire with arbitrary
scales for measurement of meteorism, stool frequency and quality of life for a 4-week period before dietary
intervention and 4 weeks after dietary change as for fructose- and sorbitol-reduced diet. Results:
Depression scores were reduced by 65.2% after 4 weeks of diet (P 0.0001), and there was a significant
reduction of meteorism (P 0.0001) and stool frequency (P 0.01). Improvement of signs of depression
and of meteorism was more pronounced in females than in males. Conclusion: Fructose- and sorbitol-
reduced diet in subjects with fructose malabs
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