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               <dc:title>Impact of bread diet on intestinal dysbiosis and irritable bowel syndrome symptoms in quiescent ulcerative colitis: A pilot study</dc:title>
               <dc:creator>Lluansí Salis, Aleix</dc:creator>
               <dc:creator>Llirós Dupré, Marc</dc:creator>
               <dc:creator>Carreras-Torres, Robert</dc:creator>
               <dc:creator>Bahí, Anna</dc:creator>
               <dc:creator>Capdevila, Montserrat</dc:creator>
               <dc:creator>Feliu, Anna</dc:creator>
               <dc:creator>Vilà i Quintana, Laura</dc:creator>
               <dc:creator>Elias-Masiques, Núria</dc:creator>
               <dc:creator>Cueva, Emilio</dc:creator>
               <dc:creator>Peries, Laia</dc:creator>
               <dc:creator>Torrealba, Leyanira</dc:creator>
               <dc:creator>Miquel Cusachs, Josep Oriol</dc:creator>
               <dc:creator>Sàbat Mir, Míriam</dc:creator>
               <dc:creator>Busquets Casals, David</dc:creator>
               <dc:creator>López, Carmen</dc:creator>
               <dc:creator>Delgado Aros, Sílvia</dc:creator>
               <dc:creator>Garcia-Gil, L. J.</dc:creator>
               <dc:creator>Elias, Isidre</dc:creator>
               <dc:creator>Aldeguer i Manté, Xavier</dc:creator>
               <dc:subject>Colitis ulcerosa</dc:subject>
               <dc:subject>Ulcerative colitis</dc:subject>
               <dc:subject>Intestins -- Microbiologia</dc:subject>
               <dc:subject>Intestines -- Microbiology</dc:subject>
               <dc:subject>Intestins -- Inflamació</dc:subject>
               <dc:subject>Inflammatory bowel diseases</dc:subject>
               <dc:description>Gut microbiota may be involved in the presence of irritable bowel syndrome (IBS)-like symptomatology in ulcerative colitis (UC) patients in remission. Bread is an important source of dietary fiber, and a potential prebiotic. To assess the effect of a bread baked using traditional elaboration, in comparison with using modern elaboration procedures, in changing the gut microbiota and relieving IBS-like symptoms in patients with quiescent ulcerative colitis. Thirty-one UC patients in remission with IBS-like symptoms were randomly assigned to a dietary intervention with 200 g/d of either treatment or control bread for 8 weeks. Clinical symptomatology was tested using questionnaires and inflammatory parameters. Changes in fecal microbiota composition were assessed by high-throughput sequencing of the 16S rRNA gene. A decrease in IBS-like symptomatology was observed after both the treatment and control bread interventions as reductions in IBS-Symptom Severity Score values (p-value &lt; 0.001) and presence of abdominal pain (p-value &lt; 0.001). The treatment bread suggestively reduced the Firmicutes/Bacteroidetes ratio (p-value = 0.058). In addition, the Firmicutes/Bacteroidetes ratio seemed to be associated with improving IBS-like symptoms as suggested by a slight decrease in patient without abdominal pain (p-value = 0.059). No statistically significant differential abundances were found at any taxonomic level. The intake of a bread baked using traditional elaboration decreased the Firmicutes/Bacteroidetes ratio, which seemed to be associated with improving IBS-like symptoms in quiescent ulcerative colitis patients. These findings suggest that the traditional bread elaboration has a potential prebiotic effect improving gut health (ClinicalTrials.gov ID number of study: NCT05656391)</dc:description>
               <dc:date>2024-02-16</dc:date>
               <dc:type>info:eu-repo/semantics/article</dc:type>
               <dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
               <dc:type>peer-reviewed</dc:type>
               <dc:relation>info:eu-repo/semantics/altIdentifier/doi/10.1371/journal.pone.0297836</dc:relation>
               <dc:relation>info:eu-repo/semantics/altIdentifier/eissn/1932-6203</dc:relation>
               <dc:rights>Attribution 4.0 International (CC BY 4.0)</dc:rights>
               <dc:rights>https://creativecommons.org/licenses/by/4.0/</dc:rights>
               <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
               <dc:publisher>Public Library of Science (PLoS)</dc:publisher>
               <dc:source>PLoS One, 2024, vol. 19, núm. 2, p. e0297836</dc:source>
               <dc:source>Articles publicats (IdIBGi)</dc:source>
               <dc:source>Lluansí Salis, Aleix Llirós Dupré, Marc Carreras Torres, Robert Bahí, Anna Capdevila, Montserrat Feliu, Anna Vilà i Quintana, Laura Elias-Masiques, Núria Cueva, Emilio Peries, Laia Torrealba, Leyanira Miquel Cusachs, Josep Oriol Sàbat Mir, Míriam Busquets Casals, David López, Carmen Delgado Aros, Sílvia Garcia-Gil, L. J. Elias, Isidre Aldeguer i Manté, Xavier 2024 Impact of bread diet on intestinal dysbiosis and irritable bowel syndrome symptoms in quiescent ulcerative colitis: A pilot study PLoS One 19 2 e0297836</dc:source>
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