HOW CAN WE IMPROVE SYMPTOM CONTROL AND QUALITY OF LIFE IN IBS PATIENTS? – INSIGHTS INTO THE ROLE OF LOW-FODMAP DIET, PHYSICAL ACTIVITY, AND OTHER KEY LIFESTYLE DETERMINANTS

Introduction, purpose: Irritable bowel syndrome (IBS) is a prevalent functional gastrointestinal disorder marked by chronic abdominal pain and altered bowel habits without clear structural abnormalities. It often coexists with psychological distress and lifestyle-related challenges, significantly reducing patients’ quality of life. This paper explores dietary, physical, psychological, and environmental factors that influence IBS symptom severity and progression, with emphasis on their impact on well-being. Key topics include the role of diet—particularly the low-FODMAP approach—and its effects on symptom relief and gut microbiota, as well as potential risks like nutrient deficiencies. The analysis also considers the benefits of regular physical activity, not only in reducing symptoms but in improving mood and quality of life. Additionally, links between poor sleep, chronic stress, and alcohol intake are addressed. Materials and methods: A systematic literature review was conducted using the PubMed database to explore the current state of knowledge regarding IBS, with particular focus on impact of lifestyle. Conclusion: The findings underscore the importance of a multidisciplinary approach to IBS treatment, integrating both clinical and lifestyle strategies. Personalized dietary interventions, regular physical activity, effective stress management, adequate sleep, and moderation in alcohol intake should be viewed as essential, not optional, components of care. Together, these elements offer a comprehensive strategy that not only improves symptom control but also supports long-term health and enhances patients’ overall quality of life.