Meta AnalysisID 2838

菊粉补充剂治疗功能性便秘的疗效和安全性:系统评价方案

CRD42020189234

1. Does inulin supplement have an advantage in improving the frequency of bowel movements (completely spontaneous bowel movements per week) in patients with chronic idiopathic constipation? 2. Are there any side effects

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Meta Analysis Id
2838
Evidence Id
11396
Core Evidence Id
11396
Source Meta Analysis Id
2781
Herb2 Meta Analysis Id
HBMA002781
Crd Id
CRD42020189234
Title
The efficacy and safety of inulin supplementation for functional constipation:a systematic review protocol
Review Question
1. Does inulin supplement have an advantage in improving the frequency of bowel movements (completely spontaneous bowel movements per week) in patients with chronic idiopathic constipation? 2. Are there any side effects and adverse reactions during the treatment of chronic idiopathic constipation by inulin supplement?
Study Type Included
We will include randomised controlled trials (RCTs).
Condition Being Studied
FC is a common functional gastrointestinal disease and one of the most common gastrointestinal diseases of outpatients. The incidence of constipation in the world is about 15%. FC does not threaten the life of the patient, but it seriously affects the patient's quality of life (QOL) and causes high medical expenses. The occurrence of constipation is inversely related to the intake of dietary fiber (fruits, vegetables). A low-fiber diet can induce constipation. Currently, medical treatment is not satisfactory in continuously improving the symptoms and quality of life of FC patients, and side effects such as electrolyte disturbance, diarrhea, and nausea are often reporte. Inulin is a kind of water-soluble dietary fiber, which is a kind of polysaccharide. It is not digested and absorbed by the gastrointestinal tract in the body. Due to the improvement of stool quality and frequency, in 2003, the US FDA has confirmed inulin as a recognized safe substance. Studies have shown that inulin can improve constipation by adjusting intestinal flora. At present, some clinical trials have shown the advantages of inulin in treating constipation. Therefore, it is necessary to conduct a meta-analysis to further evaluate the effectiveness and safety of inulin in the treatment of functional constipation.
Participant
Inclusion criteria: 1. Whether or not to use blinded randomized controlled trials (RCT); 2. Including patients diagnosed with functional constipation, regardless of age, gender and race; 3. Use inulin alone or in combination with other drugs (food); 4. The control group can receive any conventional therapy; and report data on the efficacy and safety of the treatment.
Animal
Human Disease Modelled
Intervention
Inulin-type fructans (including natural inulin, oligofructose or inulin HP) provided in diets / specific foods or as dietary supplements can be used alone or in combination. We will consider an RCT with a minimum duration of 7 days for intervention.
Comparator Control
The control group included placebo, no intervention, acupuncture, massage, Chinese herbal medicine, diet therapy, exercise therapy, Western traditional medicine (WCM) or any other intervention.
Main Outcome
The main efficacy indicators include clinical effectiveness and CSBM number. Safety indicators include liver and kidney function, blood routine, and also include adverse events during treatment, such as abdominal cramps, abdominal pain, nausea, vomiting, dizziness, diarrhea, rash, headache, constipation, bradycardia, skin disease and flatulence Wait. Measures of effect Time of measurement will not be restricted.
Outcome Measure
Additional Outcome
1.Patient Assessment of Constipation symptom(PAC-SYM); 2.Patient Assessment of Constipation Quality of Life Questionnaire(PAC-QOL); 3.Self-rating Anxiety Scale(SAS) and Self-rating Depression Scale(SDS); 4. Transit time measurement (radiopaque markers), functional rectoanal evaluation (proctoscopy, anorectal manometry, defecography, cinedefecography), or electromyography (EMG); 5. Number and types of adverse events. Measures of effect Time of measurement will not be restricted.
Study Method
Keyword
Constipation; Diagnostic Tests, Routine; Dietary Supplements; Humans; Inulin
Contact
XINYUAN LIU [email protected]
Organisational Affiliation
Beijing University of Chinese Medicine http://www.bucm.edu.cn/
Funding Source
No fund sponsorship
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
China
Review Stage
Review Ongoing
First Submission Date
2020-05-31
Registration Date
2020-07-05
Anticipated Start Date
2020-05-31
Anticipated Completion Date
2020-06-30
Title Cn
菊粉补充剂治疗功能性便秘的疗效和安全性:系统评价方案
Title En
The efficacy and safety of inulin supplementation for functional constipation:a systematic review protocol
Bilingual Status
complete