Our Lady of Fatima University

120 McArthur Highway, Valenzuela City, Philippines

Bachelor of Science In Nursing

EVIDENCE-BASED RESEARCH:
Dietary Management for Patient with Gastrointestinal Disease
In Partial Fulfillment of the Requirements in NCMB 316

Submitted by:
Sagun, Althea Dominique R.
BSN 3 - YA - 1

Submitted to:
Potenciana Maroma, MAN, RN.

February, 2023
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I. *INSERT TITLE OF CHOSEN ARTICLE*

A. Article contents (ALL)
B. etc.
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II. REFLECTION PAPER

After reading and studying gastrointestinal disease, I learned that it has

connection with Hypermobile Ehlers-Danlos syndrome also known as hEDS and
hypermobility spectrum disorder which also known as HSD. So what are Hypermobile
Ehlers-Danlos syndrome and Hypermobility spectrum disorder? These two are
hereditary connective tissue disorders involving joint hypermobility and coexisting
multisystem symptoms. One large case-control found out that around 98% of individuals
diagnosed with hEDS/HSD have one or more functional gastrointestinal disorders.
Dysphagia, gastroesophageal reflux, dyspepsia, dysbiosis, bloating, abdominal pain,
and irritable bowel syndrome are examples of functional gastrointestinal disease. So if
you are diagnosed with hEDS or HSD, what are you going to do in order to cure or to
avoid having functional gastrointestinal disorder? Let us talk about dietary management
for patients with gastrointestinal disease.
One study in United Kingdom shows that irritable bowel syndrome or IBS is the
most common functional gastrointestinal disorder for patients diagnosed with hEDS and
HSD. In addition to that, chronic fatigue and gastroesophageal reflux disease are also
present. Nutraceutical use was reported by those participants and vitamin D was the
most frequently used by them, followed by multi-vitamins and minerals, magnesium,
and vitamin C.
Dietary intake recommendations such as vegetables, antioxidant rich food,
protein, omega-3, unsaturated and saturated fats, and processed meats, alongside
support for putting nutritional knowledge into practice could contribute to generalized
nutritional strategy for individuals with hEDS/HSD. Additionally, high levels of sugar
consumption and inadequate hydration were concerning and warrant
consideration, due to their negative impacts on gastrointestinal function. Whilst there is
lack of high-level evidence for dietary interventions in hEDS/HSD, a generalized anti-
inflammatory diet, due to the potential for pro-inflammatory states, with additional
personalized aspects to account for specific comorbidity, such as irritable bowel
syndrome, underpinned with evidence where available, may form part of initial dietary
management.
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Integrative modalities, utilizing a systems-biology whole-person approach and

combining dietary and lifestyle methods to improve
general health [100–102], may provide options for delivering personaliased and
evidence-based guidance to improve nutrition of individuals with hEDS/HSD.
Furthermore, dietary behaviour change could be supported by techniques such as
motivational interviewing, which aims to increase motivation and compliance, thereby
enabling individuals to maintain dietary changes longer term.
Overall, taking a good care of our body is a must. A good exercise together with
a good diet will keep our body in good condition. We can avoid a lot of diseases by
simply taking care of ourselves. Prevention is always better than cure, so it is better if
we prevent things from happening in advance.
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PROOF OF TRANSACTION
(lrc@fatima.edu.ph)

REFERENCES
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(APA FORMAT - Alphabetical Order)

Paiba N. Harris M. (2023) Nutritional knowledge, attitudes and dietary behaviours amongst
individuals with hypermobility syndromes and associations with co-morbid
gastrointestinal symptoms and fatigue: an observational study. European Journal of Integrative
Medicine. Retrieved from
https://mail.google.com/mail/u/0/#sent/QgrcJHsTfRLlQHntGgkGdZbpsRBQbXFpTqG?
projector=1&messagePartId=0.1