The association between adult-type hypolactasia and symptoms of functional dyspepsia

Abstract Functional dyspepsia and lactose intolerance (adult-type hypolactasia, ATH) are common conditions that may coexist or even be confounded. Their clinical presentation can be similar, however, lactose intolerance does not form part of the diagnostic investigation of functional dyspepsia. Stud...

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Main Authors: André Castagna Wortmann, Daniel Simon, Luiz Edmundo Mazzoleni, Guilherme Becker Sander, Carlos Fernando de Magalhães Francesconi, Débora Dreher Nabinger, Camila Schultz Grott, Tássia Flores Rech, Felipe Mazzoleni, Vagner Ricardo Lunge, Laura Renata de Bona, Tobias Cancian Milbradt, Themis Reverbel da Silveira
Format: Article
Language:English
Published: Sociedade Brasileira de Genética 2018-01-01
Series:Genetics and Molecular Biology
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-47572018005001103&lng=en&tlng=en
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author André Castagna Wortmann
Daniel Simon
Luiz Edmundo Mazzoleni
Guilherme Becker Sander
Carlos Fernando de Magalhães Francesconi
Débora Dreher Nabinger
Camila Schultz Grott
Tássia Flores Rech
Felipe Mazzoleni
Vagner Ricardo Lunge
Laura Renata de Bona
Tobias Cancian Milbradt
Themis Reverbel da Silveira
author_facet André Castagna Wortmann
Daniel Simon
Luiz Edmundo Mazzoleni
Guilherme Becker Sander
Carlos Fernando de Magalhães Francesconi
Débora Dreher Nabinger
Camila Schultz Grott
Tássia Flores Rech
Felipe Mazzoleni
Vagner Ricardo Lunge
Laura Renata de Bona
Tobias Cancian Milbradt
Themis Reverbel da Silveira
author_sort André Castagna Wortmann
collection DOAJ
description Abstract Functional dyspepsia and lactose intolerance (adult-type hypolactasia, ATH) are common conditions that may coexist or even be confounded. Their clinical presentation can be similar, however, lactose intolerance does not form part of the diagnostic investigation of functional dyspepsia. Studies on the association between functional dyspepsia and ATH are scarce. This study aimed to evaluate whether ATH is associated with symptoms of functional dyspepsia. Patients fulfilling the Rome III diagnostic criteria for functional dyspepsia underwent genetic testing for ATH. Dyspeptic symptoms were evaluated and scored according to a validated questionnaire. The diagnostic criteria for ATH was a CC genotype for the -13910C/T polymorphism, located upstream of the lactase gene. The mean scores for dyspeptic symptoms were compared between patients with ATH and those with lactase persistence. A total of 197 functional dyspeptic patients were included in the study. Mean age was 47.7 years and 82.7% patients were women. Eighty-eight patients (44.7%) had a diagnosis of ATH. Abdominal bloating scores were higher in ATH patients compared to the lactase persistent patients (P=0.014). The remaining dyspeptic symptom scores were not significantly different between the two groups. The study results demonstrate an association between ATH and bloating in patients with functional dyspepsia.
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spelling doaj.art-55df4d05b0cc4cc080d7c089a5cbe1ac2022-12-22T00:44:09ZengSociedade Brasileira de GenéticaGenetics and Molecular Biology1678-46852018-01-01010.1590/1678-4685-gmb-2017-0015S1415-47572018005001103The association between adult-type hypolactasia and symptoms of functional dyspepsiaAndré Castagna WortmannDaniel SimonLuiz Edmundo MazzoleniGuilherme Becker SanderCarlos Fernando de Magalhães FrancesconiDébora Dreher NabingerCamila Schultz GrottTássia Flores RechFelipe MazzoleniVagner Ricardo LungeLaura Renata de BonaTobias Cancian MilbradtThemis Reverbel da SilveiraAbstract Functional dyspepsia and lactose intolerance (adult-type hypolactasia, ATH) are common conditions that may coexist or even be confounded. Their clinical presentation can be similar, however, lactose intolerance does not form part of the diagnostic investigation of functional dyspepsia. Studies on the association between functional dyspepsia and ATH are scarce. This study aimed to evaluate whether ATH is associated with symptoms of functional dyspepsia. Patients fulfilling the Rome III diagnostic criteria for functional dyspepsia underwent genetic testing for ATH. Dyspeptic symptoms were evaluated and scored according to a validated questionnaire. The diagnostic criteria for ATH was a CC genotype for the -13910C/T polymorphism, located upstream of the lactase gene. The mean scores for dyspeptic symptoms were compared between patients with ATH and those with lactase persistence. A total of 197 functional dyspeptic patients were included in the study. Mean age was 47.7 years and 82.7% patients were women. Eighty-eight patients (44.7%) had a diagnosis of ATH. Abdominal bloating scores were higher in ATH patients compared to the lactase persistent patients (P=0.014). The remaining dyspeptic symptom scores were not significantly different between the two groups. The study results demonstrate an association between ATH and bloating in patients with functional dyspepsia.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-47572018005001103&lng=en&tlng=enbloatingdyspepsiagastrointestinal diseaseslactose intolerancesingle nucleotide polymorphism
spellingShingle André Castagna Wortmann
Daniel Simon
Luiz Edmundo Mazzoleni
Guilherme Becker Sander
Carlos Fernando de Magalhães Francesconi
Débora Dreher Nabinger
Camila Schultz Grott
Tássia Flores Rech
Felipe Mazzoleni
Vagner Ricardo Lunge
Laura Renata de Bona
Tobias Cancian Milbradt
Themis Reverbel da Silveira
The association between adult-type hypolactasia and symptoms of functional dyspepsia
Genetics and Molecular Biology
bloating
dyspepsia
gastrointestinal diseases
lactose intolerance
single nucleotide polymorphism
title The association between adult-type hypolactasia and symptoms of functional dyspepsia
title_full The association between adult-type hypolactasia and symptoms of functional dyspepsia
title_fullStr The association between adult-type hypolactasia and symptoms of functional dyspepsia
title_full_unstemmed The association between adult-type hypolactasia and symptoms of functional dyspepsia
title_short The association between adult-type hypolactasia and symptoms of functional dyspepsia
title_sort association between adult type hypolactasia and symptoms of functional dyspepsia
topic bloating
dyspepsia
gastrointestinal diseases
lactose intolerance
single nucleotide polymorphism
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-47572018005001103&lng=en&tlng=en
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