Time-Restricted Eating and Symptom Severity in Irritable Bowel Syndrome: Results from a Pilot Study, 2026, Thompson Clausen

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Time-Restricted Eating and Symptom Severity in Irritable Bowel Syndrome: Results from a Pilot Study​

Maria Thompson Clausen,Henrik Sverdrup,Asgeir Brevik

,Marianne Molin

,Marit Kolby  *

Abstract​

Background/Objectives:

Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder affecting approximately 5-10% of the population, with many individuals reporting insufficient improvement from treatment options. This study aimed to investigate whether time-restricted eating (TRE) could alleviate symptoms in patients with IBS.

Methods:

This single-group intervention study included participants with IBS who followed an 8-week time-restricted eating protocol, defined as a daily 16-hour fasting period and an 8-hour eating window (16:8). Symptom changes were assessed using the validated IBS Symptom Severity Scale (IBS-SSS) at baseline and post-intervention. The study was not prospectively registered in an international clinical trial registry and was retrospectively registered in the Open Science Framework after completion of data collection.

Results:

A total of 134 patients were included in this study. After 8 weeks, 97 participants completed the study, showing a mean reduction in the IBS-SSS score of -100.2 (p<0.001). Subgroup analysis also demonstrated mean reductions in the IBS-SSS scores for participants with IBS-constipation (IBS-C) (-125.2, p<0.001), IBS-diarrhea (IBS-D) (-76.0, p<0.005), and IBS-mixed (IBS-M) (-93.1, p<0.001). Additionally, the participants experienced improvements in both self-reported physical and mental health.

Conclusions:

These preliminary findings suggest that TRE can be a supplementary tool for managing IBS symptoms, warranting controlled trials.

Keywords:​

time-restricted eating
;
irritable bowel syndrome
;
meal timing
;
dietary intervention
;
intermittent fasting
 
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