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Secondary Analysis of RCT Reports Higher Baseline GI Symptom Severity in Women Across Most Domains

Secondary Analysis of RCT Reports Higher Baseline GI Symptom Severity in Women Across Most Domains
Photo by Anthony Bernardo Buqui / Unsplash
Key Takeaway
Consider baseline gender differences in GI symptoms when evaluating adults with increased cardiometabolic risk in this secondary analysis.

This study represents a secondary analysis of a randomized controlled trial conducted in New Zealand. The population consisted of 200 adults with increased cardiometabolic risk. The intervention involved a 12-week New Zealand-adapted Mediterranean diet and behavioral intervention. Follow-up duration was 12 weeks. The primary outcome assessed gastrointestinal symptom severity using the GSRS.

Specific details regarding the comparator group were not reported in the available data. Similarly, the study phase and publication type were not reported. The secondary outcomes included health-related quality of life assessed by SF-36 and the influence of participant characteristics on symptoms. No specific comparator intervention details were provided for this analysis.

Regarding main results, baseline gastrointestinal symptom severity scores were analyzed by gender. Women reported significantly higher baseline gastrointestinal symptom severity scores on average across all GSRS domains except reflux. Results showed p < 0.05. Effect size and absolute numbers were not reported. This indicates a statistically significant difference in baseline characteristics between genders.

Safety and tolerability data were not reported, including adverse events, serious adverse events, and discontinuations. No limitations were listed in the provided JSON structure. Practice relevance was not reported. Clinicians should interpret these baseline findings cautiously as they do not reflect intervention efficacy directly. The study highlights baseline demographic variations rather than treatment outcomes.

Study Details

Study typeRct
EvidenceLevel 2
PublishedApr 2026
View Original Abstract ↓
Background/objectivesCardiometabolic diseases are a major global health concern, and their development are linked to suboptimal dietary patterns and adverse gastrointestinal (GI) health outcomes and symptoms. Mediterranean dietary patterns are associated with reduced cardiometabolic disease risk and improved quality of life (QoL). The potential impact of the Mediterranean diet on GI symptoms is an important area of inquiry that requires elucidation. This study aimed to evaluate whether a New Zealand-adapted Mediterranean diet (NZMedDiet) affects GI symptom severity in adults at increased cardiometabolic risk, explore the influence of participant characteristics on symptoms, and assess the association between GI symptoms and health-related QoL.MethodsThis secondary analysis used data from a randomized controlled trial of a 12-week NZMedDiet and behavioral intervention in adults with increased cardiometabolic risk. Associations were assessed between the gastrointestinal symptom rating scale (GSRS), the 36-Item Short-Form Survey (SF-36)(assessing QoL), and the NZMedDiet, alongside participant characteristics.ResultsA total of 200 participants were enrolled (mean age 49.9 ± 10.9 years; 62% women), with women reporting significantly higher baseline GI symptom severity scores on average across all GSRS domains except reflux (p 
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