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The role of FODMAPs in irritable bowel syndrome.
Curr Opin Clin Nutr Metab Care. 2014 Nov; 17(6):605-9.CO

Abstract

PURPOSE OF REVIEW

Irritable bowel syndrome (IBS) is a condition affecting approximately 10-15% of Western populations. The Rome III criteria are applied to many studies to validate the diagnosis of IBS. The low fermentable oligo, di, monosaccharides and polyol (FODMAP) diet has been the subject of many robust clinical trials and is now used as the primary dietary therapy internationally. This review examines the current evidence for the role of the low FODMAP diet in IBS.

RECENT FINDINGS

Detailed commentary on original research involving FODMAPs and IBS symptoms from 2013 to 2014 is provided.

SUMMARY

The low FODMAP diet has been shown to be an efficacious therapy for reduction of functional gastrointestinal symptoms seen in IBS. Recent publications provide randomized controlled trial and prospective observational evidence in support of the diet for symptom management. The low FODMAP diet appears to be superior to a gluten-free diet in people with self-reported nonceliac gluten sensitivity. Although the low FODMAP diet has not been shown to reduce the prebiotic effect in the colon, total colonic bacterial load was reduced. Further research investigating the potential health implications of both this and the nutritional adequacy of the liberalized low FODMAP diet is required.

Authors+Show Affiliations

aDepartment of Dietetics and Human Nutrition, La Trobe University, Bundoora bShepherd Works P/L, Box Hill North cDepartment of Gastroenterology, Northern Hospital, Epping, Victoria, Australia.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

25255126

Citation

Shepherd, Susan J., et al. "The Role of FODMAPs in Irritable Bowel Syndrome." Current Opinion in Clinical Nutrition and Metabolic Care, vol. 17, no. 6, 2014, pp. 605-9.
Shepherd SJ, Halmos E, Glance S. The role of FODMAPs in irritable bowel syndrome. Curr Opin Clin Nutr Metab Care. 2014;17(6):605-9.
Shepherd, S. J., Halmos, E., & Glance, S. (2014). The role of FODMAPs in irritable bowel syndrome. Current Opinion in Clinical Nutrition and Metabolic Care, 17(6), 605-9. https://doi.org/10.1097/MCO.0000000000000116
Shepherd SJ, Halmos E, Glance S. The Role of FODMAPs in Irritable Bowel Syndrome. Curr Opin Clin Nutr Metab Care. 2014;17(6):605-9. PubMed PMID: 25255126.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The role of FODMAPs in irritable bowel syndrome. AU - Shepherd,Susan J, AU - Halmos,Emma, AU - Glance,Simon, PY - 2014/9/26/entrez PY - 2014/9/26/pubmed PY - 2015/6/20/medline SP - 605 EP - 9 JF - Current opinion in clinical nutrition and metabolic care JO - Curr Opin Clin Nutr Metab Care VL - 17 IS - 6 N2 - PURPOSE OF REVIEW: Irritable bowel syndrome (IBS) is a condition affecting approximately 10-15% of Western populations. The Rome III criteria are applied to many studies to validate the diagnosis of IBS. The low fermentable oligo, di, monosaccharides and polyol (FODMAP) diet has been the subject of many robust clinical trials and is now used as the primary dietary therapy internationally. This review examines the current evidence for the role of the low FODMAP diet in IBS. RECENT FINDINGS: Detailed commentary on original research involving FODMAPs and IBS symptoms from 2013 to 2014 is provided. SUMMARY: The low FODMAP diet has been shown to be an efficacious therapy for reduction of functional gastrointestinal symptoms seen in IBS. Recent publications provide randomized controlled trial and prospective observational evidence in support of the diet for symptom management. The low FODMAP diet appears to be superior to a gluten-free diet in people with self-reported nonceliac gluten sensitivity. Although the low FODMAP diet has not been shown to reduce the prebiotic effect in the colon, total colonic bacterial load was reduced. Further research investigating the potential health implications of both this and the nutritional adequacy of the liberalized low FODMAP diet is required. SN - 1473-6519 UR - https://www.unboundmedicine.com/medline/citation/25255126/The_role_of_FODMAPs_in_irritable_bowel_syndrome_ L2 - http://dx.doi.org/10.1097/MCO.0000000000000116 DB - PRIME DP - Unbound Medicine ER -