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Role of FODMAPs in Patients With Irritable Bowel Syndrome.

Abstract

Irritable bowel syndrome (IBS) is a condition characterized by abdominal pain, bloating, flatus, and altered bowel habits. The role of dietary components in inducing IBS symptoms is difficult to explore. To date, foods are not considered a cause but rather symptom-triggering factors. Particular interest has been given to the so-called FODMAPs (fermentable oligo-, di-, and monosaccharides and polyols). We aimed to summarize the evidence from the most common approaches to manage suspected food intolerance in IBS, with a particular interest in the role of FODMAPs and the effects of a low FODMAP diet. We reviewed literature, consulting PubMed and Medline by using the search terms FODMAP(s), fructose, lactose, fructans, galactans, polyols (sorbitol, mannitol, maltitol, xylitol, erythritol, polydextrose, and isomalt), irritable bowel syndrome, and functional gastrointestinal symptoms. FODMAP-restricted diets have been used for a long time to manage patients with IBS. The innovation in the so-called FODMAP concept is that a global restriction should have a more consistent effect than a limited one in preventing abdominal distension. Even though all the potential low FODMAP diets provide good relief of symptoms in many patients, there is just a little relief in others. Several studies highlight the role of low FODMAP diets to improve symptoms in patients with IBS. The evidence on this dietary approach supports the hypothesis that a low FODMAP diet should be the first dietary approach. However, many points remain to be clarified, including the evaluation of possibly significant nutrition concerns.

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  • Authors+Show Affiliations

    ,

    Internal Medicine, University Hospital of Palermo, Italy pasquale.mansueto@unipa.it.

    ,

    Internal Medicine, University Hospital of Palermo, Italy.

    ,

    Internal Medicine, University Hospital of Palermo, Italy.

    Internal Medicine, Sciacca Hospital, Agrigento, and University of Palermo, Palermo, Italy.

    Source

    MeSH

    Diet
    Dietary Carbohydrates
    Fermentation
    Humans
    Irritable Bowel Syndrome
    Monosaccharides
    Oligosaccharides
    Sugar Alcohols

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't
    Review

    Language

    eng

    PubMed ID

    25694210

    Citation

    Mansueto, Pasquale, et al. "Role of FODMAPs in Patients With Irritable Bowel Syndrome." Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition, vol. 30, no. 5, 2015, pp. 665-82.
    Mansueto P, Seidita A, D'Alcamo A, et al. Role of FODMAPs in Patients With Irritable Bowel Syndrome. Nutr Clin Pract. 2015;30(5):665-82.
    Mansueto, P., Seidita, A., D'Alcamo, A., & Carroccio, A. (2015). Role of FODMAPs in Patients With Irritable Bowel Syndrome. Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition, 30(5), pp. 665-82. doi:10.1177/0884533615569886.
    Mansueto P, et al. Role of FODMAPs in Patients With Irritable Bowel Syndrome. Nutr Clin Pract. 2015;30(5):665-82. PubMed PMID: 25694210.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Role of FODMAPs in Patients With Irritable Bowel Syndrome. AU - Mansueto,Pasquale, AU - Seidita,Aurelio, AU - D'Alcamo,Alberto, AU - Carroccio,Antonio, Y1 - 2015/02/18/ PY - 2015/2/20/entrez PY - 2015/2/20/pubmed PY - 2016/6/2/medline KW - FODMAP KW - diet therapy KW - disaccharides, monosaccharides KW - gastrointestinal diseases KW - irritable bowel syndrome KW - oligosaccharides SP - 665 EP - 82 JF - Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition JO - Nutr Clin Pract VL - 30 IS - 5 N2 - Irritable bowel syndrome (IBS) is a condition characterized by abdominal pain, bloating, flatus, and altered bowel habits. The role of dietary components in inducing IBS symptoms is difficult to explore. To date, foods are not considered a cause but rather symptom-triggering factors. Particular interest has been given to the so-called FODMAPs (fermentable oligo-, di-, and monosaccharides and polyols). We aimed to summarize the evidence from the most common approaches to manage suspected food intolerance in IBS, with a particular interest in the role of FODMAPs and the effects of a low FODMAP diet. We reviewed literature, consulting PubMed and Medline by using the search terms FODMAP(s), fructose, lactose, fructans, galactans, polyols (sorbitol, mannitol, maltitol, xylitol, erythritol, polydextrose, and isomalt), irritable bowel syndrome, and functional gastrointestinal symptoms. FODMAP-restricted diets have been used for a long time to manage patients with IBS. The innovation in the so-called FODMAP concept is that a global restriction should have a more consistent effect than a limited one in preventing abdominal distension. Even though all the potential low FODMAP diets provide good relief of symptoms in many patients, there is just a little relief in others. Several studies highlight the role of low FODMAP diets to improve symptoms in patients with IBS. The evidence on this dietary approach supports the hypothesis that a low FODMAP diet should be the first dietary approach. However, many points remain to be clarified, including the evaluation of possibly significant nutrition concerns. SN - 1941-2452 UR - https://www.unboundmedicine.com/medline/citation/25694210/full_citation L2 - https://doi.org/10.1177/0884533615569886 DB - PRIME DP - Unbound Medicine ER -