The Application of a Low FODMAP Diet in Irritable Bowel Syndrome
DOI:
https://doi.org/10.54097/qbzb7t53Keywords:
Irritable Bowel Syndrome (IBS), Low FODMAP diet, Dietary intervention, Symptom relief, Special populations.Abstract
Irritable Bowel Syndrome (IBS) is a common functional bowel disease that has a high morbidity worldwide, and the conventional interventions are not usually effective in addressing the dietary triggers. This work thoroughly examined the classification and pathogenesis of FODMAPs, assess the clinical effectiveness of low-FODMAP diets as a stand-alone treatment and its integration with probiotics, antidiarrheals, spasmolytics and psychological therapies of the IBS, and further developed customized and targeted dietary modification interventions, which balance symptom management and nutritional requirements of special populations such as children, the elderly, pregnant women and diabetic patients with complicated IBS through integration of the physiological properties and nutritional preferences of the respective populations. Findings indicated that the low-FODMAP diet alone demonstrated a total symptom-reduction rate of 71 per cent in patients with IBS regions and that multi-modal interventions were even more effective and prevented relapse. The low-FODMAP diet is non-pharmacological, safe and effective in reducing IBS, and tailored schemes (depending on population factors) are favorable towards the promotion of the dieting in clinical settings.
Downloads
References
[1] Barbara G, Stanghellini V, Corinaldesi R, et al. The effect of a low-FODMAP diet on symptoms of irritable bowel syndrome: a randomized controlled trial. Digestive and Liver Disease, 2018, 50(5): 474-479.
[2] Halmos EP, Power VA, Shepherd SJ, et al. A diet low in FODMAPs reduces symptoms of irritable bowel syndrome. Gastroenterology, 2014, 146(1): 67-75.
[3] Ford AC, Moayyedi P, Talley NJ. Efficacy of dietary interventions in irritable bowel syndrome: a systematic review and meta-analysis. American Journal of Gastroenterology, 2018, 113(12): 1729-1739.
[4] Shepherd SJ, Gibson PR. FODMAPs and functional gastrointestinal disorders. Journal of Gastroenterology and Hepatology, 2016, 31(S1): 65-72.
[5] Manzoni M, Ventura A, Riezzo G, et al. Fructose malabsorption and irritable bowel syndrome: a systematic review and meta-analysis. European Journal of Clinical Nutrition, 2018, 72(1): 10-18.
[6] Suchy FJ, Brannon PM, Carpenter TO, et al. Lactose intolerance and health. Advances in Nutrition, 2010, 1(2): 16-25.
[7] Costabile A, Falony G, Claesson MJ, et al. The effect of prebiotic inulin-type fructans on the gut microbiota in healthy adults[J]. British Journal of Nutrition, 2015, 113(10): 1543-1553.
[8] Bäumler AJ, et al. High fat intake sustains sorbitol intolerance after antibiotic-mediated Clostridia depletion. Cell, 2024, 187(5): 1123-1136.
[9] Muir JG, Barrett JS. Mechanisms of action of FODMAPs in irritable bowel syndrome. Current Gastroenterology Reports, 2012, 14(6): 569-575.
[10] Wu Tong, Zhang Shu Tian. A multicenter observational study on the intervention of adult irritable bowel syndrome with a low FODMAP diet alone. Chinese Journal of Digestive Endoscopy,2024,41(2):118-123.
[11] Camilleri M, Acosta A. Patient response to low FODMAP diet for irritable bowel syndrome. Gastroenterology, 2014, 146(1): 32-33.
[12] Tursi A, Brandimarte G, Giorgetti GM, et al. Efficacy of a probiotic preparation containing Lactobacillus rhamnosus GG in patients with irritable bowel syndrome. Digestive and Liver Disease, 2010, 42(10): 707-713.
[13] Camilleri M. Pharmacological management of irritable bowel syndrome. Gastroenterology, 2019, 156(2): 327-340.
[14] Mearin F, Lacy BE, Chang L, et al. Bowel disorders. Gastroenterology, 2016, 150(6): 1393-1407.
[15] Palsson OE, Jones KR, Öhman L, et al. Cognitive behavioral therapy for irritable bowel syndrome: a randomized controlled trial. Gastroenterology, 2014, 147(5): 1029-1038.
[16] Bischoff SC, Crowe SE, Foxx-Orenstein AE, et al. Diet and irritable bowel syndrome. Gastroenterology Clinics of North America, 2014, 43(4): 699-715.
[17] Langmead L, Rampton DS. Dietary management of inflammatory bowel disease. Nutrition in Clinical Practice, 2006, 21(5): 460-479.
[18] Kaiser KK, Campbell CG, Allen RH. Nutrition during pregnancy. American Family Physician, 2002, 65(5): 859-866.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
