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All that a physician should know about FODMAPs.

作者信息

Mehtab Wajiha, Agarwal Ashish, Singh Namrata, Malhotra Anita, Makharia Govind K

机构信息

Department of Home Science, Lady Irwin College, University of Delhi, New Delhi, 110 001, India.

Department of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110 029, India.

出版信息

Indian J Gastroenterol. 2019 Oct;38(5):378-390. doi: 10.1007/s12664-019-01002-0. Epub 2019 Dec 4.


DOI:10.1007/s12664-019-01002-0
PMID:31802437
Abstract

A diet low in poorly absorbed, fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) is now considered as an effective strategy for symptoms control in patients with irritable bowel syndrome (IBS). The low FODMAP diet is administered in three phases, namely restriction of all dietary FODMAPs followed by rechallenge and then reintroduction of specific FODMAPs according to the tolerance of patients. A dietician should be involved in patients in whom a low FODMAP diet is planned. While restricting high FODMAPs, it is pertinent that patients are advised a well-balanced diet and suitable alternatives with low FODMAP contents in each food groups are prescribed. Strict adherence to a low FODMAP diet has been shown to improve symptoms, stool output, quality of life, and the overall well-being of patients with IBS. For those who do not respond to this dietary approach, a normal diet may be initiated and other treatment strategies (dietary or nondietary) should be considered. Interestingly, the low FODMAP diet has also been tried in other functional disorders, nonceliac gluten sensitivity, and even inflammatory bowel disease. Since the concept of FODMAP is relatively new, there is only limited data on the content of FODMAP in the Indian food items and there is a need to address this question. There is also a need for well-designed and adequately powered studies to explore the efficacy of low FODMAP diet in patients with IBS. In the present review article, we have compiled all the relevant information about FODMAPs with an objective to provide comprehensive information on FODMAPs to a physician.

摘要

相似文献

[1]
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[2]
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[3]
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[5]
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[6]
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[7]
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[8]
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[9]
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本文引用的文献

[1]
Early experience with a low FODMAP diet in Asian patients with irritable bowel syndrome.

JGH Open. 2018-7-6

[2]
The Role of a Low Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyol Diet in Nonceliac Gluten Sensitivity.

Gastroenterol Res Pract. 2018-8-6

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A Systematic Review and Meta-Analysis Evaluating the Efficacy of a Gluten-Free Diet and a Low FODMAPs Diet in Treating Symptoms of Irritable Bowel Syndrome.

Am J Gastroenterol. 2018-7-26

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Long-term irritable bowel syndrome symptom control with reintroduction of selected FODMAPs.

World J Gastroenterol. 2017-7-7

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Neurogastroenterol Motil. 2017-7-14

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Dietary practices and FODMAPs in South Asia: Applicability of the low FODMAP diet to patients with irritable bowel syndrome.

J Gastroenterol Hepatol. 2018-2

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A Diet Low in FODMAPs Reduces Symptoms in Patients With Irritable Bowel Syndrome and A Probiotic Restores Bifidobacterium Species: A Randomized Controlled Trial.

Gastroenterology. 2017-6-15

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The low FODMAP diet: recent advances in understanding its mechanisms and efficacy in IBS.

Gut. 2017-6-7

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Nutr J. 2017-5-25

[10]
The Low FODMAP Diet: Many Question Marks for a Catchy Acronym.

Nutrients. 2017-3-16

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