Axelrod Cara Hannah, Saps Miguel
Department of Pediatric Gastroenterology, Hepatology, and Nutrition, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Children (Basel). 2020 Sep 27;7(10):152. doi: 10.3390/children7100152.
Functional Gastrointestinal Disorders (FGIDs) are common. In the United States alone, approximately 25 million Americans are estimated to have at least one FGID. Nonpharmacological treatment options include psychological/behavioral approaches, and dietary interventions that can vary across countries. The aim of this review is to evaluate the available evidence for dietary interventions for the treatment of childhood FGIDs amongst various cultures and regions of the world. This review includes clinical trials of dietary therapies for the treatment of FGIDs in children posted on or before 13 July 2020 in PubMed. Overall, the consensus view suggests that the westernization of diets is linked to the development of FGIDs, and diets low in Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols (FODMAPs) may reduce abdominal symptoms. However, more work is needed to confirm these findings.
功能性胃肠病(FGIDs)很常见。仅在美国,估计就有大约2500万美国人至少患有一种功能性胃肠病。非药物治疗选择包括心理/行为方法以及饮食干预,而饮食干预在不同国家可能有所不同。本综述的目的是评估世界不同文化和地区用于治疗儿童功能性胃肠病的饮食干预的现有证据。本综述纳入了2020年7月13日或之前发表在PubMed上的关于儿童功能性胃肠病饮食疗法的临床试验。总体而言,共识观点认为饮食西化与功能性胃肠病的发生有关,低可发酵寡糖、双糖、单糖和多元醇(FODMAPs)饮食可能会减轻腹部症状。然而,需要更多研究来证实这些发现。