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低聚糖、双糖、单糖和多元醇(FODMAP)饮食与肠易激综合征的关系:一项孟德尔随机化研究

Relationship Between FODMAP Diet and Irritable Bowel Syndrome: A Mendelian Randomization Study.

作者信息

Wang Lu, Cao Wei, Zheng Qian-Hua, Li Dehua, Hou Yujun, Chen Shuai, Luo Fangli, Xiao Xianjun, Chen Ying, Li Ying, Zhou Siyuan

机构信息

Hospital of Chengdu University of Traditional Chinese Medicine Chengdu Sichuan China.

Chengdu Integrated TCM and Western Medicine Hospital Chengdu China.

出版信息

Food Sci Nutr. 2025 Feb 18;13(2):e70037. doi: 10.1002/fsn3.70037. eCollection 2025 Feb.


DOI:10.1002/fsn3.70037
PMID:39968214
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11833296/
Abstract

There is some evidence of a link between fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) diet and irritable bowel syndrome (IBS). However, few studies have analyzed the relationship between specific dietary intakes and IBS using Mendelian randomization (MR). Exposure and outcome datasets were sourced from the IEU Open GWAS project. Genetic variants significantly associated with 28 dietary intakes at a genome-wide level were selected as instrumental variables. Summary statistics for the target outcome of IBS were obtained with a sample of 187,028 European individuals (4605 cases, 182,423 controls). Univariable and multivariable MR analyses were conducted to estimate the overall and independent MR associations after adjustment for genetic liability to intestinal flora. Genetic predispositions to six of 28 dietary intakes were associated with a decreased risk of IBS, including dried fruit, beef, cereal, lobster/crab, cereal, feta, and coffee, while cherry and poultry intake were associated with an increased risk of IBS. Three of eight associations persisted after adjusting for genetically predicted intestinal flora, and multivariable MR analysis identified that salad/raw vegetable intake was associated with a decreased risk of IBS. Twenty of 28 dietary intakes did not remain significantly associated after adjustment for intestinal flora. This study provides MR evidence supporting causal associations between FODMAP dietary intakes and IBS.

摘要

有证据表明,可发酵低聚糖、双糖、单糖和多元醇(FODMAP)饮食与肠易激综合征(IBS)之间存在某种联系。然而,很少有研究使用孟德尔随机化(MR)分析特定饮食摄入量与IBS之间的关系。暴露和结果数据集来自IEU开放GWAS项目。在全基因组水平上与28种饮食摄入量显著相关的基因变异被选作工具变量。IBS目标结果的汇总统计数据来自187,028名欧洲个体的样本(4605例病例,182,423名对照)。进行单变量和多变量MR分析,以估计在调整肠道菌群的遗传易感性后的总体和独立MR关联。28种饮食摄入量中的六种的遗传易感性与IBS风险降低相关,包括干果、牛肉、谷物、龙虾/蟹、谷物、羊乳酪和咖啡,而樱桃和家禽摄入量与IBS风险增加相关。在调整遗传预测的肠道菌群后,八个关联中的三个仍然存在,多变量MR分析确定沙拉/生蔬菜摄入量与IBS风险降低相关。在调整肠道菌群后,28种饮食摄入量中的20种不再具有显著相关性。本研究提供了MR证据,支持FODMAP饮食摄入量与IBS之间的因果关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7226/11833296/9069dc9567d4/FSN3-13-e70037-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7226/11833296/8fcb4fac9358/FSN3-13-e70037-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7226/11833296/9069dc9567d4/FSN3-13-e70037-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7226/11833296/8fcb4fac9358/FSN3-13-e70037-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7226/11833296/9069dc9567d4/FSN3-13-e70037-g001.jpg

相似文献

[1]
Relationship Between FODMAP Diet and Irritable Bowel Syndrome: A Mendelian Randomization Study.

Food Sci Nutr. 2025-2-18

[2]
Low fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) diet improves symptoms in adults suffering from irritable bowel syndrome (IBS) compared to standard IBS diet: A meta-analysis of clinical studies.

PLoS One. 2017-8-14

[3]
Nutrient Intake, Diet Quality, and Diet Diversity in Irritable Bowel Syndrome and the Impact of the Low FODMAP Diet.

J Acad Nutr Diet. 2019-4-24

[4]
The Efficacy of the Low-FODMAP (Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols) Diet in Irritable Bowel Syndrome: A Systematic Review and Meta-Analysis.

Cureus. 2025-1-7

[5]
Altered gastrointestinal microbiota in irritable bowel syndrome and its modification by diet: probiotics, prebiotics and the low FODMAP diet.

Proc Nutr Soc. 2016-2-24

[6]
The Impact of a 4-Week Low-FODMAP and mNICE Diet on Nutrient Intake in a Sample of US Adults with Irritable Bowel Syndrome with Diarrhea.

J Acad Nutr Diet. 2019-5-15

[7]
Group education on the low FODMAP diet improves gastrointestinal symptoms but neither anxiety or depression in irritable bowel syndrome.

J Hum Nutr Diet. 2022-6

[8]
A diet low in FODMAPs reduces symptoms of irritable bowel syndrome.

Gastroenterology. 2013-9-25

[9]
The low-FODMAP diet as an effective tool for managing irritable bowel syndrome - an assessment of adult patients' knowledge of dietary guidelines.

Rocz Panstw Zakl Hig. 2021

[10]
Adherence to diet low in fermentable carbohydrates and traditional diet for irritable bowel syndrome.

Nutrition. 2020-5

本文引用的文献

[1]
Coffee and Risk of Pancreatic Cancer: Insights from Two-Sample and Multivariable Mendelian Randomization Analyses.

Nutrients. 2024-10-31

[2]
Associations of genetically predicted iron status with 24 gastrointestinal diseases and gut microbiota: a Mendelian randomization study.

Front Genet. 2024-8-7

[3]
Effects of a low FODMAP diet on the symptom management of patients with irritable bowel syndrome: a systematic umbrella review with the meta-analysis of clinical trials.

Food Funct. 2024-5-20

[4]
Dietary intake of phytochemicals in association with irritable bowel syndrome in adults.

Clin Nutr ESPEN. 2023-10

[5]
Assessing the relationship between gut microbiota and irritable bowel syndrome: a two-sample Mendelian randomization analysis.

BMC Gastroenterol. 2023-5-12

[6]
FODMAP reduction strategies for nutritionally valuable baking products: current state and future challenges.

Crit Rev Food Sci Nutr. 2024

[7]
A Tritordeum-Based Diet for Female Patients with Diarrhea-Predominant Irritable Bowel Syndrome: Effects on Abdominal Bloating and Psychological Symptoms.

Nutrients. 2023-3-10

[8]
Coffee and tea intake with long-term risk of irritable bowel syndrome: a large-scale prospective cohort study.

Int J Epidemiol. 2023-10-5

[9]
Strategies for Producing Low FODMAPs Foodstuffs: Challenges and Perspectives.

Foods. 2023-2-17

[10]
Dietary-Induced Bacterial Metabolites Reduce Inflammation and Inflammation-Associated Cancer via Vitamin D Pathway.

Int J Mol Sci. 2023-1-18

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