The role of FODMAPs in irritable bowel syndrome.
Study Goal
The researchers compared the efficacy of a low FODMAP diet to a gluten-free diet in managing IBS symptoms, particularly in individuals with self-reported nonceliac gluten sensitivity.
Results Summary
The study found that the low FODMAP diet was superior to a gluten-free diet for symptom management in IBS patients with self-reported nonceliac gluten sensitivity. No significant adverse effects or safety concerns for the gluten-free diet were mentioned.
Population
Individuals with irritable bowel syndrome (IBS) and self-reported nonceliac gluten sensitivity.
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
low FODMAP diet | decrease | functional gastrointestinal symptoms seen in IBS | IBS patients | - | has been shown to be an efficacious therapy for reduction | #1 |
low FODMAP diet | increase | symptom management | people with self-reported nonceliac gluten sensitivity | - | appears to be superior | #2 |
low FODMAP diet | no change | prebiotic effect in the colon | - | - | has not been shown to reduce | #3 |
low FODMAP diet | decrease | total colonic bacterial load | - | - | was reduced | #4 |
PURPOSE OF REVIEW: Irritable bowel syndrome (IBS) is a condition affecting approximately 10-15% of Western populations. The Rome III criteria are applied to many studies to validate the diagnosis of IBS. The low fermentable oligo, di, monosaccharides and polyol (FODMAP) diet has been the subject of many robust clinical trials and is now used as the primary dietary therapy internationally. This review examines the current evidence for the role of the low FODMAP diet in IBS. RECENT FINDINGS: Detailed commentary on original research involving FODMAPs and IBS symptoms from 2013 to 2014 is provided. SUMMARY: The low FODMAP diet has been shown to be an efficacious therapy for reduction of functional gastrointestinal symptoms seen in IBS. Recent publications provide randomized controlled trial and prospective observational evidence in support of the diet for symptom management. The low FODMAP diet appears to be superior to a gluten-free diet in people with self-reported nonceliac gluten sensitivity. Although the low FODMAP diet has not been shown to reduce the prebiotic effect in the colon, total colonic bacterial load was reduced. Further research investigating the potential health implications of both this and the nutritional adequacy of the liberalized low FODMAP diet is required.