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Low FODMAP diet in children and adolescents with functional bowel disorder: A clinical case note review.

JGH open : an open access journal of gastroenterology and hepatology
April 1, 2020
Stephanie C Brown et al. (4 authors)
Journal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to examine the effectiveness of the low FODMAP diet (LFD) in children with functional bowel disorders (FBD).

Results Summary

The study found that the LFD led to complete resolution of gastrointestinal symptoms in a majority of children, with 92% improvement in bloating, 87% in diarrhea, and 77% in abdominal pain. Overall, 79% of participants reported symptom improvement, with fructans identified as the most common symptom-causing carbohydrate.

Population

Children with functional bowel disorders (FBD), including irritable bowel syndrome (IBS).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
low FODMAP diet (LFD)
decrease
bloating
children with an FBD
11 of 12 (92%)
complete resolution of gastrointestinal symptoms
#1
low FODMAP diet (LFD)
decrease
diarrhea
children with an FBD
13 of 15 (87%)
complete resolution of gastrointestinal symptoms
#2
low FODMAP diet (LFD)
decrease
abdominal pain
children with an FBD
17 of 22 (77%)
complete resolution of gastrointestinal symptoms
#3
low FODMAP diet (LFD)
decrease
symptoms
children with an FBD
23 (79%)
improvement of symptoms
#4
FODMAP dietary interventions
neutral
FBD
children with FBD
-
supporting
#5
Abstract

BACKGROUND AND AIMS: Functional bowel disorders (FBD), such as irritable bowel syndrome (IBS), are increasingly more common in children and affect up to 20% of children. The etiology is multifactorial with no clear organic cause. Symptoms are recurrent and are associated with a reduced quality of life, school absences, and psychological challenges. Treatment options are variable. FODMAPs are short-chained carbohydrates, poorly absorbed by the gastrointestinal tract due to their increased osmotic activity and excess gas production from the bacterial fermentation process. There is a paucity of data examining dietary interventions that restrict carbohydrates in children with IBS. The aim of this study was to examine the use of the low FODMAP diet (LFD) in children with an FBD. METHODS: A retrospective clinical case note review of children with an FBD managed with an LFD was undertaken. Anthropometry and clinical data were collected by a pediatric gastroenterology dietitian. An IBS satisfaction survey was used to assess diet outcomes. Statistical analyses were completed using Excel. RESULTS: Of the 29 children included in this study, complete resolution of gastrointestinal symptoms was observed for 11 of 12 (92%) of those with bloating, 13 of 15 (87%) of those with diarrhea, and 17 of 22 (77%) of those with abdominal pain. Twenty-three (79%) participants reported an improvement of symptoms. Fructans were the most common symptom-causing carbohydrate. CONCLUSION: The LFD is a useful dietary treatment strategy for children with FBD. This study adds to the small body of evidence supporting FODMAP dietary interventions in children with FBD. Further prospective studies are required.

Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality65/10
Citation Metrics
Total Citations17
Citations/Year2.8
Relative Citation Ratio1.31
NIH Percentile60.2%
Research Impact Scores
APT Score0.75
Weight Score1.06
Normalized Score0.67
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