A Low-FODMAP Diet in the Management of Children With Functional Abdominal Pain Disorders: A Protocol of a Systematic Review.
Study Goal
The researchers aimed to systematically review evidence on the efficacy and safety of using a low-FODMAP diet for managing functional abdominal pain disorders (FAPD) in children.
Results Summary
The abstract describes a planned systematic review but does not provide results, as the study has not yet been conducted or published.
Population
Children with functional abdominal pain disorders (FAPD).
Effective Dosage
Not specified (mentions a 3-step low-FODMAP diet or strict low-FODMAP diet or restriction of individual FODMAPs).
Duration
Not specified.
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
a low-FODMAP diet | neutral | functional abdominal pain disorders (FAPD) | adults and children with FAPD | - | widely used | #1 |
a low-FODMAP diet | neutral | functional abdominal pain disorders (FAPD) | children with FAPD | - | limited available evidence | #2 |
a low-FODMAP diet | neutral | functional abdominal pain disorders (FAPD) | children with FAPD | - | systematically review evidence on the efficacy and safety | #3 |
a low-FODMAP diet | neutral | abdominal pain intensity | children with FAPD | - | will be assessed | #4 |
a low-FODMAP diet | neutral | abdominal pain frequency | children with FAPD | - | will be assessed | #5 |
a low-FODMAP diet | neutral | stool consistency | children with FAPD | - | will be assessed | #6 |
a low-FODMAP diet | neutral | other gastrointestinal symptoms | children with FAPD | - | will be assessed | #7 |
a low-FODMAP diet | neutral | school performance | children with FAPD | - | will be assessed | #8 |
a low-FODMAP diet | neutral | psychological functioning associated with FAPD | children with FAPD | - | will be assessed | #9 |
a low-FODMAP diet | neutral | parent's work absenteeism associated with FAPD of a child | children with FAPD | - | will be assessed | #10 |
a low-FODMAP diet | neutral | health-related quality of life | children with FAPD | - | will be assessed | #11 |
a low-FODMAP diet | neutral | compliance | children with FAPD | - | will be assessed | #12 |
a low-FODMAP diet | neutral | growth | children with FAPD | - | will be assessed | #13 |
a low-FODMAP diet | neutral | adverse events | children with FAPD | - | will be assessed | #14 |
a low-FODMAP diet | neutral | functional abdominal pain disorders (FAPD) | children with FAPD | - | will update current evidence on the efficacy and safety | #15 |
UNLABELLED: The available interventions for the management of children with functional abdominal pain disorders (FAPD) are limited. A diet low in fermentable oligosaccharides, disaccharides monosaccharides, and polyols (FODMAPs) is widely used in adults and children with FAPD, despite limited available evidence. We aim to systematically review evidence on the efficacy and safety of using a low-FODMAP diet for the management of children with FAPD. METHODS: The Cochrane Library, EMBASE, and MEDLINE databases will be searched for randomized controlled trials (RCTs) that compare the use a low-FODMAP diet (preferably a 3-step low-FODMAP diet but also only a strict low-FODMAP diet or restriction of individual FODMAPs) with any comparator (i.e., standardized [i.e., average national] or other diet or no intervention) in children with FAPD (regardless of the definition). Each FAPD and each low-FODMAP diet or individual FODMAP restriction will be assessed separately. The Cochrane Collaboration's tool for assessing the risk of bias will be used. The primary outcome will be the abdominal pain intensity. The secondary outcomes will be abdominal pain frequency, stool consistency, other gastrointestinal symptoms, school performance, and psychological functioning associated with FAPD, parent's work absenteeism associated with FAPD of a child, health-related quality of life, compliance, growth, and adverse events. The findings will be published in a peer-reviewed journal and submitted to relevant conferences. CONCLUSION: This systematic review of rigorous methodological design will update current evidence on the efficacy and safety of using a low-FODMAP diet. However, it may be limited by the quality of the included studies.