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FODMAP Diet in Celiac Disease and Gluten-Related Disorders.

Nutrients
December 4, 2024
Paolo Usai Satta et al. (3 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to explore the impact of FODMAP and low-FODMAP diets on symptom relief in celiac disease (CD) and non-celiac gluten sensitivity (NCGS) patients adhering to a gluten-free diet (GFD).

Results Summary

The study found that a low-FODMAP diet (LFD) could provide symptom relief in CD patients on a GFD and improve gastrointestinal symptoms in NCGS. Additionally, an LFD may improve psychological status in these populations, though it does not significantly impact gut microbiota.

Population

Individuals with celiac disease (CD) on a gluten-free diet (GFD) and those with non-celiac gluten sensitivity (NCGS).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
low-FODMAP diet (LFD)
decrease
symptoms
GFD-treated CD patients
-
could successfully provide symptom relief
#1
Fructans
increase
digestive symptoms
NCGS
-
have been associated with digestive symptoms
#2
low-FODMAP diet (LFD)
increase
clinical picture
NCGS
-
could improve the clinical picture
#3
low-FODMAP diet (LFD)
increase
psychological status
celiac patients on a GFD and in NCGS
-
could also improve the psychological status
#4
low-FODMAP diet (LFD)
no change
gut microbiota
-
-
should not have a significant impact
#5
FODMAP restriction
decrease
persistent symptoms
CD patients with persistent symptoms on a GFD
-
supports the role
#6
FODMAP restriction
decrease
gastrointestinal disturbances
NCGS
-
supports the role
#7
Abstract

BACKGROUND: Individuals with celiac disease (CD) often report the persistence of gastrointestinal symptoms despite adherence to a gluten-free diet (GFD). A diet rich in fermentable oligo-, di-, and monosaccharides and polyols (FODMAPs) could cause symptoms in CD on a GFD, and conversely a low-FODMAP diet could positively influence the therapeutic management of CD and non-celiac gluten sensitivity (NCGS). The aim of this review was to explore the hypothetical impact of the FODMAD diet and the low-FODMAP diet (LFD) in CD and gluten-related disorders. METHODS: A complete online search for FODMAP related to CD, NCGS, and the GFD was carried out using the Pubmed, Medline, and Cochrane databases. RESULTS: Indeed, an LFD could successfully provide symptom relief in GFD-treated CD patients. Fructans, typical components of FODMAPs, have been associated with digestive symptoms in NCGS, and an LFD could improve the clinical picture. According to some evidence, an LFD could also improve the psychological status both in celiac patients on a GFD and in NCGS. However, an LFD should not have a significant impact on gut microbiota. CONCLUSIONS: Recent evidence supports the role of FODMAP restriction in CD patients with persistent symptoms on a GFD and in decreasing gastrointestinal disturbances in NCGS, although the GFD still represents the first-line therapy.

Medical Subject Headings (MeSH)
Celiac DiseaseHumansDiet, Gluten-FreeGlutensMonosaccharidesFermentationGastrointestinal MicrobiomePolymersDisaccharidesDiet, Carbohydrate-RestrictedOligosaccharidesFODMAP Diet
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations2
Citations/Year2.0
Research Impact Scores
APT Score0.25
Weight Score1.35
Normalized Score0.66
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