FODMAP Diet in Celiac Disease and Gluten-Related Disorders.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.