Low Fermentable Oligo- Di- and Mono-Saccharides and Polyols (FODMAPs) or Gluten Free Diet: What Is Best for Irritable Bowel Syndrome?
| Autor: | Lorenzo Bertani, Francesco Bronzini, Francesco Costa, Massimo Bellini, Santino Marchi, Andrea Pancetti, Maria Gloria Mumolo, Nicola de Bortoli, Angelo Ricchiuti, Alessandra Rossi, Sara Tonarelli |
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| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Polymers Oligosaccharides irritable bowel disease non-celiac gluten wheat sensitivity lcsh:TX341-641 FODMAP Review Close supervision Placebo Disaccharides Gastroenterology Irritable Bowel Syndrome 03 medical and health sciences Diet Carbohydrate-Restricted Diet Gluten-Free 0302 clinical medicine Internal medicine Medicine Humans Irritable bowel syndrome chemistry.chemical_classification Clinical Trials as Topic 030109 nutrition & dietetics Nutrition and Dietetics business.industry Monosaccharides Gluten free diet Irritable bowel disease Low FODMAP diet Non-celiac gluten wheat sensitivity medicine.disease Dietary behavior Gluten Treatment Outcome chemistry low FODMAP diet Gastrointestinal disease Fermentation 030211 gastroenterology & hepatology Gluten free gluten free diet business lcsh:Nutrition. Foods and food supply Food Science |
| Zdroj: | Nutrients Nutrients, Vol 12, Iss 3368, p 3368 (2020) |
| ISSN: | 2072-6643 |
| Popis: | Irritable Bowel Syndrome (IBS) is a very common functional gastrointestinal disease. Its pathogenesis is multifactorial and not yet clearly defined, and hence, its therapy mainly relies on symptomatic treatments. Changes in lifestyle and dietary behavior are usually the first step, but unfortunately, there is little high-quality scientific evidence regarding a dietary approach. This is due to the difficulty in setting up randomized double-blind controlled trials which objectively evaluate efficacy without the risk of a placebo effect. However, a Low Fermentable Oligo-, Di- and Mono-saccharides And Polyols (FODMAP) Diet (LFD) and Gluten Free Diet (GFD) are among the most frequently suggested diets. This paper aims to evaluate their possible role in IBS management. A GFD is less restrictive and easier to implement in everyday life and can be suggested for patients who clearly recognize gluten as a trigger of their symptoms. An LFD, being more restrictive and less easy to learn and to follow, needs the close supervision of a skilled nutritionist and should be reserved for patients who recognize that the trigger of their symptoms is not, or not only, gluten. Even if the evidence is of very low-quality for both diets, the LFD is the most effective among the dietary interventions suggested for treating IBS, and it is included in the most updated guidelines. |
| Databáze: | OpenAIRE |
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