Adapting the low FODMAP diet to special populations: infants and children

Abstract

Management of gut-related symptoms in the pediatric population can be challenging. Many factors need to be taken into consideration including psychological, behavioral, social and family environments, and growth and developmental requirements. This review focuses on two issues: potential dietary therapies that are thought to relieve the symptoms of infantile colic, a condition that is believed to be gastrointestinal in nature; and the evidence and dietary considerations surrounding children with irritable bowel syndrome.

Elimination of Fermentable Carbohydrates to Reduce Gastrointestinal Symptoms in Pediatric Patients With Irritable Bowel Syndrome: A Narrative Review

“…An interprofessional approach to establish the underlying etiology, or etiologies, responsible for symptoms in pediatric IBS will better direct treatment strategy to avoid unnecessary tests, procedures, and food elimination . It is also possible that there is more than 1 underlying etiology eliciting symptoms in patients with IBS across the life span, particularly in pediatric patients for whom both body and mind are in a state of growth and change . Therefore, a personalized medicine approach to identify the best strategy to treat GI symptoms in pediatric patients with IBS is paramount.…”

“…15,17 It is also possible that there is more than 1 underlying etiology eliciting symptoms in patients with IBS across the life span, particularly in pediatric patients for whom both body and mind are in a state of growth and change. 35 Therefore, a personalized medicine approach to identify the best strategy to treat GI symptoms in pediatric patients with IBS is paramount.…”

“…In adolescents in particular, diet elimination may be a risky treatment strategy because eating disorders commonly emerge during this time, and adolescents still have increased nutrient needs for growth . Iacovou et al suggest that future research more carefully separate study populations to just children or adolescents, because each age group presents with different psychosocial and nutrition issues and needs …”

“…27 Iacovou et al suggest that future research more carefully separate study populations to just children or adolescents, because each age group presents with different psychosocial and nutrition issues and needs. 35 Additionally, future research should focus on how to identify probable responders to various treatment strategies. Fermentable carbohydrates can have a positive role in health, and elimination should only occur when it translates to successful symptom resolution.…”

Sobrecrecimiento bacteriano en el intestino delgado: una causa de dolor abdominal crónico en niños

“…Para consultar esta dieta con mayor detalle visite http://fodmapliving.com/ wp-content/uploads/2013/02/Stanford-University-Low-FODMAP-Diet-Handout. pdf 16,17 En la experiencia del servicio de Gastroenterología del INP, indicar la dieta junto con el antibiótico disminuye los síntomas en los niños. Si bien aún falta evidencia que aclare este punto, el único ensayo clínico efectuado en niños demuestra que es efectivo en el tratamiento del dolor abdominal crónico.…”