Is Low FODMAP Diet Effective in Children with Irritable Bowel Disease?

Doğan, Güzide; Yavuz, Sibel; Aslantaş, Hale; Özyurt, Beyhan Cengiz; Kasırga, Erhun

doi:10.14744/nci.2020.40326

Cited by 8 publications

(43 citation statements)

References 21 publications

(20 reference statements)

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“…Uncontrolled studies have identified improvement using a low FODMAP diet in children with pain-predominant DGBIs ranging from 50% to 79% ( 77 , 78 ). Two RCTs have identified amelioration of gastrointestinal symptoms using a low FODMAP diet vs either traditional diet or general protective standard diet ( 79 , 80 ). A small RCT did not identify a difference in abdominal pain frequency comparing a low FODMAP diet vs a National Institute for Health and Care Excellence diet (which also restricts fermentable carbohydrates) ( 81 ).…”

Section: Pain-predominant Disorders Of Gut-brain Interactionmentioning

confidence: 99%

Pediatric Aspects of Nutrition Interventions for Disorders of Gut-Brain Interaction

et al. 2022

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Dietary factors may play an important role in the generation of symptoms in children with disorders of gut-brain interaction (DGBIs). Although dietary modification may provide successful treatment, there is a relative paucity of controlled trials that have shown the effectiveness of dietary interventions. This study is a narrative review that explores the existing literature on food and pediatric DGBIs. The following have been shown to be beneficial: (i) in infants with colic, removing cow's milk from the infant's diet or from the maternal diet in those who are breastfed; (ii) in infants with regurgitation, adding thickeners to the formula or removing cow's milk protein from the infant's diet or the maternal diet in those who are breastfed; and (iii) in children with pain-predominant DGBIs, using soluble fiber supplementation or a low fermentable oligosaccharides, disaccharides, monosaccharides, and polyols diet. In children with functional constipation, there is no evidence that adding fiber is beneficial. Given that most dietary interventions include restriction of different foods in children, a thoughtful approach and close follow-up are needed.

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Section: Pain-predominant Disorders Of Gut-brain Interactionmentioning

confidence: 99%

Pediatric Aspects of Nutrition Interventions for Disorders of Gut-Brain Interaction

et al. 2022

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“…Four full-length papers 16,17,29,30 and one abstract 31 (preliminary results) were included (153 participants) (Table 1).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Sample size calculations were reported in three RCTs. 17,29,30 Two trials 29,30 were conducted in USA (40%), one in Poland, 16 one in Singapore, 31 and one in Turkey. 17 Three of the five RCTs (60%) were of cross-over design [29][30][31] and two 16,17 had two parallel arms.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…7,11 Five previous systematic reviews (in children, or children and adults) 2,[12][13][14][15] found limited evidence with regard to use of a low-FODMAP diet in children with FAPD. However, two new trials 16,17 were recently published. The purpose of this review was to update evidence on the efficacy and safety of using a low-FODMAP diet for the management of children with FAPD.…”

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confidence: 99%

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FODMAP dietary restrictions in the management of children with functional abdominal pain disorders: A systematic review

Stróżyk

Horvath

Szajewska

2022

Neurogastroenterology Motil

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The available nutritional interventions for the management of functional abdominal pain disorders (FAPD) in children are limited. 1,2 Evidence of the efficacy of implementing a diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) is limited. 2 The rationale for use of a low-FODMAP diet is based on the assumption that a decrease in the short-chain fermentable carbohydrate load, both, prevents the osmotic effect of FODMAPs, resulting in a decrease in small intestine water volume, and limits the exaggerated fermentation of FODMAPs by colonic microbiota and associated gas production, which may alleviate recurrent abdominal pain (RAP). 3 A typical three-step low-FODMAP diet is commonly used in adults with IBS 4 (for a summary of the definitions of a low-FODMAP diet, see Table S1).However, in children with FAPD, a simplified version of the diet, called a "FODMAP-gentle diet" or "bottom-up approach" that excludes only a few foods with high concentrations of FODMAPs and/or a few targeted FODMAPs, also may be used to avoid over-restriction. 5,6 As for all restrictive diets, potential risks need to be considered.The main concerns associated with use of a low-FODMAP diet include alteration of the gut microbiota composition (i.e., decrease in the fecal Bifidobacterium spp.) and dietary inadequacy (including risk of lower

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“…As outlined in the "Review of the evidence" section of this manuscript, there are only four RCTs on low-FODMAP diet in children with IBS or FAP (8)(9)(10)(11). In these RCTs, (frequently after a baseline or wash-out period), children were randomized to a low-FODMAP diet (or a control diet) for 2 days to 2 months.…”

Section: Introduction Duration and Weaning Of The Dietary Restriction...mentioning

confidence: 99%

An ESPGHAN Position Paper on the Use of Low-FODMAP Diet in Pediatric Gastroenterology

Thomassen

Luque

Assa

et al. 2022

Journal of Pediatric Gastroenterology &Amp; Nutrition

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Excluding oligo-, di-, monosaccharides and polyols (FODMAPs) from the diet is increasingly being used to treat children with gastrointestinal complaints. The aim of this position paper is to review the available evidence on the safety and efficacy of its use in children and provide expert guidance regarding practical aspects in case its use is considered. Members of the Gastroenterology Committee, the Nutrition Committee and the Allied Health Professionals Committee of the European Society for Pediatric Gastroenterology Hepatology and Nutrition contributed to this position paper. Clinical questions regarding initiation, introduction, duration, weaning, monitoring, professional guidance, safety and risks of the diet are addressed. A systematic literature search was performed from 2005 to May 2021 using PubMed, MEDLINE and Cochrane Database of Systematic Reviews. In the absence of evidence, recommendations reflect the expert opinion of the authors. The systematic literature search revealed that the low-FODMAP diet has not been comprehensively studied in children. Indications and contraindications of the use of the diet in different pediatric gastroenterological conditions are discussed and practical recommendations are formulated. There is scarce evidence to support the use of a low-FODMAP diet in children with Irritable Bowel Syndrome and no evidence to recommend its use in other gastrointestinal diseases and complaints in children. Awareness of how and when to use the diet is crucial, as a restrictive diet may impact nutritional adequacy and/or promote distorted eating in vulnerable subjects. The present article provides practical safety tips to be applied when the low-FODMAP diet is considered in children.

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Is Low FODMAP Diet Effective in Children with Irritable Bowel Disease?

Cited by 8 publications

References 21 publications

Pediatric Aspects of Nutrition Interventions for Disorders of Gut-Brain Interaction

Pediatric Aspects of Nutrition Interventions for Disorders of Gut-Brain Interaction

FODMAP dietary restrictions in the management of children with functional abdominal pain disorders: A systematic review

An ESPGHAN Position Paper on the Use of Low-FODMAP Diet in Pediatric Gastroenterology

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