Application of The FODMAP Diet in a Paediatric Setting
In adults, dietary management, particularly with the FODMAP diet, is a key evidence-based part of multimodal therapy for patients with disorders of the gut–brain interaction, particularly irritable bowel syndrome. This review aims to describe the evidence for the use of this diet and how to deliver...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-10-01
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| Series: | Nutrients |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2072-6643/14/20/4369 |
| _version_ | 1797470613744386048 |
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| author | Dakota Rhys-Jones Jane E. Varney Jane G. Muir Peter R. Gibson Emma P. Halmos |
| author_facet | Dakota Rhys-Jones Jane E. Varney Jane G. Muir Peter R. Gibson Emma P. Halmos |
| author_sort | Dakota Rhys-Jones |
| collection | DOAJ |
| description | In adults, dietary management, particularly with the FODMAP diet, is a key evidence-based part of multimodal therapy for patients with disorders of the gut–brain interaction, particularly irritable bowel syndrome. This review aims to describe the evidence for the use of this diet and how to deliver it in paediatric practice. A literature review covering studies on the FODMAP diet in adult and paediatric settings was conducted. While the evidence for the efficacy and safety of a FODMAP diet delivered in three phases, restriction, rechallenge and personalisation, is considerable, there is a lack of good-quality clinical trials exploring the efficacy of the diet in children and adolescents. Likewise, there are limited data on safety concerns associated with a restrictive diet in paediatrics, including impacts on nutrition and growth, disordered eating behaviours, psychosocial and family issues and families and the gut microbiome. The evidence suggests that the implementation of a dietary program is enhanced by a skilled dietitian when navigating a young person (and family) through healthy eating strategies and/or FODMAP restrictions to ameliorate their symptoms. Since the FODMAP diet is being prescribed globally to children, a practical guide for clinicians used to optimise efficacy and safety is provided, including the less restrictive ‘FODMAP-gentle’ diet. |
| first_indexed | 2024-03-09T19:38:47Z |
| format | Article |
| id | doaj.art-78565c5759304a53bfc1de7d6dce03f7 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-09T19:38:47Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-78565c5759304a53bfc1de7d6dce03f72023-11-24T01:45:30ZengMDPI AGNutrients2072-66432022-10-011420436910.3390/nu14204369Application of The FODMAP Diet in a Paediatric SettingDakota Rhys-Jones0Jane E. Varney1Jane G. Muir2Peter R. Gibson3Emma P. Halmos4Department of Gastroenterology, Central Clinical School, Monash University and Alfred Health, Melbourne, VIC 3004, AustraliaDepartment of Gastroenterology, Central Clinical School, Monash University and Alfred Health, Melbourne, VIC 3004, AustraliaDepartment of Gastroenterology, Central Clinical School, Monash University and Alfred Health, Melbourne, VIC 3004, AustraliaDepartment of Gastroenterology, Central Clinical School, Monash University and Alfred Health, Melbourne, VIC 3004, AustraliaDepartment of Gastroenterology, Central Clinical School, Monash University and Alfred Health, Melbourne, VIC 3004, AustraliaIn adults, dietary management, particularly with the FODMAP diet, is a key evidence-based part of multimodal therapy for patients with disorders of the gut–brain interaction, particularly irritable bowel syndrome. This review aims to describe the evidence for the use of this diet and how to deliver it in paediatric practice. A literature review covering studies on the FODMAP diet in adult and paediatric settings was conducted. While the evidence for the efficacy and safety of a FODMAP diet delivered in three phases, restriction, rechallenge and personalisation, is considerable, there is a lack of good-quality clinical trials exploring the efficacy of the diet in children and adolescents. Likewise, there are limited data on safety concerns associated with a restrictive diet in paediatrics, including impacts on nutrition and growth, disordered eating behaviours, psychosocial and family issues and families and the gut microbiome. The evidence suggests that the implementation of a dietary program is enhanced by a skilled dietitian when navigating a young person (and family) through healthy eating strategies and/or FODMAP restrictions to ameliorate their symptoms. Since the FODMAP diet is being prescribed globally to children, a practical guide for clinicians used to optimise efficacy and safety is provided, including the less restrictive ‘FODMAP-gentle’ diet.https://www.mdpi.com/2072-6643/14/20/4369disorders of gut–brain interactionirritable bowel syndromediet therapydisordered eatingnutrition |
| spellingShingle | Dakota Rhys-Jones Jane E. Varney Jane G. Muir Peter R. Gibson Emma P. Halmos Application of The FODMAP Diet in a Paediatric Setting Nutrients disorders of gut–brain interaction irritable bowel syndrome diet therapy disordered eating nutrition |
| title | Application of The FODMAP Diet in a Paediatric Setting |
| title_full | Application of The FODMAP Diet in a Paediatric Setting |
| title_fullStr | Application of The FODMAP Diet in a Paediatric Setting |
| title_full_unstemmed | Application of The FODMAP Diet in a Paediatric Setting |
| title_short | Application of The FODMAP Diet in a Paediatric Setting |
| title_sort | application of the fodmap diet in a paediatric setting |
| topic | disorders of gut–brain interaction irritable bowel syndrome diet therapy disordered eating nutrition |
| url | https://www.mdpi.com/2072-6643/14/20/4369 |
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