Systematic review and meta-analysis of habitual intake of fermentable oligo-, di-, mono- saccharides and polyols in the general population and revisiting the low FODMAP diet concept

The present systematic review and meta-analysis summarized data on habitual intake of oligo-, di-, mono-saccharides and polyols from 71 studies (n = 138,653 subjects) using random-effects model. In the general population, overall habitual intake of total FODMAPs is 19.86 (95 % CI: 18.12, 21.6) g/d....

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Main Authors: Yoghatama Cindya Zanzer, Stephan Theis
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Journal of Functional Foods
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1756464623005145
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author Yoghatama Cindya Zanzer
Stephan Theis
author_facet Yoghatama Cindya Zanzer
Stephan Theis
author_sort Yoghatama Cindya Zanzer
collection DOAJ
description The present systematic review and meta-analysis summarized data on habitual intake of oligo-, di-, mono-saccharides and polyols from 71 studies (n = 138,653 subjects) using random-effects model. In the general population, overall habitual intake of total FODMAPs is 19.86 (95 % CI: 18.12, 21.6) g/d. No differences were observed on habitual intake of individual constituents of designated FODMAPs between healthy and those who are suffering with functional gastrointestinal disease and other GI disorders. Multiple meta-regression adjusted with macronutrient components showed that IBS-SSS score is positively correlated with lactose (R2 = 77.78 %, P = 0.006) and total FODMAPs (R2 = 78.48 %, P = 0.0052), but not other individual constituents of designated FODMAPs e.g. fructans, GOS, and total polyols. Macronutrient components such as fat (in 6 out of 6 models) and carbohydrate (in 5 out of 6 models) were positively associated with IBS-SSS score. Our findings add insight on current knowledge of FODMAPs habitual intake in the general population and showed that individual FODMAPs such as lactose and other macronutrient components (fat and carbohydrate) as a constituent significantly related to symptom severity.
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spelling doaj.art-7b7d4dac14124271a755e38dce0b01912024-01-14T05:37:08ZengElsevierJournal of Functional Foods1756-46462024-01-01112105914Systematic review and meta-analysis of habitual intake of fermentable oligo-, di-, mono- saccharides and polyols in the general population and revisiting the low FODMAP diet conceptYoghatama Cindya Zanzer0Stephan Theis1Corresponding author.; BENEO Institute, c/o BENEO GmbH, Obrigheim/Pfalz, GermanyBENEO Institute, c/o BENEO GmbH, Obrigheim/Pfalz, GermanyThe present systematic review and meta-analysis summarized data on habitual intake of oligo-, di-, mono-saccharides and polyols from 71 studies (n = 138,653 subjects) using random-effects model. In the general population, overall habitual intake of total FODMAPs is 19.86 (95 % CI: 18.12, 21.6) g/d. No differences were observed on habitual intake of individual constituents of designated FODMAPs between healthy and those who are suffering with functional gastrointestinal disease and other GI disorders. Multiple meta-regression adjusted with macronutrient components showed that IBS-SSS score is positively correlated with lactose (R2 = 77.78 %, P = 0.006) and total FODMAPs (R2 = 78.48 %, P = 0.0052), but not other individual constituents of designated FODMAPs e.g. fructans, GOS, and total polyols. Macronutrient components such as fat (in 6 out of 6 models) and carbohydrate (in 5 out of 6 models) were positively associated with IBS-SSS score. Our findings add insight on current knowledge of FODMAPs habitual intake in the general population and showed that individual FODMAPs such as lactose and other macronutrient components (fat and carbohydrate) as a constituent significantly related to symptom severity.http://www.sciencedirect.com/science/article/pii/S1756464623005145Excess fructoseFructansLactoseOligosaccharidesPolyolsFODMAP
spellingShingle Yoghatama Cindya Zanzer
Stephan Theis
Systematic review and meta-analysis of habitual intake of fermentable oligo-, di-, mono- saccharides and polyols in the general population and revisiting the low FODMAP diet concept
Journal of Functional Foods
Excess fructose
Fructans
Lactose
Oligosaccharides
Polyols
FODMAP
title Systematic review and meta-analysis of habitual intake of fermentable oligo-, di-, mono- saccharides and polyols in the general population and revisiting the low FODMAP diet concept
title_full Systematic review and meta-analysis of habitual intake of fermentable oligo-, di-, mono- saccharides and polyols in the general population and revisiting the low FODMAP diet concept
title_fullStr Systematic review and meta-analysis of habitual intake of fermentable oligo-, di-, mono- saccharides and polyols in the general population and revisiting the low FODMAP diet concept
title_full_unstemmed Systematic review and meta-analysis of habitual intake of fermentable oligo-, di-, mono- saccharides and polyols in the general population and revisiting the low FODMAP diet concept
title_short Systematic review and meta-analysis of habitual intake of fermentable oligo-, di-, mono- saccharides and polyols in the general population and revisiting the low FODMAP diet concept
title_sort systematic review and meta analysis of habitual intake of fermentable oligo di mono saccharides and polyols in the general population and revisiting the low fodmap diet concept
topic Excess fructose
Fructans
Lactose
Oligosaccharides
Polyols
FODMAP
url http://www.sciencedirect.com/science/article/pii/S1756464623005145
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AT stephantheis systematicreviewandmetaanalysisofhabitualintakeoffermentableoligodimonosaccharidesandpolyolsinthegeneralpopulationandrevisitingthelowfodmapdietconcept