Nutrition and Disorders of Gut–Brain Interaction

Background: Disorders of gut–brain interaction (DGBIs) have a complex pathophysiology that is often characterized by a relationship between food ingestion and triggering of symptoms. Understanding of the underlying mechanisms and the role of nutrients as a therapeutic target are rapidly evolving. Ai...

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Main Authors: Emidio Scarpellini, Lukas Michaja Balsiger, Bert Broeders, Karen Van Den Houte, Karen Routhiaux, Karlien Raymenants, Florencia Carbone, Jan Tack
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/16/1/176
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author Emidio Scarpellini
Lukas Michaja Balsiger
Bert Broeders
Karen Van Den Houte
Karen Routhiaux
Karlien Raymenants
Florencia Carbone
Jan Tack
author_facet Emidio Scarpellini
Lukas Michaja Balsiger
Bert Broeders
Karen Van Den Houte
Karen Routhiaux
Karlien Raymenants
Florencia Carbone
Jan Tack
author_sort Emidio Scarpellini
collection DOAJ
description Background: Disorders of gut–brain interaction (DGBIs) have a complex pathophysiology that is often characterized by a relationship between food ingestion and triggering of symptoms. Understanding of the underlying mechanisms and the role of nutrients as a therapeutic target are rapidly evolving. Aims and methods: We performed a narrative review of the literature using the following keywords, their acronyms, and their associations: nutrients, disorders of gut–brain interaction; functional dyspepsia; malabsorption; irritable bowel syndrome; diarrhea; constipation. Results: Functional dyspepsia displayed a significant correlation between volume, fat and/or wheat abundance, chemical composition of ingested food and symptoms of early satiety, fullness and weight loss. Carbohydrate malabsorption is related to enzyme deficiency throughout the GI tract. Food composition and richness in soluble vs. non-soluble fibers is related to constipation and diarrhea. The elimination of fermentable oligo-, di-, monosaccharides and polyols (FODMAPs) has a significant and non-unidirectional impact on irritable bowel syndrome (IBS) symptoms. Conclusions: Food volume, nutritive and chemical composition, and its malabsorption are associated with symptom generation in DGBIs. Further multicenter, randomized-controlled clinical trials are needed to clarify the underlying pathophysiology.
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spelling doaj.art-ae764fe9f583465bb6b527d59c7ca8a32024-01-10T15:05:50ZengMDPI AGNutrients2072-66432024-01-0116117610.3390/nu16010176Nutrition and Disorders of Gut–Brain InteractionEmidio Scarpellini0Lukas Michaja Balsiger1Bert Broeders2Karen Van Den Houte3Karen Routhiaux4Karlien Raymenants5Florencia Carbone6Jan Tack7Translational Research in Gastrointestinal Disoerders (T.A.R.G.I.D.), Gasthuisberg University Hospital, KU Leuven, Herestraat 49, 3000 Lueven, BelgiumTranslational Research in Gastrointestinal Disoerders (T.A.R.G.I.D.), Gasthuisberg University Hospital, KU Leuven, Herestraat 49, 3000 Lueven, BelgiumTranslational Research in Gastrointestinal Disoerders (T.A.R.G.I.D.), Gasthuisberg University Hospital, KU Leuven, Herestraat 49, 3000 Lueven, BelgiumTranslational Research in Gastrointestinal Disoerders (T.A.R.G.I.D.), Gasthuisberg University Hospital, KU Leuven, Herestraat 49, 3000 Lueven, BelgiumTranslational Research in Gastrointestinal Disoerders (T.A.R.G.I.D.), Gasthuisberg University Hospital, KU Leuven, Herestraat 49, 3000 Lueven, BelgiumTranslational Research in Gastrointestinal Disoerders (T.A.R.G.I.D.), Gasthuisberg University Hospital, KU Leuven, Herestraat 49, 3000 Lueven, BelgiumTranslational Research in Gastrointestinal Disoerders (T.A.R.G.I.D.), Gasthuisberg University Hospital, KU Leuven, Herestraat 49, 3000 Lueven, BelgiumTranslational Research in Gastrointestinal Disoerders (T.A.R.G.I.D.), Gasthuisberg University Hospital, KU Leuven, Herestraat 49, 3000 Lueven, BelgiumBackground: Disorders of gut–brain interaction (DGBIs) have a complex pathophysiology that is often characterized by a relationship between food ingestion and triggering of symptoms. Understanding of the underlying mechanisms and the role of nutrients as a therapeutic target are rapidly evolving. Aims and methods: We performed a narrative review of the literature using the following keywords, their acronyms, and their associations: nutrients, disorders of gut–brain interaction; functional dyspepsia; malabsorption; irritable bowel syndrome; diarrhea; constipation. Results: Functional dyspepsia displayed a significant correlation between volume, fat and/or wheat abundance, chemical composition of ingested food and symptoms of early satiety, fullness and weight loss. Carbohydrate malabsorption is related to enzyme deficiency throughout the GI tract. Food composition and richness in soluble vs. non-soluble fibers is related to constipation and diarrhea. The elimination of fermentable oligo-, di-, monosaccharides and polyols (FODMAPs) has a significant and non-unidirectional impact on irritable bowel syndrome (IBS) symptoms. Conclusions: Food volume, nutritive and chemical composition, and its malabsorption are associated with symptom generation in DGBIs. Further multicenter, randomized-controlled clinical trials are needed to clarify the underlying pathophysiology.https://www.mdpi.com/2072-6643/16/1/176nutrientsdisturbances of gut–brain axisfunctional dyspepsiamalabsorptionirritable bowel syndromediarrhea
spellingShingle Emidio Scarpellini
Lukas Michaja Balsiger
Bert Broeders
Karen Van Den Houte
Karen Routhiaux
Karlien Raymenants
Florencia Carbone
Jan Tack
Nutrition and Disorders of Gut–Brain Interaction
Nutrients
nutrients
disturbances of gut–brain axis
functional dyspepsia
malabsorption
irritable bowel syndrome
diarrhea
title Nutrition and Disorders of Gut–Brain Interaction
title_full Nutrition and Disorders of Gut–Brain Interaction
title_fullStr Nutrition and Disorders of Gut–Brain Interaction
title_full_unstemmed Nutrition and Disorders of Gut–Brain Interaction
title_short Nutrition and Disorders of Gut–Brain Interaction
title_sort nutrition and disorders of gut brain interaction
topic nutrients
disturbances of gut–brain axis
functional dyspepsia
malabsorption
irritable bowel syndrome
diarrhea
url https://www.mdpi.com/2072-6643/16/1/176
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