Therapy of IBS: Is a Low FODMAP Diet the Answer?
Irritable bowel syndrome (IBS) is the most prevalent functional gastrointestinal disorder with a worldwide prevalence of 11%. It is characterized by abdominal pain and altered bowel habits in the absence of underlying unique pathology. The condition is associated with poor quality of life and high u...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2020-08-01
|
| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/article/10.3389/fpsyt.2020.00865/full |
| _version_ | 1818897510988513280 |
|---|---|
| author | Lauren P. Manning C. K. Yao Jessica R. Biesiekierski |
| author_facet | Lauren P. Manning C. K. Yao Jessica R. Biesiekierski |
| author_sort | Lauren P. Manning |
| collection | DOAJ |
| description | Irritable bowel syndrome (IBS) is the most prevalent functional gastrointestinal disorder with a worldwide prevalence of 11%. It is characterized by abdominal pain and altered bowel habits in the absence of underlying unique pathology. The condition is associated with poor quality of life and high use of healthcare resources required for management. The low FODMAP diet (LFD) is a recognized treatment for symptom management of IBS; however, approximately 30% of patients do not respond. The aim of this review was to understand the effectiveness and application of the LFD compared with other dietary and non-dietary interventions. Ten studies were included, eight of which assessed the LFD against other dietary interventions including traditional dietary advice, modified National Institute for Health and Care Excellence guidelines, a high FODMAP diet, gluten-free diet and Mediterranean diet, generalized dietary advice, probiotics, and a sham diet. Two studies compared a LFD to non-diet interventions of gut directed hypnotherapy or yoga. The findings clearly support the LFD as an effective treatment in IBS, and although it highlights the role for microbiota and current psychosocial state, it remains challenging to identify what combination of treatments may be best to ensure a personalized approach and overall higher response rates to IBS therapy. |
| first_indexed | 2024-12-19T19:17:20Z |
| format | Article |
| id | doaj.art-c59a60e4713243fd80e56d7e40381381 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-19T19:17:20Z |
| publishDate | 2020-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-c59a60e4713243fd80e56d7e403813812022-12-21T20:09:06ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-08-011110.3389/fpsyt.2020.00865507458Therapy of IBS: Is a Low FODMAP Diet the Answer?Lauren P. Manning0C. K. Yao1Jessica R. Biesiekierski2Department of Rehabilitation, Nutrition and Sport, La Trobe University, Melbourne, VIC, AustraliaDepartment of Gastroenterology, Central Clinical School, Monash University & Alfred Health, Melbourne, VIC, AustraliaDepartment of Rehabilitation, Nutrition and Sport, La Trobe University, Melbourne, VIC, AustraliaIrritable bowel syndrome (IBS) is the most prevalent functional gastrointestinal disorder with a worldwide prevalence of 11%. It is characterized by abdominal pain and altered bowel habits in the absence of underlying unique pathology. The condition is associated with poor quality of life and high use of healthcare resources required for management. The low FODMAP diet (LFD) is a recognized treatment for symptom management of IBS; however, approximately 30% of patients do not respond. The aim of this review was to understand the effectiveness and application of the LFD compared with other dietary and non-dietary interventions. Ten studies were included, eight of which assessed the LFD against other dietary interventions including traditional dietary advice, modified National Institute for Health and Care Excellence guidelines, a high FODMAP diet, gluten-free diet and Mediterranean diet, generalized dietary advice, probiotics, and a sham diet. Two studies compared a LFD to non-diet interventions of gut directed hypnotherapy or yoga. The findings clearly support the LFD as an effective treatment in IBS, and although it highlights the role for microbiota and current psychosocial state, it remains challenging to identify what combination of treatments may be best to ensure a personalized approach and overall higher response rates to IBS therapy.https://www.frontiersin.org/article/10.3389/fpsyt.2020.00865/fullFODMAPdietary therapysymptom managementIBS (irritable bowel syndrome)gut-brain axis |
| spellingShingle | Lauren P. Manning C. K. Yao Jessica R. Biesiekierski Therapy of IBS: Is a Low FODMAP Diet the Answer? Frontiers in Psychiatry FODMAP dietary therapy symptom management IBS (irritable bowel syndrome) gut-brain axis |
| title | Therapy of IBS: Is a Low FODMAP Diet the Answer? |
| title_full | Therapy of IBS: Is a Low FODMAP Diet the Answer? |
| title_fullStr | Therapy of IBS: Is a Low FODMAP Diet the Answer? |
| title_full_unstemmed | Therapy of IBS: Is a Low FODMAP Diet the Answer? |
| title_short | Therapy of IBS: Is a Low FODMAP Diet the Answer? |
| title_sort | therapy of ibs is a low fodmap diet the answer |
| topic | FODMAP dietary therapy symptom management IBS (irritable bowel syndrome) gut-brain axis |
| url | https://www.frontiersin.org/article/10.3389/fpsyt.2020.00865/full |
| work_keys_str_mv | AT laurenpmanning therapyofibsisalowfodmapdiettheanswer AT ckyao therapyofibsisalowfodmapdiettheanswer AT jessicarbiesiekierski therapyofibsisalowfodmapdiettheanswer |