A Systematic Review and Meta‐Analysis Evaluating the Efficacy of a Gluten‐Free Diet and a Low FODMAPS Diet in Treating Symptoms of Irritable Bowel Syndrome

@article{Dionne2018ASR,
  title={A Systematic Review and Meta‐Analysis Evaluating the Efficacy of a Gluten‐Free Diet and a Low FODMAPS Diet in Treating Symptoms of Irritable Bowel Syndrome},
  author={J. Dionne and A. Ford and Yuhong Yuan and W. Chey and B. Lacy and Yuri A Saito and E. Quigley and P. Moayyedi},
  journal={American Journal of Gastroenterology},
  year={2018},
  volume={113},
  pages={1290–1300}
}
OBJECTIVE: Dietary triggers such as gluten and highly fermentable oligo‐, di‐ and monosaccharides and polyols (FODMAP)‐containing foods have been associated with worsening irritable bowel syndrome (IBS) symptoms. [...] Key Method Two independent reviewers screened citations and a third reviewer resolved disagreement. Two independent reviewers performed eligibility assessment and data abstraction.Expand
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References

SHOWING 1-10 OF 27 REFERENCES
The Effect of Dietary Intervention on Irritable Bowel Syndrome: A Systematic Review
TLDR
More evidence is needed before generally recommending elimination diets for IBS patients, as the evidence for the efficacy of dietary therapies has not been evaluated systematically. Expand
A Diet Low in FODMAPs Reduces Symptoms in Patients With Irritable Bowel Syndrome and A Probiotic Restores Bifidobacterium Species: A Randomized Controlled Trial.
TLDR
In a placebo-controlled study of patients with IBS, a low FODMAP diet associates with adequate symptom relief and significantly reduced symptom scores compared with placebo. Expand
A Randomized Controlled Trial Comparing the Low FODMAP Diet vs. Modified NICE Guidelines in US Adults with IBS-D
TLDR
In this US trial, 40–50% of patients reported adequate relief of their IBS-D symptoms with the low FODMAP diet or a diet based on modified NICE guidelines, which led to significantly greater improvement in individual IBS symptoms, particularly pain and bloating, compared with the mNICE diet. Expand
Diet low in FODMAPs reduces symptoms of irritable bowel syndrome as well as traditional dietary advice: a randomized controlled trial.
TLDR
A diet low in FODMAPs reduces IBS symptoms as well as traditional IBS dietary advice, and combining elements from these 2 strategies might further reduce symptoms of IBS. Expand
Non-Celiac Gluten Sensitivity Has Narrowed the Spectrum of Irritable Bowel Syndrome: A Double-Blind Randomized Placebo-Controlled Trial
TLDR
Using the term of IBS can therefore be misleading and may deviate and postpone the application of an effective and well-targeted treatment strategy in gluten sensitive patients. Expand
No effects of gluten in patients with self-reported non-celiac gluten sensitivity after dietary reduction of fermentable, poorly absorbed, short-chain carbohydrates.
TLDR
In a placebo-controlled, cross-over rechallenge study, there is no evidence of specific or dose-dependent effects of gluten in patients with NCGS placed diets low in FODMAPs. Expand
Gluten Causes Gastrointestinal Symptoms in Subjects Without Celiac Disease: A Double-Blind Randomized Placebo-Controlled Trial
TLDR
“Non-celiac gluten intolerance” may exist, but no clues to the mechanism were elucidated and there were no differences in any end point in individuals with or without DQ2/DQ8. Expand
Food elimination based on IgG antibodies in irritable bowel syndrome: a randomised controlled trial
TLDR
Food elimination based on IgG antibodies may be effective in reducing IBS symptoms and is worthy of further biomedical research. Expand
A diet low in FODMAPs reduces symptoms of irritable bowel syndrome.
TLDR
In a controlled, cross-over study of patients with IBS, a diet low in FODMAPs effectively reduced functional gastrointestinal symptoms and high-quality evidence supports its use as a first-line therapy. Expand
Systematic review: quality of trials on the symptomatic effects of the low FODMAP diet for irritable bowel syndrome
The low Fermentable Oligo‐, Di‐ Monosaccharides, and Polyoles (FODMAP) diet is a new treatment option for irritable bowel syndrome (IBS). Experts refer to the diet as supported by high level ofExpand
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