Does a diet low in FODMAPs reduce symptoms associated with functional gastrointestinal disorders? A comprehensive systematic review and meta-analysis

@article{Marsh2015DoesAD,
  title={Does a diet low in FODMAPs reduce symptoms associated with functional gastrointestinal disorders? A comprehensive systematic review and meta-analysis},
  author={Abigail Marsh and Enid M. Eslick and Guy D. Eslick},
  journal={European Journal of Nutrition},
  year={2015},
  volume={55},
  pages={897-906}
}
AbstractBackground Functional gastrointestinal symptoms such as abdominal pain, bloating, distension, constipation, diarrhea and flatulence have been noted in patients with irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD. [] Key MethodMethodsElectronic databases were searched through to March 2015 to identify relevant studies.
Low FODMAP Diet for Functional Gastrointestinal Symptoms in Quiescent Inflammatory Bowel Disease: A Systematic Review of Randomized Controlled Trials
TLDR
The available data are not sufficient to justify the claim that an LFD induces relief of FGD symptoms, although it may pave the way to a placebo response.
Efficacy of the low FODMAP diet for treating irritable bowel syndrome: the evidence to date
TLDR
Evidence to date strongly supports the efficacy of a low FODMAP diet in the treatment of IBS, with up to 86% of patients with IBS finding improvement in overall gastrointestinal symptoms as well as individual symptoms following the diet.
Does a low FODMAPs diet reduce symptoms of functional abdominal pain disorders? A systematic review in adult and paediatric population, on behalf of Italian Society of Pediatrics
TLDR
The FODMAPs-restricted diet may be an effective dietary intervention for reducing IBS symptoms in adults and in children, and there are promising data, although only one randomized double-blind study exists and further data are needed to better clarify the role of FodMAPs and fructose- restricted diet in IBS.
Beyond Irritable Bowel Syndrome: The Efficacy of the Low Fodmap Diet for Improving Symptoms in Inflammatory Bowel Diseases and Celiac Disease
TLDR
A low FODMAP diet could be a valid option to counter abdominal symptoms in patients with IBS, non-active IBD, or CD on a GFD, and thus, improve their QoL and social relations.
A Low-FODMAP Diet Improves the Global Symptoms and Bowel Habits of Adult IBS Patients: A Systematic Review and Meta-Analysis
TLDR
An LFD is effective in reducing the global symptoms and improving the bowel habits of adult IBS patients and the efficacy for IBS-D patients can also be more pronounced.
Effect of Low FODMAP Diet and Aerobic Exercise on Irritable Bowel Syndrome Post Abdominal Surgeries
TLDR
Combining low FODMAP diet and aerobic exercise had a greater effect on irritable bowel syndrome through reducing IBS symptoms and improving quality of life.
The role of diet in the management of irritable bowel syndrome: a focus on FODMAPs
TLDR
Future research should focus on the identification of other effective diet therapies focusing on supplementation of functional foods in addition to elimination and the development of biomarker-based diet treatment plans which identify the right treatment for the right patient.
Does Low-FODMAP Diet Decrease Symptoms and Improve Quality of Life in IBS? An Integrative Research Review
TLDR
The purpose of this Integrated Research Review (IRR) is to determine if utilizing a low-FODMAP diet will lead to symptom and quality of life improvement in patients with IBS.
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References

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The role of FODMAPs in irritable bowel syndrome
TLDR
The low FODMAP diet has been shown to be an efficacious therapy for reduction of functional gastrointestinal symptoms seen in IBS and appears to be superior to a gluten-free diet in people with self-reported nonceliac gluten sensitivity.
PWE-092 Symptom Response Following Advice On A Diet Low In Short-chain Fermentable Carbohydrates (fodmaps) For Functional Bowel Symptoms In Patients With Ibd
TLDR
The low FODMAP diet appears to be an effective treatment option for patients with IBD and FGD particularly for those with symptoms of abdominal bloating, flatulence, faecal urgency and lethargy.
Comparison of symptom response following advice for a diet low in fermentable carbohydrates (FODMAPs) versus standard dietary advice in patients with irritable bowel syndrome.
TLDR
A low FODMAP diet appears to be more effective than standard dietary advice for symptom control in IBS.
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.
A PILOT STUDY ON THE INTRODUCTION OF A LOW FODMAP DIET IN A SUBGROUP OF SYMPTOMATIC IBS PATIENTS REFERRED BY THE GASTROENTEROLOGY SERVICE IN AN IRISH TERTIARY REFERRAL CENTRE
Introduction Patients with IBS frequently relate symptom exacerbation to food ingestion. However there is little evidence to support the role of food allergy in the pathogenesis of IBS. Dietary
Ehealth monitoring in irritable bowel syndrome patients treated with low fermentable oligo-, di-, mono-saccharides and polyols diet.
TLDR
A significant reduction in disease activity during the control period shows a positive effect of the web-application on IBS symptoms when presented as a "traffic light", however adding the diet reduced IBS-SSS to < 150, inactive to mild symptoms.
PWE-170 An Audit Of Clinical Response In Patients With Ibs Treated With The Low Fodmap Diet At St Mary’s Hospital
TLDR
The majority of patients treated with the low FODMAP diet at St Marys Hospital had symptomatic improvements, and it has been effective in treating symptoms that are difficult to treat medically such as bloating, abdominal pain and flatulence.
PMO-031 An audit investigating the efficacy of the low FODMAP diet in improving symptoms in patients with functional gastro-intestinal symptoms
TLDR
The low FODMAP diet was shown to be effective in the management and overall improvement of functional GI symptoms, however further evaluation is needed to determine the long term management and effectiveness of this diet.
An Evidence-Based Position Statement on the Management of Irritable Bowel Syndrome
TLDR
This monograph was developed to educate physicians about its epidemiology, diagnostic approach, and treatments of Irritable Bowel Syndrome to critically evaluate the rapidly expanding research about IBS.
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