The role of diet in irritable bowel syndrome: implications for dietary advice

@article{Rej2019TheRO,
  title={The role of diet in irritable bowel syndrome: implications for dietary advice},
  author={A. Rej and I. Aziz and H. Tornblom and D. Sanders and M. Simr{\'e}n},
  journal={Journal of Internal Medicine},
  year={2019},
  volume={286},
  pages={490 - 502}
}
Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder that affects approximately 10% of the population. Diet triggers symptoms in the vast majority of individuals with IBS. In view of this, there has been a focus on the role of diet in IBS. The diets currently being headlined for IBS include (i) traditional dietary advice, (ii) the low fermentable oligo‐, di‐, mono‐ saccharides and polyols (FODMAPs) diet and (iii) the gluten‐free diet (GFD). Although traditional… Expand
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References

SHOWING 1-10 OF 84 REFERENCES
Clinical application of dietary therapies in irritable bowel syndrome.
TLDR
There are no head-to-head trials to date utilizing the low FODMAP diet, GFD and WFD for dietary treatment of IBS and still a number of concerns for diets, including nutritional inadequacy and alteration of the gut microbiota are still concerns. 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
The role of diet in symptoms of irritable bowel syndrome in adults: a narrative review.
This review summarizes what is known about the effect of diet on irritable bowel syndrome (IBS) symptoms emphasizing data from randomized, controlled clinical trials. Studies suggest that IBSExpand
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
How to institute the low‐FODMAP diet
  • J. Barrett
  • Medicine
  • Journal of gastroenterology and hepatology
  • 2017
TLDR
A diet low in poorly absorbed, fermentable, short chain carbohydrates (FODMAPs) is an effective strategy to manage symptoms of irritable bowel syndrome (IBS), but research suggests that a strict long‐term, low‐FodMAP diet may negatively impact intestinal microbiome. Expand
A dietary survey of patients with irritable bowel syndrome.
TLDR
The dietary practices of Irish patients with IBS were examined to determine whether these practices increased their vulnerability to nutritional inadequacies, possibly exposing a considerable number to an increased risk of nutritional deficiency. Expand
Controversies and reality of the FODMAP diet for patients with irritable bowel syndrome
TLDR
Safety concerns of the FODMAP diet have centered around its initial elimination leading to compromise of nutritional and psychological health, but careful patient assessment and management, preferably through a FOD MAP‐trained dietitian, will reduce the risk of such negative health outcomes. Expand
The evidence base for efficacy of the low FODMAP diet in irritable bowel syndrome: is it ready for prime time as a first‐line therapy?
  • P. Gibson
  • Medicine
  • Journal of gastroenterology and hepatology
  • 2017
TLDR
Clinical trials and observational studies support the notion that a dietitian‐led low FODMAP diet is ready for primetime and should be considered as a first‐line therapy for patients with IBS where the use of a restrictive diet is appropriate. Expand
Dietary Renaissance in IBS: Has Food Replaced Medications as a Primary Treatment Strategy?
TLDR
There is now credible evidence suggesting that targeted dietary carbohydrate exclusion provides clinical benefits to IBS patients, and emerging evidence to suggest that proteins such as gluten, as well as food chemicals, may play a role in IBS. Expand
Use of Dietary Management in Irritable Bowel Syndrome: Results of a Survey of Over 1500 United States Gastroenterologists
TLDR
A national survey of United States gastroenterologists’ perceptions of dietary therapies for irritable bowel syndrome identified enthusiasm for diet treatment of IBS. Expand
...
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2
3
4
5
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