Early experience with a low FODMAP diet in Asian patients with irritable bowel syndrome

Wong, Zhiqin; Mok, Chu-Zhen; Majid, Hazreen Abdul; Mahadeva, Sanjiv

doi:10.1002/jgh3.12069

Cited by 25 publications

(38 citation statements)

References 25 publications

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“…In addition, because most of the education resources are in English, they are not easily accessible for health professionals in some Asian countries with low English proficiency. A study in Malaysia also indicated that adherence to low FODMAP diet may also be a challenge; thus, this dietary advice requires close follow up and, potentially, patients’ motivation …”

Section: Methodsmentioning

confidence: 99%

Low fermentable oligosaccharides, disaccharides, monosaccharides, and polypols diet and irritable bowel syndrome in Asia

et al. 2018

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Functional bowel disorders, including irritable bowel syndrome (IBS), are a chronic condition that can significantly reduce patients’ quality of life. Therefore, this paper will review the roles of a low fermentable oligosaccharides, disaccharides, monosaccharides, and polypols (FODMAP) diet in treating IBS, particularly in an Asian setting. About 20% of the general population is diagnosed with IBS. However, there are limited effective medical therapies available for treating IBS. Therefore, IBS presents a major challenge to the health‐care providers. Recently, there is an increasing interest in the use of a diet low in FODMAP for the treatment of IBS. A low FODMAP diet can decrease the delivery of readily fermentable substrates to the small intestine and colon, thereby improving functional gastrointestinal symptoms.

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Section: Methodsmentioning

confidence: 99%

Low fermentable oligosaccharides, disaccharides, monosaccharides, and polypols diet and irritable bowel syndrome in Asia

et al. 2018

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“…Seven studies were conducted in the UK (31)(32)(33)(34)(35)(36)(37), seven in the USA (38)(39)(40)(41)(42)(43)(44) and one in Malaysia (45). Study design varied and included six case-controlled studies (34,35,39,40,42,44), three survey-based studies (32,33,38,41,43), three qualitative studies (31,36,37), and one cohort study (45); focussing on IBD (31,(33)(34)(35)(36)(37)(39)(40)(41)(42)44), IBS (43,45), prostate cancer (including bowel-related side-effects of treatment) (38) and coeliac disease (32). Studies recruited participants from various ethnic minority groups including South Asians, African Americans, Blacks, Hispanics, and Chinese.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Based on CASP and CEBMa quality criteria, there were seven good (four star) quality studies (31,(35)(36)(37)40,42,45), and eight moderately good (three star) quality studies (33,34,38,39,41,43,44).…”

Section: Quality Assessmentmentioning

confidence: 99%

“…Five out of fteen studies focussed on experiences of dieting (31,32,37,39,45 Butterworth et al (32) found that more UK White Caucasians living with coeliac disease signi cantly reported that they never ingested gluten (p = 0.04), or ingested gluten less than once a month compared to the South Asians (p = 0.03), suggesting that the management of gluten free diet (GFD) in South Asians may need to be different to White Caucasians, who were more likely to understand food labelling, had access to gluten-free products and were members of the Coeliac Society (charity). A Malaysian study (45) found poor low fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) diet in Chinese, Indian and Malays. Those who completely or partially complied with the diet improved IBS-related bowel symptoms e.g., atulence (87.5%), bloating/distension (70%) and abdominal pain (60%).…”

Section: Experiences Of Dietingmentioning

confidence: 99%

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Experiences of Ethnic Minority Patients Who Are Living with a Primary Bowel Condition or Bowel-Related Symptoms of Other Chronic Diseases: A Systematic Review

Ahmed¹,

Newton²,

Ojo³

et al. 2021

Preprint

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Background: Prevalence of chronic gastrointestinal diseases has been rising amongst ethnic minority populations in Western countries, despite the first-generation migrants originating from countries of low prevalence. Differences caused by genetic, environmental, cultural, and religious factors in each context may contribute towards shaping experiences of ethnic minority individuals living with primary bowel conditions. This review aimed to explore the experiences of ethnic minority patients’ living with chronic bowel illnesses and bowel-related symptoms of other chronic diseases. Methods: We systematically searched for qualitative, quantitative, and mixed methods studies on eight electronic databases and manually searched reference lists of frequently cited papers. Fifteen papers met the inclusion criteria: focussing on inflammatory bowel disease, irritable bowel syndrome, coeliac disease and prostate cancer survivors experiencing bowel symptoms. Results: Core themes were narratively analysed. South Asians had limited understanding of their illness and language and literacy barriers, particularly older generations, suggesting a need for culturally relevant inflammatory bowel disease and coeliac disease information. Family support was limited, and Muslim South Asians referred to religion to understand and self-manage inflammatory bowel disease. Ethnic minority groups across countries experienced poor dietary intake for coeliac disease and inflammatory bowel disease, cultural conflict in self-managing diet for inflammatory bowel disease, increased anxiety, and the need for better quality of, and access to, healthcare services. UK ethnic minorities had problems with IBD diagnosis/misdiagnosis. Self-efficacy positively impacted bowel symptoms in prostate cancer survivors. Conclusions: Cultural, religious, and social contexts, together with language barriers and limited health literacy influenced experiences of health inequalities for ethnic minorities with chronic bowel diseases.

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“…In Malaysia, a small study on 16 adults with IBS found that only 50% of them were able to comply with the low FODMAP diet for 6 weeks. However, among those who were able to comply, there was an excellent symptom response—a 60% improvement in abdominal pain, bloating and flatulence [ 49 ].…”

Section: Summary Of Findingsmentioning

confidence: 99%

Global Dietary Patterns and Functional Gastrointestinal Disorders

Axelrod

Saps

2020

Children

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Functional Gastrointestinal Disorders (FGIDs) are common. In the United States alone, approximately 25 million Americans are estimated to have at least one FGID. Nonpharmacological treatment options include psychological/behavioral approaches, and dietary interventions that can vary across countries. The aim of this review is to evaluate the available evidence for dietary interventions for the treatment of childhood FGIDs amongst various cultures and regions of the world. This review includes clinical trials of dietary therapies for the treatment of FGIDs in children posted on or before 13 July 2020 in PubMed. Overall, the consensus view suggests that the westernization of diets is linked to the development of FGIDs, and diets low in Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols (FODMAPs) may reduce abdominal symptoms. However, more work is needed to confirm these findings.

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Early experience with a low FODMAP diet in Asian patients with irritable bowel syndrome

Cited by 25 publications

References 25 publications

Low fermentable oligosaccharides, disaccharides, monosaccharides, and polypols diet and irritable bowel syndrome in Asia

Low fermentable oligosaccharides, disaccharides, monosaccharides, and polypols diet and irritable bowel syndrome in Asia

Experiences of Ethnic Minority Patients Who Are Living with a Primary Bowel Condition or Bowel-Related Symptoms of Other Chronic Diseases: A Systematic Review

Global Dietary Patterns and Functional Gastrointestinal Disorders

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