Literature Review

Alfaro-Cruz, Ligia; Heitkemper, Margaret; Chumpitazi, Bruno P.; Shulman, Robert J.

doi:10.1097/mcg.0000000000001280

Cited by 8 publications

(6 citation statements)

References 38 publications

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“…Potential difficulties, such as providing a suitable lunch at school or what to do when the child is staying at a friend's house need to be addressed to increase diet adherence (55)(56)(57)61,62). The quality of the child's current diet, level or parenteral understanding and psychosocial background should be included in the evaluation of whether the patient is a candidate for trying the low-FODMAP diet or not.…”

Section: Dietetic Interview and Risk Assessmentmentioning

confidence: 99%

“…After comprehensive nutrition counseling by a dietitian, studies have shown that adherence to the low-FODMAP diet may be very good (13,61,62,81). Baranguan-Castro et al showed that…”

Section: Description Of Professional Guidance During the Dietary Trea...mentioning

confidence: 99%

“…After comprehensive nutrition counseling by a dietitian, studies have shown that adherence to the low‐FODMAP diet may be very good (13,61,62,81). Baranguan‐Castro et al showed that 12 from 20 patients found the low‐FODMAP diet (very) easy to follow, and nearly all families reported a high level of adherence to the diet associated with better symptom control (13).…”

Section: Practical Aspectsmentioning

confidence: 99%

“…Ostgaard et al showed that adult patients with IBS who received two sessions of dietary guidance compared to those who did not, continued to have a healthy diet, improved quality of life, and reduced symptoms even after two years (73). Alfaro-Cruz et al showed that in children with FGID only 20% received an educational consult by a registered dietitian (61). This group also showed that physicians caring for children with FGID should be more cognizant to provide dietary education and to refer to a registered dietitian not only for enhancing the education and adherence to the diet but also for the overall nutritional management, which in turn might lead to a better clinical outcome (74).…”

Section: Description Of Professional Guidance During the Dietary Trea...mentioning

confidence: 99%

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An ESPGHAN Position Paper on the Use of Low-FODMAP Diet in Pediatric Gastroenterology

Thomassen

Luque

Assa

et al. 2022

Journal of Pediatric Gastroenterology &Amp; Nutrition

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Excluding oligo-, di-, monosaccharides and polyols (FODMAPs) from the diet is increasingly being used to treat children with gastrointestinal complaints. The aim of this position paper is to review the available evidence on the safety and efficacy of its use in children and provide expert guidance regarding practical aspects in case its use is considered. Members of the Gastroenterology Committee, the Nutrition Committee and the Allied Health Professionals Committee of the European Society for Pediatric Gastroenterology Hepatology and Nutrition contributed to this position paper. Clinical questions regarding initiation, introduction, duration, weaning, monitoring, professional guidance, safety and risks of the diet are addressed. A systematic literature search was performed from 2005 to May 2021 using PubMed, MEDLINE and Cochrane Database of Systematic Reviews. In the absence of evidence, recommendations reflect the expert opinion of the authors. The systematic literature search revealed that the low-FODMAP diet has not been comprehensively studied in children. Indications and contraindications of the use of the diet in different pediatric gastroenterological conditions are discussed and practical recommendations are formulated. There is scarce evidence to support the use of a low-FODMAP diet in children with Irritable Bowel Syndrome and no evidence to recommend its use in other gastrointestinal diseases and complaints in children. Awareness of how and when to use the diet is crucial, as a restrictive diet may impact nutritional adequacy and/or promote distorted eating in vulnerable subjects. The present article provides practical safety tips to be applied when the low-FODMAP diet is considered in children.

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Section: Dietetic Interview and Risk Assessmentmentioning

confidence: 99%

“…After comprehensive nutrition counseling by a dietitian, studies have shown that adherence to the low-FODMAP diet may be very good (13,61,62,81). Baranguan-Castro et al showed that…”

Section: Description Of Professional Guidance During the Dietary Trea...mentioning

confidence: 99%

Section: Practical Aspectsmentioning

confidence: 99%

Section: Description Of Professional Guidance During the Dietary Trea...mentioning

confidence: 99%

See 2 more Smart Citations

An ESPGHAN Position Paper on the Use of Low-FODMAP Diet in Pediatric Gastroenterology

Thomassen

Luque

Assa

et al. 2022

Journal of Pediatric Gastroenterology &Amp; Nutrition

View full text Add to dashboard Cite

show abstract

“…Dietary interventions for IBS have focused on the avoidance of food triggers and use of a low Fermentable Oligo-, Di-, Mono-saccharide And Polyols (FODMAP) diet to reduce symptoms [ 98 , 99 ]. Currently, the low FODMAP diet is the most commonly recommended diet.…”

Section: Health Behavioral Factorsmentioning

confidence: 99%

Irritable bowel syndrome in midlife women: a narrative review

Yang

Heitkemper

Kamp

2021

womens midlife health

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Midlife women between the ages of 40 and 65 years have reported multiple challenges due to menopausal, developmental, and situational transitions from younger to older adulthood. During the midlife period, many women seek health care for gastrointestinal symptoms and irritable bowel syndrome (IBS). Multiple factors including stress, poor sleep, diet, and physical inactivity may contribute to IBS or gastrointestinal symptoms in midlife women. As such, a comprehensive assessment and treatment approach is needed for midlife women suffering gastrointestinal symptoms. This article reviews the main aspects of the menopausal transition, sex hormonal changes, abdominal and pelvic surgery, psychosocial distress, behavioral factors, and gut microbiome, as well as their relevance on IBS and gastrointestinal symptoms in midlife women. Also, management strategies for IBS in midlife women are discussed. To date, gastrointestinal symptoms during midlife years remain a critical area of women’s health. Additional research is needed to better understand the contributors to gastrointestinal symptoms in this group. Such efforts may provide a new window to refine or develop treatments of gastrointestinal symptoms for midlife women.

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A therapeutic guide on pediatric irritable bowel syndrome and functional abdominal pain-not otherwise specified

et al. 2022

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Disorders of the gut-brain interaction negatively impact quality of life and carry a substantial socioeconomic burden. Irritable bowel syndrome (IBS) and functional abdominal pain-not otherwise specified (FAP-NOS) are common functional abdominal pain disorders in childhood. The pathophysiology is not fully understood, and high-quality intervention trials and international guidelines are missing. Therefore, the management of these disorders remains challenging. This review aims to provide an up-to-date overview of therapeutic possibilities for pediatric IBS or FAP-NOS and recommends management strategies. To prevent unnecessary referrals and extensive costs, it is fundamental to make a positive diagnosis of IBS or FAP-NOS in children with chronic abdominal pain with only minimal investigations. A tailor-made approach for each patient, based on the accompanying physical and psychological symptoms, is proposed to date.Conclusion: Shared decision-making including non-pharmacological and pharmacological interventions should be considered and discussed with the family. What is Known:• Irritable bowel syndrome and functional abdominal pain-not otherwise specified are common in childhood.• Although the number of treatment options has grown recently, managing these disorders can be challenging and unsatisfactory, and no evidence-based international management guidelines are available. What is New:• We suggest using a stepwise individualized approach to management, where after first-line management, both non-pharmacological and pharmacological interventions should be discussed.

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Literature Review

Cited by 8 publications

References 38 publications

An ESPGHAN Position Paper on the Use of Low-FODMAP Diet in Pediatric Gastroenterology

An ESPGHAN Position Paper on the Use of Low-FODMAP Diet in Pediatric Gastroenterology

Irritable bowel syndrome in midlife women: a narrative review

A therapeutic guide on pediatric irritable bowel syndrome and functional abdominal pain-not otherwise specified

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