Low FODMAPs diet for functional abdominal pain disorders in children: critical review of current knowledge
Journal Title: Jornal de Pediatria - Year 2019, Vol 95, Issue 6
Abstract
Objective This narrative review aimed to provide practitioners a synthesis of the current knowledge on the role of a low Fermentable Oligosaccharides Disaccharides Monosaccharides and Polyols diet in reducing symptoms associated with functional abdominal pain disorders in children. This review is focused on the pathophysiology, efficacy and criticism of low Fermentable Oligosaccharides Disaccharides Monosaccharides and Polyols diet in children. Sources Cochrane Database, Pubmed and Embase were searched using specific terms for Fermentable Oligosaccharides Disaccharides Monosaccharides and Polyols diet interventions and functional abdominal pain disorders. Summary of the findings In children, only one Randomized Control Trial and one open-label study reported positive results of low Fermentable Oligosaccharides Disaccharides Monosaccharides and Polyols diet; one Randomized Control Trial showed exacerbation of symptoms with fructans in children with Irritable Bowel Syndrome; no effect was found for the lactose-free diet whilst fructose-restricted diets were effective in 5/6 studies. Conclusions In children there are few trials evaluating low Fermentable Oligosaccharides Disaccharides Monosaccharides and Polyols in functional abdominal pain disorders, with encouraging data on the therapeutic efficacy particularly of fructose-restricted diet. Additional efforts are still needed to fill this research gap and clarify the most efficient way for tailoring dietary restrictions based on the patient's tolerance and/or identification of potential biomarkers of low Fermentable Oligosaccharides Disaccharides Monosaccharides and Polyols efficacy, to maintain nutritional adequacy and to simplify the adherence to diet by labeling Fermentable Oligosaccharides Disaccharides Monosaccharides and Polyols content in commercial products.
Authors and Affiliations
Licia Pensabene
Keywords
Related Articles
- EP ID EP663934
- DOI 10.1016/j.jped.2019.03.004
- Views 94
- Downloads 0
Hospital-based surveillance of intussusception among infants
Objective Intussusception surveillance was initiated after the nationwide introduction of live attenuated monovalent rotavirus vaccine (RV1). The objective is to assess the epidemiology of intussusception and compare the...
Brazilian infant and preschool children feeding: literature review
Objective To assess the feeding profile of Brazilian infants and preschool children aged 6 months to 6 years, based on the qualitative and quantitative analysis of food and nutrient intake. Data source This review analy...
Placental and colostral transfer of antibodies reactive with enteropathogenic Escherichia coli intimins α, β, or γ
Objective Intimins are protein adhesins of enteropathogenic Escherichia coli and enterohemorrhagic E. coli capable of inducing attachment and effacement lesions in enterocytes. Anti-intimin antibodies are important for t...
Serum TSH levels are associated with cardiovascular risk factors in overweight and obese adolescents
Objective To investigate the relationship between serum thyrotropin (TSH), insulin resistance (IR), and cardiovascular risk factors (CRF) in a sample of overweight and obese Brazilian adolescents. Methods A retrospectiv...
Erratum on “Association of neopterin as a marker of immune system activation and juvenile rheumatoid arthritis activity”
In the affiliation of the authors of the original article “Association of neopterin as a marker of immune system activation and juvenile rheumatoid arthritis activity” (J Pediatr (Rio J). 2015;91(4):352-357), where it re...