scholarly journals Low Fermentable Oligo- Di- and Mono-Saccharides and Polyols (FODMAPs) or Gluten Free Diet: What Is Best for Irritable Bowel Syndrome?

Nutrients ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 3368 ◽  
Author(s):  
Massimo Bellini ◽  
Sara Tonarelli ◽  
Maria Gloria Mumolo ◽  
Francesco Bronzini ◽  
Andrea Pancetti ◽  
...  
Keyword(s):  
Irritable Bowel Syndrome ◽  
Gastrointestinal Disease ◽  
Scientific Evidence ◽  
Gluten Free Diet ◽  
Gluten Free ◽  
Dietary Interventions ◽  
Double Blind ◽  
Close Supervision ◽  
Irritable Bowel ◽  
Fodmap Diet

Irritable Bowel Syndrome (IBS) is a very common functional gastrointestinal disease. Its pathogenesis is multifactorial and not yet clearly defined, and hence, its therapy mainly relies on symptomatic treatments. Changes in lifestyle and dietary behavior are usually the first step, but unfortunately, there is little high-quality scientific evidence regarding a dietary approach. This is due to the difficulty in setting up randomized double-blind controlled trials which objectively evaluate efficacy without the risk of a placebo effect. However, a Low Fermentable Oligo-, Di- and Mono-saccharides And Polyols (FODMAP) Diet (LFD) and Gluten Free Diet (GFD) are among the most frequently suggested diets. This paper aims to evaluate their possible role in IBS management. A GFD is less restrictive and easier to implement in everyday life and can be suggested for patients who clearly recognize gluten as a trigger of their symptoms. An LFD, being more restrictive and less easy to learn and to follow, needs the close supervision of a skilled nutritionist and should be reserved for patients who recognize that the trigger of their symptoms is not, or not only, gluten. Even if the evidence is of very low-quality for both diets, the LFD is the most effective among the dietary interventions suggested for treating IBS, and it is included in the most updated guidelines.

scholarly journals Diet therapy for irritable bowel syndrome: controversial and unresolved issues

2020 ◽  
Vol 18 (4) ◽  
pp. 29-35
Author(s):  
A.A. Sheptulin ◽  
◽  
S.S. Kardasheva ◽  
A.A. Kurbatova ◽  
V.T. Ivashkin ◽  
...  
Keyword(s):  
Irritable Bowel Syndrome ◽  
Key Words ◽  
Diet Therapy ◽  
Gluten Free Diet ◽  
Published Data ◽  
Gluten Free ◽  
Irritable Bowel ◽  
Fodmap Diet

The review considers modern approaches to diet therapy of irritable bowel syndrome (IBS). Along with general recommendations on eating regimens most commonly used nowadays in treatment of IBS, attention is paid to the lactose-free diet, gluten-free diet and the low-FODMAP diet. As is pointed out, there are contradictions in the published data concerning the effectiveness of these diets. The authors come to the conclusion that many important aspects of diet therapy for IBS remain insufficiently studied and further research is needed. Key words: irritable bowel syndrome, lactose-free diet, gluten-free diet, low-FODMAP diet

scholarly journals Evaluation of Non-Celiac Gluten Sensitivity in Patients with Previous Diagnosis of Irritable Bowel Syndrome: A Randomized Double-Blind Placebo-Controlled Crossover Trial

Nutrients ◽  
2020 ◽  
Vol 12 (3) ◽  
pp. 705 ◽  
Author(s):  
Michele Barone ◽  
Eugenio Gemello ◽  
Maria Teresa Viggiani ◽  
Fernanda Cristofori ◽  
Caterina Renna ◽  
...  
Keyword(s):  
Irritable Bowel Syndrome ◽  
Visual Analogue Scale ◽  
Analogue Scale ◽  
Challenge Test ◽  
Gluten Sensitivity ◽  
Gluten Free ◽  
Double Blind ◽  
Previous Diagnosis ◽  
Irritable Bowel ◽  
Fodmap Diet

Background. To date, there is no reliable marker for the diagnosis of non-celiac gluten sensitivity (NCGS), which benefits from a gluten-free diet (GFD). This condition is characterized by functional gastrointestinal symptoms similar to those occurring in the course of irritable bowel syndrome (IBS). However, IBS has a higher prevalence, and often benefits from the administration of a low fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) diet. The overlap of symptoms between these two pathologies has led to an overestimation of self-made diagnosis NCGS. Aims. To better identify NCGS in subjects with a previous diagnosis of IBS. Methods. All subjects received a low FODMAP diet that was also gluten-free (low FODMAP-GFD), and those presenting an improvement of symptoms were exposed to gluten or placebo (double-blind challenge with wash-out and crossover). The response to dietary treatments was evaluated by visual analogue scale (VAS). Results. Of 30 patients (23 women, seven men, aged 42.2 ± 12.5 years, body mass index (BMI) 24.7 ± 4.1 kg/m2), 26 benefited from the administration of low FODMAP-GFD and were exposed to the gluten/placebo challenge. After the challenge, using an increase of visual analogue scale VAS (Δ-VAS) ≥30%, 46.1% of the patients were NCGS+. However, this percentage became only 19.2% using a different method (mean ∆-VAS score plus two standard deviations). Conclusions. FODMAP intolerance could hide the response to a challenge test with gluten for the identification of NCGS in IBS patients. A low FODMAP-GFD followed by gluten/placebo challenge is able to identify patients with NCGS better. ClinicalTrials.gov registration number NCT04017585.

scholarly journals Irritable Bowel Syndrome and Gluten-Related Disorders

Nutrients ◽  
2020 ◽  
Vol 12 (4) ◽  
pp. 1117 ◽  
Author(s):  
Paolo Usai-Satta ◽  
Gabrio Bassotti ◽  
Massimo Bellini ◽  
Francesco Oppia ◽  
Mariantonia Lai ◽  
...  
Keyword(s):  
Irritable Bowel Syndrome ◽  
Celiac Disease ◽  
The Other ◽  
Gluten Free Diet ◽  
Gluten Free ◽  
Gut Permeability ◽  
Online Search ◽  
Systematic Screening ◽  
Wheat Sensitivity ◽  
Irritable Bowel

Background: Irritable bowel syndrome (IBS) is frequently associated with celiac disease (CD) and nonceliac gluten/wheat sensitivity (NCGS/NCWS), but epidemiological and pathophysiological aspects are still unclear. Furthermore, a gluten-free diet (GFD) can positively influence IBS symptoms. Methods: A comprehensive online search for IBS related to CD, NCGS and GFD was made using the Pubmed, Medline and Cochrane databases. Results: Although a systematic screening for CD in IBS is not recommended, CD prevalence can be increased in diarrhea-predominant IBS patients. On the other hand, IBS symptoms can be persistent in treated CD patients, and their prevalence tends to decrease on a GFD. IBS symptoms may overlap and be similar to those associated to nonceliac gluten and/or wheat sensitivity. Increased gut permeability could explain the gluten/wheat effects in IBS patients. Finally, a GFD could improve symptoms in a subgroup of IBS patients. Conclusions: The possible interplay between IBS and gluten-related disorders represents a scientifically and clinically challenging issue. Further studies are needed to confirm these data and better clarify the involved pathophysiological mechanisms.

PP37 PREVALENCE OF IRRITABLE BOWEL SYNDROME IN CELIAC PATIENTS ON GLUTEN FREE DIET

2011 ◽  
Vol 43 ◽  
pp. S425 ◽  
Author(s):  
G. Lorusso ◽  
S. Castellaneta ◽  
C. Fontana ◽  
P. Papappicco ◽  
L. Cavallo ◽  
...  
Keyword(s):  
Irritable Bowel Syndrome ◽  
Gluten Free Diet ◽  
Gluten Free ◽  
Irritable Bowel

OC-067 A single-blinded study evaluating the effects of a gluten-free diet in diarrhoea-predominant irritable bowel syndrome

Gut ◽  
2015 ◽  
Vol 64 (Suppl 1) ◽  
pp. A34.1-A34
Author(s):  
I Aziz ◽  
J North ◽  
N Trott ◽  
R Briggs ◽  
DS Sanders
Keyword(s):  
Irritable Bowel Syndrome ◽  
Gluten Free Diet ◽  
Gluten Free ◽  
Blinded Study ◽  
Irritable Bowel

scholarly journals The gluten free diet in depth

2017 ◽  
Vol 1 (1) ◽  
pp. 7
Author(s):  
Caroline Kanaan
Keyword(s):  
Irritable Bowel Syndrome ◽  
Neuropsychiatric Disorders ◽  
Healthy Diet ◽  
Gluten Free Diet ◽  
Gluten Sensitivity ◽  
Gluten Free ◽  
Irritable Bowel ◽  
New Research ◽  
New Diagnosis

The gluten free diet has been gaining recognition globally and is being applied by many patients. This diet was first developed for Celiac's patients however with the emergence of a new diagnosis: non-celiac gluten sensitivity (NCGS), more patients are finding relief from their symptoms when following this diet. The symptoms of NCGS also overlap with those of Irritable Bowel Syndrome and there are studies that suggest a possible link between NCGS and neuropsychiatric disorders, like autism and others. In this presentation we will review the new research about gluten and also answer the following questions. Where is gluten found? How to remove it from the diet? How to follow a healthy diet?.

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