JOURNAL OF THE CZECH PEDIATRIC SOCIETY AND THE SLOVAK PEDIATRIC SOCIETY

Čes-slov Pediat 2024, 79(4):195-199 | DOI: 10.55095/CSPediatrie2024/043

Low fermentable oligo-, di-, monosaccharides, and polyols (FODMAP) diet as a treatment option in paediatric patients with functional gastrointestinal disorders

Ondřej Šácha1, Kristýna Zárubová2
1 Dětská klinika, Fakulta zdravotnických studií, Univerzita Jana Evangelisty Purkyně a Masarykova nemocnice Ústí nad Labem
2 Pediatrická klinika, 2. lékařská fakulta, Univerzita Karlova a FN Motol, Praha

Dietary measures based on the exclusion of fermentable oligo-, di-, monosaccharides, and polyols (low-FODMAP diet) are increasingly being used in

treating certain gastrointestinal diseases in children. The following text summarizes essential recommendations for using the low-FODMAP diet, based on the position paper of the European Society for Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) issued in September 2022. It includes recommendations on initiation, duration, gradual cessation, monitoring, professional guidance,

safety, and risks. Currently, there is limited evidence supporting the use of this diet in children, primarily only for some pediatric patients suffering from functional gastrointestinal disorders (FGID), specifically children with functional abdominal pain (FAP), such as irritable bowel syndrome (IBS) according to the Rome IV criteria from 2016. There is no evidence for the use of the low

-FODMAP diet in other gastrointestinal diseases in children, such as constipation, inflammatory bowel disease, celiac disease, non-celiac gluten sensitivity, or small intestinal bacterial overgrowth.

Keywords: FODMAP, diet, functional abdominal pain, irritable bowel syndrome, children

Accepted: July 11, 2024; Published: August 1, 2024  Show citation

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Šácha O, Zárubová K. Low fermentable oligo-, di-, monosaccharides, and polyols (FODMAP) diet as a treatment option in paediatric patients with functional gastrointestinal disorders. Ces-slov Pediat. 2024;79(4):195-199. doi: 10.55095/CSPediatrie2024/043.
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References

  1. Iacovou M, Tan V, Muir JG, Gibson PR. The low FODMAP diet and its application in East and Southeast Asia. J Neurogastroenterol Motil 2015; 21(4): 459-70. Go to original source... Go to PubMed...
  2. Tuck CJ, Reed DE, Muir JG, Vanner SJ. Implementation of the low FODMAP diet in functional gastrointestinal symptoms: A real-world experience. Neurogastroenterol Motil 2020; 32(1): e13730. Go to original source... Go to PubMed...
  3. Chumpitazi BP, Cope JL, Hollister EB, et al. Randomised clinical trial: gut microbiome biomarkers are associated with clinical response to a low FODMAP diet in children with the irritable bowel syndrome. Aliment Pharmacol Ther 2015; 42: 418-27. Go to original source... Go to PubMed...
  4. Dogan G, Yavuz S, Aslantas H, et al. Is low FODMAP diet effective in children with irritable bowel syndrome? North Clin Istanb 2020; 7(5): 433-437. Go to original source... Go to PubMed...
  5. Boradyn KM, Jarocka-Cyrta E, Przybylowicz KE, et al. Parental opinion about the low diet in dietary treatment of children with functional abdominal pain. Int J Environ Res Public Health 2020; 17: 5554. Go to original source... Go to PubMed...
  6. Baranguan Castro ML, Ros Arnal I, et al. [Implementation of a low FODMAP diet for functional abdominal pain]. An Pediatr (Barc) 2019; 90: 180-6. Go to original source...
  7. Skodje GI, Sarna VK, Minelle IH, et al. Fructan, rather than gluten, induces symptoms in patients with self-reported non-celiac gluten sensitivity. Gastroenterology 2018; 154: 529-539.e2. Go to original source... Go to PubMed...
  8. Thomassen RA, Luque V, Assa A, et al. An ESPGHAN position paper on the use of low-FODMAP diet in pediatric gastroenterology. J Pediatr Gastroenterol Nutr 2022; 75(3): 356-368. Go to original source... Go to PubMed...
  9. Pensabene L, Salvatore S, Turco R, et al. Low FODMAPs diet for functional abdominal pain disorders in children: critical review of current knowledge. J Pediatr (Rio J) 2019; 95: 642-56. Go to original source... Go to PubMed...
  10. Whelan K, Martin LD, Staudacher HM, et al. The low FODMAP diet in the management of irritable bowel syndrome: an evidence-based review of FODMAP restriction, reintroduction and personalisation inclinical practice. J Hum Nutr Diet 2018; 31: 239-55. Go to original source... Go to PubMed...
  11. Nogay NH, Walton J, Roberts KM, et al. The effect of the low FODMAP diet on gastrointestinal symptoms, behavioral problems and nutrient intake in children with autism spectrum disorder: a randomized controlled pilot trial. J Autism Dev Disord 2021; 51(8): 2800-2811. Go to original source... Go to PubMed...
  12. Eswaran S, Dolan RD, Ball SC, et al. The impact of a 4-week low-FODMAP and mNICE diet on nutrient intake in a sample of US adults with irritable bowel syndrome with diarrhea. J Acad Nutr Diet 2020; 120(4): 641-649. Go to original source... Go to PubMed...

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