Low FODMAPs diet for functional abdominal pain disorders in children: critical review of current knowledge

Licia Pensabene, Silvia Salvatore, Rossella Turco, Flora Tarsitano, Daniela Concolino, Maria Elisabetta Baldassarre, Osvaldo Borrelli, Nikhil Thapar, Yvan Vandenplas, Annamaria Staiano, Miguel Saps

Research output: Contribution to journalScientific reviewpeer-review

15 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)642-656
Number of pages15
JournalJornal de Pediatria
Volume95
Issue number6
DOIs
Publication statusPublished - Nov 2019

Bibliographical note

Copyright © 2019 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.

Keywords

  • Children
  • Crianças
  • Dieta de polióis
  • Disaccharides
  • Dissacarídeos
  • Distúrbios de dor abdominal funcional
  • Fermentable oligosaccharides
  • Functional abdominal pain disorders
  • Monosaccharides
  • Monossacarídeos
  • Oligossacarídeos fermentáveis
  • Polyol diet

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