Universität zu Köln

Thomassen, R. A., Luque, V, Assa, A., Borrelli, O., Broekaert, I, Dolinsek, J., Martin-de-Carpi, J., Mas, E., Miele, E., Norsa, L., Ribes-Koninckx, C., Saccomani, M. Deganello, Thomson, M., Tzivinikos, C., Verduci, E., Bronsky, J., Haiden, N., Koglmeier, J., de Koning, B. and Benninga, M. A. (2022). An ESPGHAN Position Paper on the Use of Low-FODMAP Diet in Pediatric Gastroenterology. J. Pediatr. Gastroenterol. Nutr., 75 (3). S. 356 - 369. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1536-4801

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Abstract

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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Thomassen, R. A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Luque, V UNSPECIFIED UNSPECIFIED UNSPECIFIED Assa, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Borrelli, O. UNSPECIFIED UNSPECIFIED UNSPECIFIED Broekaert, I UNSPECIFIED UNSPECIFIED UNSPECIFIED Dolinsek, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Martin-de-Carpi, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mas, E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Miele, E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Norsa, L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ribes-Koninckx, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Saccomani, M. Deganello UNSPECIFIED UNSPECIFIED UNSPECIFIED Thomson, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Tzivinikos, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Verduci, E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bronsky, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Haiden, N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Koglmeier, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED de Koning, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Benninga, M. A. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-697265
DOI:	10.1097/MPG.0000000000003526
Journal or Publication Title:	J. Pediatr. Gastroenterol. Nutr.
Volume:	75
Number:	3
Page Range:	S. 356 - 369
Date:	2022
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1536-4801
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language IRRITABLE-BOWEL-SYNDROME; LOW FERMENTABLE OLIGOSACCHARIDES; RANDOMIZED CONTROLLED-TRIAL; CELIAC GLUTEN SENSITIVITY; QUALITY-OF-LIFE; REDUCES SYMPTOMS; CLINICAL-TRIAL; POLYOLS DIET; MANAGEMENT; CHILDREN Multiple languages Gastroenterology & Hepatology; Nutrition & Dietetics; Pediatrics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/69726