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Journal of Education, Health and Sport

Irritable bowel syndrome - pathophysiology, diagnosis, treatment. The role of low FODMAP diet
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Irritable bowel syndrome - pathophysiology, diagnosis, treatment. The role of low FODMAP diet

Authors

  • Ilona Gąbka Medical University of Lublin https://orcid.org/0000-0003-4202-8338
  • Weronika Dalmata Uniwersytet Medyczny w Lublinie https://orcid.org/0000-0003-0529-5998
  • Jan Dąbrowski Uniwersytet Medyczny w Lublinie https://orcid.org/0000-0002-4930-7412
  • Julita Szarpak Uniwersytet Medyczny w Lublinie https://orcid.org/0000-0002-5091-0235
  • Marta Lipiec Uniwersytet Medyczny w Lublinie https://orcid.org/0000-0001-6916-3332

DOI:

https://doi.org/10.12775/JEHS.2022.12.09.054

Keywords

irritable bowel syndrome, gut microbiota, FODMAP, low-FODMAP diet

Abstract

Introduction: The gut microbiota is the microorganisms in the digestive tract. They are mainly bacteria. They play a very important role in maintaining the body's homeostasis. The state of the microbiota is influenced by lifestyle including diet, stress and physical activity. In irritable bowel syndrome, there are disorders in the composition of the intestinal microbiota. It is also associated with a disruption in the proper functioning of the gut-brain axis.    

Aim: The aim of this study was to review the literature reports on irritable bowel syndrome and the impact of a low FODMAP diet.

Methods:  Data for the article were retrieved using PubMed setting the time descriptors to 2017-2021.

Results and conclusions: Irritable bowel syndrome (IBS) is a chronic functional gastrointestinal disease. It is manifested by chronic abdominal pain , diarrhea or constipation and changes in the frequency of bowel movements. It significantly affects the quality of life of patients. The diagnosis uses the Roman IV criteria. Pharmacological as well as non-pharmacological methods are important in the treatment. A low-FODMAP diet plays a major role. Studies show that its proper use significantly alleviates the symptoms of IBS.

References

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doi: 10.1097/PSY.0000000000000519.

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Sciavilla P., Strati F., Di Paola M., Modesto M., Vitali F., Cavalieri D., Prati G. M., Di Vito M., Aragona G., De Filippo C., Mattarelli P.: Gut microbiota profiles and characterization of cultivable fungal isolates in IBS patients, Applied Microbiology and Biotechnology, Volume 105, Issue 8, April 2021, 3277-3288.

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Lacy B. E., Pimentel M., Brenner D. M., Chey W. D., Keefer L. A., Long M. D., Moshiree B.: ACG Clinical Guideline: Management of Irritable Bowel Syndrome, The American Journal of Gastroenterology, Volume 116, Issue 1, Jaunary 2021, 17-44.

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Altobelli E., Del Negro V., Angeletti P. M., Latella G.: Low-FODMAP Diet Improves Irritable Bowel Syndrome Symptoms: A Meta-Analysis, Nutrients, Volume 9, Issue 9, August 2017, 940. doi: 10.3390/nu9090940.

Varju P., Farkas N., Hegyi P., Garami A., Szabo I., Illes A., Solymar M., Vincze A., Balasko M., Par G., Bajor J., Szucs A., Huszar O., Pecsi D., Czimmer J.: Low fermentable oligosachharides, disaccharides, monosaccharides and polyols (FODMAP) diet improves symptoms in adults suffering from irritable bowel syndrome (IBS) compared to standard IBS diet: A meta-analysis of clinical studies, PLoS One, Volume 12, Issue 8, August 2017. doi: 10.1371/journal.pone.0182942.

Patcharatrakul T., Juntrapirat A., Lakananurak N., Gonlachanvit S.: Effect of Structural Individual Low-FODMAP Dietary Advice vs. Brief Advice on a Commonly Recommended Diet on IBS Symptoms and Intestinal Gas Production, Nutrients, Volume 11, Issue 12, November 2019, 2856. doi: 10.3390/nu11122856.

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doi: 10.1097/PSY.0000000000000519.

El-Salhy M., Hatlebakk J. G., Hausken T.: Diet in Irritable Bowel Syndrome (IBS): Interaction with Gut Microbiota and Gut Hormones, Nutrients, Volume 11, Issue 8, August 2019, 1824. doi: 10.3390/nu11081824.

Ooi S. L., Correa D., Pak S. Ch.: Probiotics, prebiotics, and low FODMAP diet for irritable bowel syndrome – What is the current ecidence?, Complementary Therapies in Medicine, Volume 43, April 2019, 73-80. doi: 10.1016/j.ctim.2019.01.010.

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Published

2022-09-05

How to Cite

1.
GĄBKA, Ilona, DALMATA, Weronika, DĄBROWSKI, Jan, SZARPAK, Julita and LIPIEC, Marta. Irritable bowel syndrome - pathophysiology, diagnosis, treatment. The role of low FODMAP diet. Journal of Education, Health and Sport. Online. 5 September 2022. Vol. 12, no. 9, pp. 469-476. [Accessed 29 June 2025]. DOI 10.12775/JEHS.2022.12.09.054.
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Vol. 12 No. 9 (2022)

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Review Articles

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Copyright (c) 2022 Ilona Gąbka, Weronika Dalmata, Jan Dąbrowski, Julita Szarpak, Marta Lipiec

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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