Dietary fructose intolerance, fructan intolerance and FODMAPs

Amy Fedewa, Satish S.C. Rao

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

Dietary intolerances to fructose, fructans and FODMAPs (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) are common, yet poorly recognized and managed. Over the last decade, they have come to the forefront because of new knowledge on the mechanisms and treatment of these conditions. Patients with these problems often present with unexplained bloating, belching, distension, gas, abdominal pain, or diarrhea. Here, we have examined the most up-to-date research on these food-related intolerances, discussed controversies, and have provided some guidelines for the dietary management of these conditions. Breath testing for carbohydrate intolerance appears to be standardized and essential for the diagnosis and management of these conditions, especially in the Western population. While current research shows that the FODMAP diet may be effective in treating some patients with irritable bowel syndrome, additional research is needed to identify more foods items that are high in FODMAPs, and to assess the long-term efficacy and safety of dietary interventions.

Original languageEnglish (US)
Article number370
JournalCurrent Gastroenterology Reports
Volume16
Issue number1
DOIs
StatePublished - Jan 2014

Fingerprint

Fructose Intolerance
Fructans
Monosaccharides
Disaccharides
Oligosaccharides
Eructation
Research
Food
Nutrition Policy
Irritable Bowel Syndrome
Abdominal Pain
Diarrhea
Gases
Diet
Safety
Population
polyol
Therapeutics

Keywords

  • Breath testing
  • Diet
  • FODMAPS
  • Fructan intolerance
  • Fructose intolerance
  • Fructose malabsorption
  • Irritable bowel syndrome

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Dietary fructose intolerance, fructan intolerance and FODMAPs. / Fedewa, Amy; Rao, Satish S.C.

In: Current Gastroenterology Reports, Vol. 16, No. 1, 370, 01.2014.

Research output: Contribution to journalArticle

@article{3ef11edea16f4800ba0b25682dd2f083,
title = "Dietary fructose intolerance, fructan intolerance and FODMAPs",
abstract = "Dietary intolerances to fructose, fructans and FODMAPs (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) are common, yet poorly recognized and managed. Over the last decade, they have come to the forefront because of new knowledge on the mechanisms and treatment of these conditions. Patients with these problems often present with unexplained bloating, belching, distension, gas, abdominal pain, or diarrhea. Here, we have examined the most up-to-date research on these food-related intolerances, discussed controversies, and have provided some guidelines for the dietary management of these conditions. Breath testing for carbohydrate intolerance appears to be standardized and essential for the diagnosis and management of these conditions, especially in the Western population. While current research shows that the FODMAP diet may be effective in treating some patients with irritable bowel syndrome, additional research is needed to identify more foods items that are high in FODMAPs, and to assess the long-term efficacy and safety of dietary interventions.",
keywords = "Breath testing, Diet, FODMAPS, Fructan intolerance, Fructose intolerance, Fructose malabsorption, Irritable bowel syndrome",
author = "Amy Fedewa and Rao, {Satish S.C.}",
year = "2014",
month = "1",
doi = "10.1007/s11894-013-0370-0",
language = "English (US)",
volume = "16",
journal = "Current Gastroenterology Reports",
issn = "1522-8037",
publisher = "Current Medicine Group",
number = "1",

}

TY - JOUR

T1 - Dietary fructose intolerance, fructan intolerance and FODMAPs

AU - Fedewa, Amy

AU - Rao, Satish S.C.

PY - 2014/1

Y1 - 2014/1

N2 - Dietary intolerances to fructose, fructans and FODMAPs (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) are common, yet poorly recognized and managed. Over the last decade, they have come to the forefront because of new knowledge on the mechanisms and treatment of these conditions. Patients with these problems often present with unexplained bloating, belching, distension, gas, abdominal pain, or diarrhea. Here, we have examined the most up-to-date research on these food-related intolerances, discussed controversies, and have provided some guidelines for the dietary management of these conditions. Breath testing for carbohydrate intolerance appears to be standardized and essential for the diagnosis and management of these conditions, especially in the Western population. While current research shows that the FODMAP diet may be effective in treating some patients with irritable bowel syndrome, additional research is needed to identify more foods items that are high in FODMAPs, and to assess the long-term efficacy and safety of dietary interventions.

AB - Dietary intolerances to fructose, fructans and FODMAPs (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) are common, yet poorly recognized and managed. Over the last decade, they have come to the forefront because of new knowledge on the mechanisms and treatment of these conditions. Patients with these problems often present with unexplained bloating, belching, distension, gas, abdominal pain, or diarrhea. Here, we have examined the most up-to-date research on these food-related intolerances, discussed controversies, and have provided some guidelines for the dietary management of these conditions. Breath testing for carbohydrate intolerance appears to be standardized and essential for the diagnosis and management of these conditions, especially in the Western population. While current research shows that the FODMAP diet may be effective in treating some patients with irritable bowel syndrome, additional research is needed to identify more foods items that are high in FODMAPs, and to assess the long-term efficacy and safety of dietary interventions.

KW - Breath testing

KW - Diet

KW - FODMAPS

KW - Fructan intolerance

KW - Fructose intolerance

KW - Fructose malabsorption

KW - Irritable bowel syndrome

UR - http://www.scopus.com/inward/record.url?scp=84890402192&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84890402192&partnerID=8YFLogxK

U2 - 10.1007/s11894-013-0370-0

DO - 10.1007/s11894-013-0370-0

M3 - Article

C2 - 24357350

AN - SCOPUS:84890402192

VL - 16

JO - Current Gastroenterology Reports

JF - Current Gastroenterology Reports

SN - 1522-8037

IS - 1

M1 - 370

ER -