What Are Some High or Low FODMAPs Foods?
Discussion
FODMAPs is an acronym standing for fermentable oligosaccharides, disaccharides, monosaccharides and polyols. It is a diet strategy which has shown improvement for some adult patients with functional abdominal pain including some with irritable bowel syndrome. The evidence in pediatrics is murky and more well-designed studies are needed; however such studies are difficult to complete. In general, there are 3 phases to this dietary strategy:
Avoidance of all high FODMAP foods for 2-6 weeks. In some adult studies there has been improvement in 1 week. Especially in the pediatric age group, some people will only restrict some foods with the highest concentration of FODMAPs
Reintroduction of individual FODMAP foods in a structured manner, so that outcome can be adequately assessed
Personalization of the FODMAP diet so that the widest variety of foods can be eaten and adherence maintained to promote long-term symptom relief
Some modifications to the strategy include only restricting some foods with the highest FODMAP concentration, or not restricting but substituting a lower FODMAP alternative. All patients benefit from personalized education, support and re-evaluation for efficacy with a dietician and under the supervision of a physician. These types of diets affect the entire family and the patient and family members must be educated and supported. This is especially true for any dietary restrictions for children and teens. One author stated, “If restricted diet...
Source: PediatricEducation.org - Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news
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