Low-FODMAP Diet in the Treatment of Irritable Bowel Syndrome – Efficacy, Comparison with Other Diets, Mechanisms, and Clinical Applications
Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder that significantly impacts patients' quality of life. One of the most frequently used and well-documented dietary approaches in the treatment of IBS is the low-FODMAP diet, which involves the elimination of ferment...
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| Format: | Article |
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Kazimierz Wielki University
2025-04-01
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| Series: | Journal of Education, Health and Sport |
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| Online Access: | https://apcz.umk.pl/JEHS/article/view/59059 |
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| author | Konrad Strużek Kornelia Karamus Rafał Rejmak Jan Biłogras Martyna Borowska-Łygan Wojciech Urban Jakub Tomaszewski |
| author_facet | Konrad Strużek Kornelia Karamus Rafał Rejmak Jan Biłogras Martyna Borowska-Łygan Wojciech Urban Jakub Tomaszewski |
| author_sort | Konrad Strużek |
| collection | DOAJ |
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Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder that significantly impacts patients' quality of life. One of the most frequently used and well-documented dietary approaches in the treatment of IBS is the low-FODMAP diet, which involves the elimination of fermentable oligosaccharides, disaccharides, monosaccharides, and polyols that can exacerbate gastrointestinal symptoms.
This article presents the mechanisms of action of the FODMAP diet, its effectiveness, and a comparison with other dietary approaches used in IBS, such as the gluten-free and Mediterranean diets. The three-phase model of the diet, including the elimination, reintroduction, and personalization phases, is discussed, enabling dietary adaptation to individual patient tolerance. A review of studies has shown that the effectiveness of the FODMAP diet in reducing IBS symptoms ranges from 50% to 75%, making it one of the most effective dietary strategies for managing this condition.
Additionally, potential biomarkers for dietary response, such as breath tests, gut microbiota analysis, and fecal and urinary metabolites, are explored to help identify patients who may benefit most from this approach. The article also emphasizes the importance of a multidisciplinary approach in IBS treatment, integrating dietary therapy, gastroenterological support, and psychological interventions.
Despite the high efficacy of the FODMAP diet, its long-term consequences, particularly its impact on gut microbiota and metabolism, require further research. The article highlights the need for continued analysis of the diet’s lasting effects and its effectiveness in different IBS subtypes, which could contribute to even better personalization of therapeutic strategies to meet patients' individual needs.
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| format | Article |
| id | doaj-art-9a02c09b95b0474a9cbce376c75a65d3 |
| institution | DOAJ |
| issn | 2391-8306 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Kazimierz Wielki University |
| record_format | Article |
| series | Journal of Education, Health and Sport |
| spelling | doaj-art-9a02c09b95b0474a9cbce376c75a65d32025-08-20T03:06:09ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062025-04-018010.12775/JEHS.2025.80.59059Low-FODMAP Diet in the Treatment of Irritable Bowel Syndrome – Efficacy, Comparison with Other Diets, Mechanisms, and Clinical ApplicationsKonrad Strużekhttps://orcid.org/0009-0000-3146-5132Kornelia Karamus0https://orcid.org/0000-0001-7453-1427Rafał Rejmak1https://orcid.org/0009-0002-9422-8550Jan Biłogras2https://orcid.org/0009-0002-6038-9217Martyna Borowska-Łygan3https://orcid.org/0009-0001-9402-7444Wojciech Urban4https://orcid.org/0009-0009-1565-0595Jakub Tomaszewski5https://orcid.org/0009-0009-9384-4643UniwersyteckiSzpitalKlinicznynr4wLublinieUniwersytecki Szpital Kliniczny nr 4 w Lublinie1 Wojskowy Szpital Kliniczny z Polikliniką SPZOZ w LublinieMazowiecki Szpital Specjalistyczny w RadomiuWojewódzki szpital specjalistyczny im Stefana Kardynała Wyszyńskiego SPZOZ w LublinieUniwersytecki Szpital Kliniczny nr 4 w Lublinie Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder that significantly impacts patients' quality of life. One of the most frequently used and well-documented dietary approaches in the treatment of IBS is the low-FODMAP diet, which involves the elimination of fermentable oligosaccharides, disaccharides, monosaccharides, and polyols that can exacerbate gastrointestinal symptoms. This article presents the mechanisms of action of the FODMAP diet, its effectiveness, and a comparison with other dietary approaches used in IBS, such as the gluten-free and Mediterranean diets. The three-phase model of the diet, including the elimination, reintroduction, and personalization phases, is discussed, enabling dietary adaptation to individual patient tolerance. A review of studies has shown that the effectiveness of the FODMAP diet in reducing IBS symptoms ranges from 50% to 75%, making it one of the most effective dietary strategies for managing this condition. Additionally, potential biomarkers for dietary response, such as breath tests, gut microbiota analysis, and fecal and urinary metabolites, are explored to help identify patients who may benefit most from this approach. The article also emphasizes the importance of a multidisciplinary approach in IBS treatment, integrating dietary therapy, gastroenterological support, and psychological interventions. Despite the high efficacy of the FODMAP diet, its long-term consequences, particularly its impact on gut microbiota and metabolism, require further research. The article highlights the need for continued analysis of the diet’s lasting effects and its effectiveness in different IBS subtypes, which could contribute to even better personalization of therapeutic strategies to meet patients' individual needs. https://apcz.umk.pl/JEHS/article/view/59059Irritable bowel syndrome (IBS)low-FODMAP dietfermentable oligosaccharidesdisaccharides, monosaccharidesand polyols (FODMAP)dietary treatment of IBS |
| spellingShingle | Konrad Strużek Kornelia Karamus Rafał Rejmak Jan Biłogras Martyna Borowska-Łygan Wojciech Urban Jakub Tomaszewski Low-FODMAP Diet in the Treatment of Irritable Bowel Syndrome – Efficacy, Comparison with Other Diets, Mechanisms, and Clinical Applications Journal of Education, Health and Sport Irritable bowel syndrome (IBS) low-FODMAP diet fermentable oligosaccharides disaccharides, monosaccharides and polyols (FODMAP) dietary treatment of IBS |
| title | Low-FODMAP Diet in the Treatment of Irritable Bowel Syndrome – Efficacy, Comparison with Other Diets, Mechanisms, and Clinical Applications |
| title_full | Low-FODMAP Diet in the Treatment of Irritable Bowel Syndrome – Efficacy, Comparison with Other Diets, Mechanisms, and Clinical Applications |
| title_fullStr | Low-FODMAP Diet in the Treatment of Irritable Bowel Syndrome – Efficacy, Comparison with Other Diets, Mechanisms, and Clinical Applications |
| title_full_unstemmed | Low-FODMAP Diet in the Treatment of Irritable Bowel Syndrome – Efficacy, Comparison with Other Diets, Mechanisms, and Clinical Applications |
| title_short | Low-FODMAP Diet in the Treatment of Irritable Bowel Syndrome – Efficacy, Comparison with Other Diets, Mechanisms, and Clinical Applications |
| title_sort | low fodmap diet in the treatment of irritable bowel syndrome efficacy comparison with other diets mechanisms and clinical applications |
| topic | Irritable bowel syndrome (IBS) low-FODMAP diet fermentable oligosaccharides disaccharides, monosaccharides and polyols (FODMAP) dietary treatment of IBS |
| url | https://apcz.umk.pl/JEHS/article/view/59059 |
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