메뉴 건너뛰기




Volumn 25, Issue 2, 2010, Pages 252-258

Evidence-based dietary management of functional gastrointestinal symptoms: The FODMAP approach

Author keywords

Dietary therapy; Fermentable carbohydrates; Fructans; Fructose; Galactans; Irritable bowel syndrome; Lactose; Polyols

Indexed keywords

CARBOHYDRATE; FRUCTAN; FRUCTOSE; GALACTAN; LACTOSE; POLYOL;

EID: 76149141784     PISSN: 08159319     EISSN: 14401746     Source Type: Journal    
DOI: 10.1111/j.1440-1746.2009.06149.x     Document Type: Review
Times cited : (494)

References (48)
  • 1
    • 0027185528 scopus 로고
    • U.S. householder survey of functional gastrointestinal disorders. Prevalence, sociodemography, and health impact
    • Drossman DA, Li Z, Andruzzi E et al. U.S. householder survey of functional gastrointestinal disorders. Prevalence, sociodemography, and health impact. Dig. Dis. Sci. 1993 38 : 1569 1580.
    • (1993) Dig. Dis. Sci. , vol.38 , pp. 1569-1580
    • Drossman, D.A.1    Li, Z.2    Andruzzi, E.3
  • 2
    • 0034107656 scopus 로고    scopus 로고
    • Regional cerebral activation in irritable bowel syndrome and control subjects with painful and non painful rectal distension
    • Mertz H. Regional cerebral activation in irritable bowel syndrome and control subjects with painful and non painful rectal distension. Gastroenterology 2000 118 : 842 848.
    • (2000) Gastroenterology , vol.118 , pp. 842-848
    • Mertz, H.1
  • 3
    • 33746768786 scopus 로고    scopus 로고
    • Impaired small bowel gas propulsion in patients with bloating during intestinal lipid infusion
    • Salvioli B, Serra J, Azpiroz F, Malagelada JR. Impaired small bowel gas propulsion in patients with bloating during intestinal lipid infusion. Am. J. Gastroenterol. 2006 101 : 1853 1857.
    • (2006) Am. J. Gastroenterol. , vol.101 , pp. 1853-1857
    • Salvioli, B.1    Serra, J.2    Azpiroz, F.3    Malagelada, J.R.4
  • 4
    • 21044435580 scopus 로고    scopus 로고
    • Personal view: Food for thought - Western lifestyle and susceptibility to Crohn's disease. the FODMAP hypothesis
    • Gibson PR, Shepherd SJ. Personal view: food for thought - western lifestyle and susceptibility to Crohn's disease. The FODMAP hypothesis. Aliment. Pharmacol. Ther. 2005 21 : 1399 1409.
    • (2005) Aliment. Pharmacol. Ther. , vol.21 , pp. 1399-1409
    • Gibson, P.R.1    Shepherd, S.J.2
  • 5
    • 0032430819 scopus 로고    scopus 로고
    • Comparison of diarrhea induced by ingestion of fructooligosaccharide Idolax and disaccharide lactulose: Role of osmolarity versus fermentation of malabsorbed carbohydrate
    • Clausen MR, Jorgensen J, Mortensen PB. Comparison of diarrhea induced by ingestion of fructooligosaccharide Idolax and disaccharide lactulose: role of osmolarity versus fermentation of malabsorbed carbohydrate. Dig. Dis. Sci. 1998 43 : 2696 2707.
    • (1998) Dig. Dis. Sci. , vol.43 , pp. 2696-2707
    • Clausen, M.R.1    Jorgensen, J.2    Mortensen, P.B.3
  • 6
    • 0031849811 scopus 로고    scopus 로고
    • Fructans of chicory: Intestinal transport and fermentation of different chain lengths and relation to fructose and sorbitol malabsorption
    • Rumessen JJ, Gudmand-Hoyer E. Fructans of chicory: intestinal transport and fermentation of different chain lengths and relation to fructose and sorbitol malabsorption. Am. J. Clin. Nutr. 1998 68 : 357 364.
    • (1998) Am. J. Clin. Nutr. , vol.68 , pp. 357-364
    • Rumessen, J.J.1    Gudmand-Hoyer, E.2
  • 7
    • 84859227127 scopus 로고    scopus 로고
    • Dietary poorly absorbed short-chain carbohydrates (FODMAPs) increase the volume and fermentable substrate content of ileal output
    • Barrett JS, Gearry RB, Irving PM et al. Dietary poorly absorbed short-chain carbohydrates (FODMAPs) increase the volume and fermentable substrate content of ileal output. Gastroenterology 2009 136 (Suppl. 1 A876.
    • (2009) Gastroenterology , vol.136 , Issue.SUPPL 1
    • Barrett, J.S.1    Gearry, R.B.2    Irving, P.M.3
  • 8
    • 76149099073 scopus 로고    scopus 로고
    • The intestinal fermentative response to dietary FODMAPs: Failure to switch to methane production in patients with irritable bowel syndrome
    • Ong DK, Mitchell SB, Smith S et al. The intestinal fermentative response to dietary FODMAPs: failure to switch to methane production in patients with irritable bowel syndrome. J. Gastroenterol. Hepatol. 2008 23 (Suppl. 4 A219.
    • (2008) J. Gastroenterol. Hepatol. , vol.23 , Issue.SUPPL 4
    • Ong, D.K.1    Mitchell, S.B.2    Smith, S.3
  • 9
    • 0034465250 scopus 로고    scopus 로고
    • Coincidental malabsorption of lactose, fructose, and sorbitol ingested at low doses is not common in normal adults
    • Ladas SD, Grammenos I, Tassios PS, Raptis SA. Coincidental malabsorption of lactose, fructose, and sorbitol ingested at low doses is not common in normal adults. Dig. Dis. Sci. 2000 45 : 2357 2362.
    • (2000) Dig. Dis. Sci. , vol.45 , pp. 2357-2362
    • Ladas, S.D.1    Grammenos, I.2    Tassios, P.S.3    Raptis, S.A.4
  • 10
    • 0020522562 scopus 로고
    • Carbohydrate absorption and malabsorption
    • Ravich WJ, Bayless TM. Carbohydrate absorption and malabsorption. Clin. Gastroenterol. 1983 12 : 335 356.
    • (1983) Clin. Gastroenterol. , vol.12 , pp. 335-356
    • Ravich, W.J.1    Bayless, T.M.2
  • 11
    • 0024210619 scopus 로고
    • Incomplete absorption of pure fructose in healthy subjects and the facilitating effect of glucose
    • Truswell AS, Seach JM, Thorburn AW. Incomplete absorption of pure fructose in healthy subjects and the facilitating effect of glucose. Am. J. Clin. Nutr. 1988 48 : 1424 1430.
    • (1988) Am. J. Clin. Nutr. , vol.48 , pp. 1424-1430
    • Truswell, A.S.1    Seach, J.M.2    Thorburn, A.W.3
  • 12
    • 0033013052 scopus 로고    scopus 로고
    • Effects of dietary inulin on serum lipids
    • Davidson MH, Maki KC. Effects of dietary inulin on serum lipids. J. Nutr. 1999 129 : 1474S 14747S.
    • (1999) J. Nutr. , vol.129
    • Davidson, M.H.1    Maki, K.C.2
  • 13
    • 0030752212 scopus 로고    scopus 로고
    • The effect of ingestion of inulin on blood lipids and gastrointestinal symptoms in healthy females
    • Pedersen A, Sandstrom B, van Amelsvoort JMM. The effect of ingestion of inulin on blood lipids and gastrointestinal symptoms in healthy females. Br. J. Nutr. 1997 78 : 215 222.
    • (1997) Br. J. Nutr. , vol.78 , pp. 215-222
    • Pedersen, A.1    Sandstrom, B.2    Van Amelsvoort, J.M.M.3
  • 14
    • 0020701468 scopus 로고
    • Sorbitol intolerance: An unappreciated cause of functional gastrointestinal complaints
    • Hyams JS. Sorbitol intolerance: an unappreciated cause of functional gastrointestinal complaints. Gastroenterology 1983 84 : 30 3.
    • (1983) Gastroenterology , vol.84 , pp. 30-33
    • Hyams, J.S.1
  • 15
    • 0033846466 scopus 로고    scopus 로고
    • Carbohydrate malabsorption and the effect of dietary restriction on symptoms of irritable bowel syndrome and functional bowel complaints
    • Goldstein R, Braverman D, Stankiewicz H. Carbohydrate malabsorption and the effect of dietary restriction on symptoms of irritable bowel syndrome and functional bowel complaints. Isr. Med. Assoc. J. 2000 2 : 583 587.
    • (2000) Isr. Med. Assoc. J. , vol.2 , pp. 583-587
    • Goldstein, R.1    Braverman, D.2    Stankiewicz, H.3
  • 16
    • 0022533765 scopus 로고
    • Absorption capacity of fructose in healthy adults. Comparison with sucrose and its constituent monosaccharides
    • Rumessen JJ, Gudmand-Hoyer E. Absorption capacity of fructose in healthy adults. Comparison with sucrose and its constituent monosaccharides. Gut 1986 27 : 1161 1168.
    • (1986) Gut , vol.27 , pp. 1161-1168
    • Rumessen, J.J.1    Gudmand-Hoyer, E.2
  • 18
    • 0031746313 scopus 로고    scopus 로고
    • Allaying fears and fallacies about lactose intolerance
    • McBean LD, Miller GD. Allaying fears and fallacies about lactose intolerance. J. Am. Diet. Assoc. 1998 98 : 671 676.
    • (1998) J. Am. Diet. Assoc. , vol.98 , pp. 671-676
    • McBean, L.D.1    Miller, G.D.2
  • 19
    • 0025001816 scopus 로고
    • Role of fructose-sorbitol malabsorption in the irritable bowel syndrome
    • Nelis GF, Vermeeren MA, Jansen W. Role of fructose-sorbitol malabsorption in the irritable bowel syndrome. Gastroenterology 1990 99 : 1016 1020.
    • (1990) Gastroenterology , vol.99 , pp. 1016-1020
    • Nelis, G.F.1    Vermeeren, M.A.2    Jansen, W.3
  • 20
    • 0023748847 scopus 로고
    • Functional bowel disease: Malabsorption and abdominal distress after ingestion of fructose, sorbitol, and fructose-sorbitol mixtures
    • Rumessen JJ, Gudmand-Hoyer E. Functional bowel disease: malabsorption and abdominal distress after ingestion of fructose, sorbitol, and fructose-sorbitol mixtures. Gastroenterology 1988 95 : 694 700.
    • (1988) Gastroenterology , vol.95 , pp. 694-700
    • Rumessen, J.J.1    Gudmand-Hoyer, E.2
  • 21
    • 0032913170 scopus 로고    scopus 로고
    • Fructooligosaccharides and lactulose cause more symptoms in lactose maldigesters and subjects with pseudohypolactasia than in control lactose digesters
    • Teuri U, Vapaatalo H, Korpela R. Fructooligosaccharides and lactulose cause more symptoms in lactose maldigesters and subjects with pseudohypolactasia than in control lactose digesters. Am. J. Clin. Nutr. 1999 69 : 973 979.
    • (1999) Am. J. Clin. Nutr. , vol.69 , pp. 973-979
    • Teuri, U.1    Vapaatalo, H.2    Korpela, R.3
  • 23
    • 67649855476 scopus 로고    scopus 로고
    • Benefits of breath hydrogen testing following lactulose administration in analyzing carbohydrate malabsorption
    • Epub July 24 J.S. Irving P.M. Shepherd S.J. Muir J.G. Gibson P.R.
    • Bate JP, Irving PM, Barrett JS, Gibson PR. Benefits of breath hydrogen testing following lactulose administration in analyzing carbohydrate malabsorption. Eur. J. Gastroenterol. Hepatol. 2009 Epub July 24 JS, Irving PM, Shepherd SJ, Muir JG, Gibson PR. Comparison of the prevalence of fructose and lactose malabsorption across chronic intestinal disorders. Aliment. Pharmacol. Ther. 2009 30 : 165 174.
    • (2009) Eur. J. Gastroenterol. Hepatol. , vol.30 , pp. 165-174
    • Bate, J.P.1    Irving, P.M.2    Barrett, J.S.3    Gibson, P.R.4
  • 25
    • 59849118691 scopus 로고    scopus 로고
    • Measurement of short-chain carbohydrates (FODMAPs) in common Australian vegetables and fruit by high performance liquid chromatography (HPLC) with evaporative light-scattering detection (ELSD)
    • Muir JG, Rose R, Rosella O et al. Measurement of short-chain carbohydrates (FODMAPs) in common Australian vegetables and fruit by high performance liquid chromatography (HPLC) with evaporative light-scattering detection (ELSD). J. Agric. Food Chem. 2009 57 : 554 565.
    • (2009) J. Agric. Food Chem. , vol.57 , pp. 554-565
    • Muir, J.G.1    Rose, R.2    Rosella, O.3
  • 26
    • 0002289603 scopus 로고
    • Cereal fructosans: Part 2 - Characterisation and structure of wheat fructosans
    • Nilsson U, Dahlqvist A. Cereal fructosans: Part 2 - characterisation and structure of wheat fructosans. Food Chem. 1986 22 : 95 106.
    • (1986) Food Chem. , vol.22 , pp. 95-106
    • Nilsson, U.1    Dahlqvist, A.2
  • 27
    • 0029038118 scopus 로고
    • Recovery of inulin from Jerusalem artichoke (Helianthus tuberosus L.) in the small intestine of man
    • Bach Knudsen KE, Hessov I. Recovery of inulin from Jerusalem artichoke (Helianthus tuberosus L.) in the small intestine of man. Br. J. Nutr. 1995 74 : 101 113.
    • (1995) Br. J. Nutr. , vol.74 , pp. 101-113
    • Bach Knudsen, K.E.1    Hessov, I.2
  • 28
    • 37149021912 scopus 로고    scopus 로고
    • Review article: Lactose intolerance in clinical practice - Myths and realities
    • Lomer MC, Parkes GC, Sanderson JD. Review article: lactose intolerance in clinical practice - myths and realities. Aliment. Pharmacol. Ther. 2008 27 : 93 103.
    • (2008) Aliment. Pharmacol. Ther. , vol.27 , pp. 93-103
    • Lomer, M.C.1    Parkes, G.C.2    Sanderson, J.D.3
  • 29
    • 0032411028 scopus 로고    scopus 로고
    • Erythritol: An interpretive summary of biochemical, metabolic, toxicological and clinical data
    • Munro IC, Berndt WO, Borzelleca JF et al. Erythritol: an interpretive summary of biochemical, metabolic, toxicological and clinical data. Food Chem. Toxicol. 1998 36 : 1139 1174.
    • (1998) Food Chem. Toxicol. , vol.36 , pp. 1139-1174
    • Munro, I.C.1    Berndt, W.O.2    Borzelleca, J.F.3
  • 31
    • 0014061028 scopus 로고
    • Water and solute movement in the small intestine of patients with sprue
    • Fordtran JS, Rector FC, Locklear TW, Ewton MF. Water and solute movement in the small intestine of patients with sprue. J. Clin. Invest. 1967 46 : 287 298.
    • (1967) J. Clin. Invest. , vol.46 , pp. 287-298
    • Fordtran, J.S.1    Rector, F.C.2    Locklear, T.W.3    Ewton, M.F.4
  • 32
    • 0024952179 scopus 로고
    • Hydrogen excretion after ingestion of five different sugar alcohols and lactulose
    • Würsch P, Koellreutter B, Schweizer TF. Hydrogen excretion after ingestion of five different sugar alcohols and lactulose. Eur. J. Clin. Nutr. 1989 43 : 819 825.
    • (1989) Eur. J. Clin. Nutr. , vol.43 , pp. 819-825
    • Würsch, P.1    Koellreutter, B.2    Schweizer, T.F.3
  • 33
    • 0028097498 scopus 로고
    • Digestion and absorption of sorbitol, maltitol and isomalt from the small bowel. A study in ileostomy subjects
    • Langkilde AM, Andersson H, Schweizer TF, Würsch P. Digestion and absorption of sorbitol, maltitol and isomalt from the small bowel. A study in ileostomy subjects. Eur. J. Clin. Nutr. 1994 48 : 768 775.
    • (1994) Eur. J. Clin. Nutr. , vol.48 , pp. 768-775
    • Langkilde, A.M.1    Andersson, H.2    Schweizer, T.F.3    Würsch, P.4
  • 34
    • 0018100126 scopus 로고
    • Four cases of long-standing diarrhoea and colic pains cured by fructose-free diet: A pathogenetic discussion
    • Andersson DE, Nygren A. Four cases of long-standing diarrhoea and colic pains cured by fructose-free diet: a pathogenetic discussion. Acta Med. Scand. 1978 203 : 87 92.
    • (1978) Acta Med. Scand. , vol.203 , pp. 87-92
    • Andersson, D.E.1    Nygren, A.2
  • 35
    • 16644364421 scopus 로고    scopus 로고
    • Dietary fructose intolerance: Diet modification can impact self-rated health and symptom control
    • Johlin FC Jr., Panther M, Kraft N. Dietary fructose intolerance: diet modification can impact self-rated health and symptom control. Nutr. Clin. Care. 2004 7 : 92 7.
    • (2004) Nutr. Clin. Care. , vol.7 , pp. 92-97
    • Johlin Jr., F.C.1    Panther, M.2    Kraft, N.3
  • 36
    • 0033769164 scopus 로고    scopus 로고
    • Fructose- and sorbitol reduced diet improves mood and gastrointestinal disturbances in fructose malabsorbers
    • Ledochowski M, Widner B, Bair H, Probst T, Fuchs D. Fructose- and sorbitol reduced diet improves mood and gastrointestinal disturbances in fructose malabsorbers. Scand. J. Gastroenterol. 2000 35 : 1048 1052.
    • (2000) Scand. J. Gastroenterol. , vol.35 , pp. 1048-1052
    • Ledochowski, M.1    Widner, B.2    Bair, H.3    Probst, T.4    Fuchs, D.5
  • 38
    • 33748804733 scopus 로고    scopus 로고
    • Fructose malabsorption and symptoms of irritable bowel syndrome: Guidelines for effective dietary management
    • Shepherd SJ, Gibson PR. Fructose malabsorption and symptoms of irritable bowel syndrome: guidelines for effective dietary management. J. Am. Diet. Assoc. 2006 106 : 1631 1639.
    • (2006) J. Am. Diet. Assoc. , vol.106 , pp. 1631-1639
    • Shepherd, S.J.1    Gibson, P.R.2
  • 39
    • 45849125772 scopus 로고    scopus 로고
    • Dietary triggers of abdominal symptoms in patients with irritable bowel syndrome: Randomised placebo-controlled evidence
    • Shepherd SJ, Parker FJ, Muir JG, Gibson PR. Dietary triggers of abdominal symptoms in patients with irritable bowel syndrome: randomised placebo-controlled evidence. Clin. Gastroenterol. Hepatol. 2008 6 : 765 771.
    • (2008) Clin. Gastroenterol. Hepatol. , vol.6 , pp. 765-771
    • Shepherd, S.J.1    Parker, F.J.2    Muir, J.G.3    Gibson, P.R.4
  • 40
    • 45849146532 scopus 로고    scopus 로고
    • The value of the 'fructose malabsorption' (FM) diet and the fructose breath hydrogen test in patients with irritable bowel syndrome (IBS)
    • Shepherd S, Willet I, Fone D et al. The value of the 'fructose malabsorption' (FM) diet and the fructose breath hydrogen test in patients with irritable bowel syndrome (IBS). J. Gastroenterol. Hepatol. 2003 18 (Suppl. B126.
    • (2003) J. Gastroenterol. Hepatol. , vol.18 , Issue.SUPPL
    • Shepherd, S.1    Willet, I.2    Fone, D.3
  • 41
    • 34548204291 scopus 로고    scopus 로고
    • Clinical ramifications of malabsorption of fructose and other short-chain carbohydrates
    • Barrett JS, Gibson PR. Clinical ramifications of malabsorption of fructose and other short-chain carbohydrates. Pract. Gastroenterol. 2007 31 : 51 65.
    • (2007) Pract. Gastroenterol. , vol.31 , pp. 51-65
    • Barrett, J.S.1    Gibson, P.R.2
  • 42
    • 29744437704 scopus 로고    scopus 로고
    • Functional gastrointestinal disorders and mood disorders in patients with inactive inflammatory bowel disease: Prevalence and impact on health
    • Farrokhyar F, Marshall JK, Easterbrook B, Irvine EJ. Functional gastrointestinal disorders and mood disorders in patients with inactive inflammatory bowel disease: prevalence and impact on health. Inflamm. Bowel. Dis. 2006 12 : 38 46.
    • (2006) Inflamm. Bowel. Dis. , vol.12 , pp. 38-46
    • Farrokhyar, F.1    Marshall, J.K.2    Easterbrook, B.3    Irvine, E.J.4
  • 43
    • 47749146159 scopus 로고    scopus 로고
    • The effect of functional gastrointestinal disorders on psychological comorbidity and quality of life in patients with inflammatory bowel disease
    • Mikocka-Walus AA, Turnbull DA, Andrews JM, Moulding NT, Holtmann GJ. The effect of functional gastrointestinal disorders on psychological comorbidity and quality of life in patients with inflammatory bowel disease. Aliment. Pharmacol. Ther. 2008 28 : 475 483.
    • (2008) Aliment. Pharmacol. Ther. , vol.28 , pp. 475-483
    • Mikocka-Walus, A.A.1    Turnbull, D.A.2    Andrews, J.M.3    Moulding, N.T.4    Holtmann, G.J.5
  • 45
    • 38049076430 scopus 로고    scopus 로고
    • A pilot study on the effect of reducing dietary FODMAP intake on bowel function in patients without a colon
    • Croagh C, Shepherd SJ, Berryman M, Muir JG, Gibson PR. A pilot study on the effect of reducing dietary FODMAP intake on bowel function in patients without a colon. Inflamm. Bowel Dis. 2007 13 : 1522 1528.
    • (2007) Inflamm. Bowel Dis. , vol.13 , pp. 1522-1528
    • Croagh, C.1    Shepherd, S.J.2    Berryman, M.3    Muir, J.G.4    Gibson, P.R.5
  • 46
    • 67649200327 scopus 로고    scopus 로고
    • The FODMAP diet for IBS: Food fad or roadmap to a new treatment paradigm?
    • Rangnekar AS, Chey WD. The FODMAP diet for IBS: food fad or roadmap to a new treatment paradigm? Gastroenterology 2009 137 : 383 386.
    • (2009) Gastroenterology , vol.137 , pp. 383-386
    • Rangnekar, A.S.1    Chey, W.D.2
  • 47
    • 0032929636 scopus 로고    scopus 로고
    • Sucrase-isomaltase and hexose transporter gene expressions are coordinately enhanced by dietary fructose in rat jejunum
    • Kishi K, Tanaka T, Igawa M et al. Sucrase-isomaltase and hexose transporter gene expressions are coordinately enhanced by dietary fructose in rat jejunum. J. Nutr. 1999 129 : 953 956.
    • (1999) J. Nutr. , vol.129 , pp. 953-956
    • Kishi, K.1    Tanaka, T.2    Igawa, M.3
  • 48
    • 0031655702 scopus 로고    scopus 로고
    • Inter-species differences in maximum specific growth rates and cell yields of bifidobacteria cultured on oligosaccharides and other simple carbohydrate sources. Selective stimulation of bifidobacteria in the human colon by oligofructose and inulin
    • Hopkins MJ, Cummings JH, Macfarlane GT. Inter-species differences in maximum specific growth rates and cell yields of bifidobacteria cultured on oligosaccharides and other simple carbohydrate sources. Selective stimulation of bifidobacteria in the human colon by oligofructose and inulin. J. Appl. Microbiol. 1998 85 : 381 386.
    • (1998) J. Appl. Microbiol. , vol.85 , pp. 381-386
    • Hopkins, M.J.1    Cummings, J.H.2    MacFarlane, G.T.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.