Nutrition therapy for IBS (irritable bowel syndrome) is highly individualized and require goals set by the patient and registered dietitian with consistent follow-up for additional interventions as needed.
In a recent article in the American Journal of Gastroenterology(1)the authors stated a number of concerns regarding the FODMAP diet. The first being some of the recommendations are based only on clinical observation. Secondly, the efficacy of different methods of patient education has not been formally evaluated and the education done so far has been by a trained dietitian. The last issue is the safety of long term FODMAP restriction has not been reported and restrictive diets may be a risk for nutritional inadequacies(3).
There is emerging research that the FODMAP diet may be an effective therapy in the management of IBS symptoms. This does not present a cure, rather suggested dietary approach to improve symptoms and quality of life. In addition a one size fits all approach does not work because too many factors can affect each client's food tolerance and adherence to diet modifications. More controlled clinical research is needed in this emerging area of FODMAP and IBS treatment.
1.Gibson PR and Shepard SJ. Food Choice as a Key Management Strategy for Functional Gastrointestinal Symptoms. Am J Gastroentero. 2012; 107: 657-666.
Hope this is helpful.
Wendy Marcason, RD,LDN
Information Specialist, Knowledge Center
Academy of Nutrition and Dietetics
(formerly the American Dietetic Association)
NEW NAME, SAME COMMITMENT TO PUBLIC'S NUTRITIONAL HEALTH.
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