Dietary therapies for functional bowel symptoms: Recent advances, challenges, and future directions

Tuck, C. J.; Vanner, S. J.

doi:10.1111/nmo.13238

Cited by 52Gastrointestinal motility and disordersGut microbiota and healthInflammatory Bowel Disease

Dietary therapies for functional bowel symptoms: Recent advances, challenges, and future directions

Tuck, C. J., Vanner, S. J.·2018·Neurogastroenterology & Motility

DOI 10.1111/nmo.13238

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Abstract

Background: Functional gastrointestinal symptoms in irritable bowel syndrome (IBS) and quiescent inflammatory bowel disease (IBD) cause significant morbidity and a reduction in quality of life. Multiple dietary therapies are now available to treat these symptoms, but supporting evidence for many is limited. In addition to a further need for studies demonstrating efficacy and mechanism of action of dietary therapies, the risk of nutritional inadequacy, alterations to the microbiome and changes in quality of life are key concerns requiring elucidation. Identifying predictors of response to dietary therapy is an important goal as management could be tailored to the individual to target specific dietary components, and thereby reduce the level of dietary restriction necessary. Purpose: This review discusses the available dietary therapies to treat symptoms in patients with IBS and patients with quiescent IBD suffering from IBS symptoms, with the aim to understand where current dietary evidence lies and how to move forward in dietary research in this field.

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Issues with following a low FODMAP diet, as opposed to traditional dietary advice, include the need for a specialist dietitian to implement it, followed by close monitoring to avoid nutritional deficiencies or the development of overly restrictive eating habits.
“Issues with following a low FODMAP diet, as opposed to traditional dietary advice, include the need for a specialist dietitian to implement it, followed by close monitoring to avoid nutritional deficiencies or the development of overly restrictive eating habits.[207][208][209]”
From British Society of Gastroenterology guidelines on the management of irritable bowel syndrome (2021) · cites this paper as [209]

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British Society of Gastroenterology guidelines on the management of irritable bowel syndrome
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Authors: Tuck, C. J., & Vanner, S. J.
Affiliations: Queen's University (CA)
Corresponding author: Tuck, C. J.
ORCID: Tuck, C. J.
Vanner, S. J.
Venue: Neurogastroenterology & Motility
Publisher: Wiley
Published: 2017-11-02
Volume: 30
Issue: 1
ISSN: 1350-1925 (ISSN-L)
1365-2982
DOI: 10.1111/nmo.13238
OpenAlex: W2766720742
Cited by: 52
References: 170
Citations by year: 2026: 1 · 2025: 4 · 2024: 4 · 2023: 4 · 2022: 8 · 2021: 11 · 2020: 6 · 2019: 10 · 2018: 4
FWCI: 0.92
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Neurogastroenterology & Motility (publishedVersion)
PubMed (publishedVersion)
Funders: Canadian Institutes of Health Research
Topics: Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
Keywords: dietary therapy, functional gastrointestinal symptoms, irritable bowel syndrome, nutritional adequacy, gut microbiota, predictors of treatment response, personalized diet, dietary restriction
MeSH terms: Animals, Diet Therapy, Humans, Quality of Life, Inflammatory Bowel Diseases, Treatment Outcome, Irritable Bowel Syndrome

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Dietary therapies for functional bowel symptoms: Recent advances, challenges, and future directions

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