Dietary fructose intolerance, fructan intolerance and FODMAPs.
Dietary fructose intolerance, fructan intolerance and FODMAPs.
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DOI：
10.1007/s11894-013-0370-0
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发表时间：
2014-01
影响因子：
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通讯作者：
Rao, Satish S C
中科院分区：
文献类型：
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作者：
Fedewa, Amy;Rao, Satish S C
对果糖、果聚糖和FODMAP（可发酵寡糖、二糖、单糖和多元醇）的饮食不耐受很常见，但认识和管理不足。在过去的十年中，由于对这些疾病的机制和治疗有了新的认识，它们已经走到了最前沿。患有这些问题的患者通常会出现不明原因的腹胀、打嗝、腹胀、胀气、腹痛或腹泻。在这里，我们检查了这些食物相关的不耐受的最新研究，讨论了争议，并为这些疾病的饮食管理提供了一些指导方针。碳水化合物不耐受的呼吸测试似乎是标准化的，对于这些疾病的诊断和管理是必不可少的，特别是在西方人群中。虽然目前的研究表明，FODMAP饮食可能是有效的治疗肠易激综合征，需要更多的研究，以确定更多的食物项目是高的FODMAP，并评估长期的疗效和安全的饮食干预措施。
Dietary intolerances to fructose, fructans and FODMAPs (Fermentable Oligosaccharides, Disaccharides, Monosaccharides And Polyols) are common, yet poorly recognized and managed. Over the last decade, they have come to the forefront because of new knowledge on the mechanisms and treatment of these conditions. Patients with these problems often present with unexplained bloating, belching, distension, gas, abdominal pain or diarrhea. Here, we have examined the most up-to-date research on these food-related intolerances, discussed controversies, and have provided some guidelines for the dietary management of these conditions. Breath testing for carbohydrate intolerance appears to be standardized and essential for the diagnosis and management of these conditions, especially in the Western population. While current research shows that the FODMAP diet may be effective in treating irritable bowel syndrome, additional research is needed to identify more foods items that are high in FODMAPs, and to assess the long-term efficacy and safety of dietary interventions.