title: Food components and irritable bowel syndrome.
abstract: Ingestion of food has long been linked with gut symptoms, and there is increasing interest in using diet in the management of patients with irritable bowel syndrome (IBS). The West has developed an intense interest in specialized, restrictive diets, such as those that target multiple food groups, avoid gluten, or reduce fermentable oligo-, di-, and mono-saccharides and polyols. However, most gastroenterologists are not well educated about diets or their effects on the gut. It is important to understand the various dietary approaches, their putative mechanisms, the evidence that supports their use, and the benefits or harm they might produce. The concepts behind, and delivery of, specialized diets differ from those of pharmacologic agents. High-quality research is needed to determine the efficacy of different dietary approaches and the place of specific strategies.
authors: Department of Gastroenterology, Monash University and Alfred Health, Melbourne, Victoria, Australia. Electronic address: peter.gibson@monash.edu.
authors: Peter R
authors: PR
authors: Gibson
authors: Department of Gastroenterology, Monash University and Alfred Health, Melbourne, Victoria, Australia.
authors: Jane
authors: J
authors: Varney
authors: Department of Gastroenterology, Monash University and Alfred Health, Melbourne, Victoria, Australia.
authors: Sreepurna
authors: S
authors: Malakar
authors: Department of Gastroenterology, Monash University and Alfred Health, Melbourne, Victoria, Australia.
authors: Jane G
authors: JG
authors: Muir
mesh_terms: D000818:Animals; D004032:Diet / Q000009:adverse effects*; D050528:Diet, Carbohydrate-Restricted; D018752:Diet, Fat-Restricted; D055050:Diet, Gluten-Free; D018753:Diet, Protein-Restricted; D004040:Dietary Carbohydrates / Q000009:adverse effects / Q000378:metabolism; D004041:Dietary Fats / Q000009:adverse effects / Q000378:metabolism; D004044:Dietary Proteins / Q000009:adverse effects / Q000378:metabolism; D005285:Fermentation; D041981:Gastrointestinal Tract / Q000378:metabolism / Q000382:microbiology / Q000503:physiopathology; D006801:Humans; D043183:Irritable Bowel Syndrome / Q000175:diagnosis / Q000178:diet therapy* / Q000209:etiology* / Q000378:metabolism / Q000382:microbiology / Q000503:physiopathology; D012307:Risk Factors; D016896:Treatment Outcome
chemical_list: D004040:Dietary Carbohydrates; D004041:Dietary Fats; D004044:Dietary Proteins
keywords: Bioactive Food Chemicals; Carbohydrates; Dietary Therapy; Functional Gastrointestinal Disorders; Gluten; Low FODMAP Diet; Proteins; Wheat Sensitivity