Children with functional abdominal pain disorders successfully decrease FODMAP food intake on a low FODMAP diet with modest improvements in nutritional intake and diet quality

• Published in: Neurogastroenterology and motility 2022-10, Vol.34 (10), p.e14392-n/a
• Main Authors: Narayana, Vishnu, McMeans, Ann R., Levy, Rona L., Shulman, Robert J., Chumpitazi, Bruno P.
• Format: Article
• Language: English
• Subjects: abdominal pain; Ascorbic acid; Carbohydrates; child; Children; Diet; Dietitians; Disaccharides; disorders of gut–brain interaction; Fatty acids; Food; Food intake; Food processing; Magnesium; Micronutrients; Monosaccharides; Nutrient deficiency; nutrients; Nutrition; Oligosaccharides; Pain; Processed foods; Vitamin B6; Vitamin D; Vitamin E
• ISSN: 1350-1925; 1365-2982
• DOI: 10.1111/nmo.14392

Background We sought to determine how a low fermentable oligosaccharide, disaccharide, monosaccharide, and polyol (FODMAP) diet (LFD) affected high FODMAP food intake, nutrient intake, and diet quality in children with functional abdominal pain disorders (FAPD). Methods Children (ages 7–13 years) with Rome IV FAPD began a dietitian‐guided LFD. Three‐day food records were captured at baseline and 2–3 weeks into the LFD. Intake of high FODMAP foods, energy, macronutrients, micronutrients, food groups, and ultra‐processed foods were determined. Key results Median age of participants was 11 years, and 19/31 (61%) were female. Twenty‐eight (90%) decreased high FODMAP food intake on the LFD: overall median (25–75%) high FODMAP foods/day decreased from 5.7 (3.6–7.3) to 2 (0.3–3.7) (p