Sahlgrenska Academy at University of GothenburgDepartment of Internal Medicine and Clinical NutritionABSTRACTTitle: The connection between IBS and FODMAPsAuthor: Helena Hautamäki and Rebecka BertilssonSupervisor: Sofia KlingbergExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: 2013-04-10Background: IBS (Irritable Bowel Syndrome) is a functional gastrointestinal disorder, and is acommon disorder in the western population. The predominant symptoms are diarrhoea,abdominal pain, bloating, constipation, and excessive flatus. Today there are no evidence basedrecommendations concerning dietary factors for patients diagnosed with IBS, but recently certainfactors in the diet that seems to trigger the symptoms have been identified. These factors areshort-chain carbohydrates, Fermentable Oligosaccharides, Disaccharides, Monosaccharides, andPolyols (FODMAPs), which are not completely absorbed in the lumen.Objective: The purpose of this systematic review article is to examine whether there are anyevidence that a diet low in FODMAPs may induce improvement of symptoms in patientsdiagnosed with IBS.Search strategy: The literature search was performed in the databases PubMed, Scopus,Summon and Google Scholar. The keywords were ?Irritable bowel syndrome + FODMAPs?,?Irritable bowel syndrome + diet? and ?FODMAP and diet?.Selection criteria: The inclusion criteria were patients diagnosed with IBS between the ages 18and 69.

IBS patients experiences of eating the low FODMAP-dietIrritable bowel syndrome (IBS) is a common, functional gastrointestinal tract disorder. The disease is benign but may cause much suffering for the individual. The treatments available are used to relieve symptoms. One nutrition therapy is to exclude fermentable oligo-, di-, monosaccharide and polyols, so callde FODMAPs, from the diet. This diet is proven successful and even significantly better than the standard nutrition advice for IBS.

Inledning Irritable Bowel Syndrome (IBS) är en vanlig funktionell mag-tarmsjukdom. Sjukdomen har i studier visats vara socialt hämmande och påverkar livskvaliteten negativt. Irritable bowel syndrome är en vanlig diagnos hos dietisten och målet med nutritionsbehandlingen är att uppnå ett optimalt näringsintag genom individuellt anpassade kostråd. Som dietist har man en skyldighet att jobba enligt vetenskap och beprövad erfarenhet. Detta, i kombination med att det vetenskapliga underlaget bakom nutritionsbehandling vid IBS är något vaga, motstridiga och där nyare rön är på väg att ta plats, kan leda till ett dilemma.Syftet är att undersöka vilken nutritionsbehandling dietister inom primärvården och slutenvården ger till patienter med IBS.Metod En webbenkät innehållande 24 frågor sändes ut till 392 svenska dietister inom primärvård och slutenvård.