Diet is a cornerstone in the management of irritable bowel syndrome (IBS). There is evidence of efficacy across the spectrum of dietary management strategies, including some supplements (eg, specific fibres), foods, and whole diets (eg, a diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols [known as the low-FODMAP diet]). Whole-diet interventions, in particular those that restrict intake, can be challenging to deliver effectively and safely. Factors to consider include patient demographics, food cost and availability, and the acceptability of dietary management and its impact on food-related quality of life. There is concern regarding a potential role of restrictive whole-diet interventions in eating disorder risk. Optimal approaches to delivering dietary management in the health-care setting are unclear. The aim of this Review is to summarise the clinical evidence for the dietary management of IBS; to discuss the challenges, burdens, and risks of dietary management; and to propose how these challenges, burdens, and risks should be mitigated and minimised in clinical practice.

中文翻译：

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肠易激综合征的饮食管理：考虑因素、挑战和解决方案


饮食是管理肠易激综合征 （IBS） 的基石。有证据表明，在一系列饮食管理策略中都有效，包括一些补充剂（例如，特定纤维）、食物和全饮食（例如，可发酵低聚糖、双糖、单糖和多元醇的饮食[称为低FODMAP饮食]）。全饮食干预措施，特别是那些限制摄入量的干预措施，可能难以有效和安全地实施。需要考虑的因素包括患者人口统计学、食品成本和供应、饮食管理的可接受性及其对食品相关生活质量的影响。人们担心限制性全饮食干预对进食障碍风险的潜在作用。在卫生保健环境中提供饮食管理的最佳方法尚不清楚。本综述的目的是总结IBS饮食管理的临床证据;讨论饮食管理的挑战、负担和风险;并提出如何在临床实践中减轻和最小化这些挑战、负担和风险。