FODMAP飲食對腸道症狀的影響

The Impact of FODMAP Diet on Intestinal Symptoms

功能性胃腸疾病與發炎性腸道疾病都是臨床上常遇到的問題，心理壓力或飲食耐受不良都可能引起不適的症狀並降低生活品質，也因此腸胃道相關疾病的治療通常需要多科別跨團隊來共同照護。可發酵短鏈碳水化合物-FODMAP（Fermentable Oligosaccharides, Disaccharides Monosaccharides and Polyols）難以吸收卻容易發酵的特性，可能引起腹脹、腹痛、腹瀉等不適的症狀。本文整理了有關FODMAP 對於腸胃道症狀的影響和飲食中FODMAP 的主要來源，提供營養師在照顧腸胃疾病病人飲食建議之參考。

Functional gastrointestinal disorders(FGIDs)and inflammatory bowel disease(IBD) are very common and present major challenges for clinicians, as their causes and pathogenic machine transfer are unknown. Psychological factors and diet may affect the enteric nervous system, causing symptoms of discomfort and reducing the quality of life. Consequently, treatment has spanned multiple modalities and has involved a variety of health professionals. However, fermentable oligo-, di- and monosaccharides and polyols, referred to by the acronym,ÂFODMAPÊ, are poorly absorbed and rapidly ferment which may cause bloating, abdominal pain, diarrhea, and other symptoms of discomfort. This review described the main sources of FODMAP and their impacts on gastrointestinal symptoms, offering references for improving the quality of nutritional care in gastrointestinal disorders.