Fermentable Carbohydrates: review study on gastrointestinal symptoms and application in Autistic Spectrum Disorder
DOI:
https://doi.org/10.18316/sdh.v9i2.7209Keywords:
Fermentable Carbohydrates, Autism Spectrum Disorder, Gastrointestinal DiseasesAbstract
Objective: To investigate the literature on the effect of a low fermentable carbohydrate diet (FODMAPs) on the gastrointestinal symptoms of neurotypic and autistic spectrum individuals.
Materials and Methods: systematic review, including the period between 2009 and 2019, using descriptors in English and Portuguese, from the United States National Library of Medicine, Virtual Health Library and Capes Journal Portal databases.
Results: 33 articles were selected, o two were cohort, 10 cross-sectional, nine case-control, and 12 clinical trials. Most studies have shown that implementing a diet low in FODMAPs improved gastrointestinal symptoms in patients with inflammatory bowel disease. In autism spectrum disorder, the prevalence of gastrointestinal symptoms was higher compared to the general population. However, no studies have investigated the implementation of a diet low in FODMAPs in autistic spectrum individuals with gastrointestinal symptoms. Despite this, some studies have indicated a diet low in FODMAPs for the improvement of gastrointestinal symptoms and autistic spectrum behavior.
Conclusion: low FODMAPs diet showed improvement of gastrointestinal symptoms when applied to individuals with intestinal changes. However further scientific evidence is needed to indicate its application as a routine measure in autistic spectrum disorder.
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