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. 2021 Dec 17;13(12):4513.
doi: 10.3390/nu13124513.

Fermentable Oligo-, Di-, and Mono-Saccharides and Polyols (FODMAPs) Consumption and Irritable Bowel Syndrome in the French NutriNet-Santé Cohort

Elodie Schneider  1 , Jean-Marc Sabaté  2   3 , Michel Bouchoucha  2 , Serge Hercberg  1   4 , Mathilde Touvier  1 , Robert Benamouzig  2 , Chantal Julia  1   4 , Camille Buscail  1   4
Affiliations

Fermentable Oligo-, Di-, and Mono-Saccharides and Polyols (FODMAPs) Consumption and Irritable Bowel Syndrome in the French NutriNet-Santé Cohort

Elodie Schneider et al. Nutrients. .

Abstract

(1) Background: Specific foods, and more particularly, fermentable oligo-, di-, and mono-saccharides and polyols (FODMAPs) are often considered as triggers of digestive symptoms in Irritable Bowel Syndrome (IBS). Our aim was to study FODMAP consumption in controls and IBS participants in a large French population-based cohort; (2) Methods: Participants from the NutriNet-Santé cohort study completed the Rome IV and IBS-SSS questionnaire in a cross sectional study. Among them, 27,949 eligible participants had previously completed three 24-h recalls as well as anthropometrics, socio-demographical and lifestyle data. Total FODMAP intake (in g/day) was computed using a specific composition table. The association between FODMAPs and IBS was estimated through multivariable logistic regression models; (3) Results: Included participants were mainly women (75.4%) and the mean age was 43.4 ± 14.1 years. FODMAPs accounted for a mean daily intake of 19.4 ± 9.5 g/day. Overall 1295 participants (4.6%) were identified with an IBS. After adjusting for confounding factors, IBS participants had lower intakes in FODMAPs than non-IBS ones (aOR: 0.88, 95% CI: 0.82-0.95, p-value: 0.001). IBS severity was associated with more frequent low FODMAP intakes (<9 g/day); (4) Conclusions: Participants tended to consume 19 g of FODMAPs per day, but slightly less for IBS participants than for controls. In IBS participants, higher severity was associated with lower intakes.

Keywords: FODMAP intake; IBS; Nutrinet-Santé cohort study; Rome IV criteria; cross-sectional study.

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Conflict of interest statement

The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

Figures

Figure 1
Figure 1
Flowchart of the IBS-SSS study, NutriNet-Santé cohort, France, 2009–2019 (N = 27,949).
Figure 2
Figure 2
Proportion of IBS participants with different FODMAP intakes in different categories of severity according to the IBS-SSS, NutriNet-Santé cohort, France, 2009–2019 (N = 803).
Figure 3
Figure 3
IBS-SSS individual items according to FODMAP intakes in IBS patients identified with the Rome IV criteria, NutriNet-Santé cohort, France, 2009–2019 (N = 803).
See this image and copyright information in PMC

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