From their review, the authors conclude that, at present, there is"insufficient evidence" to routinely recommend the low-FODMAP diet for the treatment of functional GI disorders, nonceliac gluten sensitivity, inflammatory bowel diseases, or small-intestinal bacterial overgrowth in children.
"Ideally, a standardized questionnaire should be used before and following the start of the diet to assess objectively the effect of the low-FODMAP diet," the authors advise. To promote adherence to the diet, potential difficulties, such as how to provide a suitable lunch at school or what to do when the child is staying at a friend's house, should be addressed.
"The problem in kids is that the trials are very small, and there's not a lot of them, so the evidence is limited," said Nurko, who wasn't involved in writing the position paper.
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