En quoi consiste le régime faible en FODMAP?

The Low FODMAP diet was first defined in 2004 by researchers at Monash University, in Australia. It categorizes FODMAP foods that trigger gastrointestinal problems according to the type of carbohydrate they contain, i.e., Oligosaccharides, Disaccharides, Monosaccharides, and Polyols.

Examples of High Fodmap Foods

  • Oligosaccharides

    Wheat, Rye
    Onions
    Garlic
    Beans
    Split Peas
    Dates
    Raisins

  • Disaccharides

    Milk
    Cottage Cheese
    Yogurt
    Ice Cream

  • Monosaccharides

    Mango
    Honey
    Asparagus
    Sugar Snap Peas

  • Polyols

    Peaches
    Blackberries
    Prunes
    Avocado
    Cauliflower
    Celery

Who benefits from a low FODMAP diet?

The Low FODMAP diet is the go-to dietary intervention for those suffering with IBS.45 million Americans(1 billion worldwide) suffer from IBS. There are15 timesmore people who suffer from IBS than celiac disease which gave rise to the gluten-free diet. Studies show that following a Low FODMAP diet can provide complete symptom relief for up to75%of people suffering from IBS, which is characterized by recurrent episodes of lower abdominal pain, bloating, diarrhea and/or constipation.

FODMAP Questions

First, take a deep breath! Seriously…stress can trigger tummy trouble, so try not to get overwhelmed before you even start the low FODMAP diet.

Next, contact a knowledgeable dietitian to help guide you through the process. This may seem indulgent or unnecessary considering how much information is available online, but it will ensure that you are following the three phases of the diet correctly. If you feel confident that you can go it alone, try to wait until you have time to mentally and physically prepare yourself. You’ll be much more successful if you understand the low FODMAP concept, are aware of which IBS foods to avoid, have collected some good low FODMAP recipes, and have stocked your kitchen with low FODMAP foods.

Instead of being properly digested and absorbed, FODMAPs travel through the gastrointestinal tract, drawing excess fluid into the small intestine and generating gas when they are fermented by bacteria in the large intestine.

The fluid and gas build-up caused by undigested FODMAPs pushes on the walls of the intestines, causing uncomfortable symptoms and altered bowel habits in susceptible individuals.

A Low FODMAP elimination diet is not one diet, even though it’s often portrayed that way. It's one of three distinct and equally important parts of a complete low FODMAP diet.

The FODMAP Elimination diet phase, which is what most people think of when they hear the term low FODMAP diet, was never meant to be followed indefinitely. After you have achieved symptom relief during this phase, it’s time to systematically test one FODMAP group at time in order to discover which FODMAPs are problematic for you; this is the Reintroduction/ Challenge phase.

The Integration phase is the diet you will follow “forever.” It will be uniquely yours; it may change over time, and it will most certainly contain some high FODMAP foods. The type and amount of these foods varies from person to person depending on a number of factors, including which foods provoked symptoms during the Challenge phase.

Elimination: During this phase, high FODMAP foods are avoided until symptoms are eliminated or significantly reduced. This can take anywhere from two to six weeks, depending on severity of symptoms and ability to adhere to the FODMAP elimination diet. 

Challenge/Reintroduction: In the challenge/reintroduction phase, High FODMAP foods from each group are added back from the initial FODMAP elimination diet step in a controlled fashion. There are many ways to approach this, but it is important to challenge only one type of FODMAP at a time. For instance, when testing oligosaccharides, the rest of your diet should not contain other FODMAPs or it will be impossible to tell which one is responsible for your symptoms. 

Integration: Once you have determined which FODMAP group(s) are a problem for you, it’s time to integrate what you’ve learned into your everyday life. It's important to remember that your ultimate goal is to include as many nutritious FODMAP foods in your diet as you can, because total avoidance is neither healthy nor practical.

In some ways, this is the hardest phase of all, because there’s no one roadmap that will be right for everyone. The good news is, there are more low FODMAP recipes, packaged foods, and other resources available to help you on your journey than ever before.

For more detailed information about the low FODMAP diet, we've broken down each phase in detail here

This can be a concern (especially for people who tend toward constipation) because many fiber-rich foods are also high in FODMAPs. That said, as long as you know where to look, it is possible to get your recommended 25 to 30 grams of fiber per day while also keeping a lid on your FODMAP intake. Here are some good options:

Brown rice, 1 cup (180 g) cooked – 3.5 grams fiber

Buckwheat groats (kasha), 3/4 cup (135 g) cooked – 3.5 grams fiber

Chestnuts, 10 roasted – 4 grams fiber

Chia seeds, 2 tablespoons − 9 grams fiber

Chickpeas, 1/4 cup (42 g) canned – 2.5 grams fiber

Flax seeds, 1 tablespoon – 3 grams fiber

Kiwi, 2 small – 5 grams fiber

Lentils, ½ cup (46 g) canned – 8 grams fiber

Macadamia nuts, 20 – 5 grams fiber

Oat bran, 2 tablespoons – 2 grams fiber

Orange, 1 medium – 3 grams fiber

Papaya, 1 cup (140 g) cubes – 3 grams fiber

Peanuts, 32 − 3 grams fiber

Quinoa, 1 cup (155 g) cooked – 5 grams fiber

Rice bran, 1 tablespoon – 2 grams fiber

White potato, with skin, 1 medium – 3.5 grams fiber

There are endless possibilities! Fody offers over 200 deliciouslow FODMAP recipesfor breakfast, lunch, dinner, snacks, and dessert. Our convenientlow FODMAP productsand recipesmake the low FODMAP lifestyle and everyday meal planning easy and absolutely delicious.

We have some great resources listed on our website! Here are some downloadable Low FODMAP food lists and guides, as well as IBS foods to avoid (High FODMAP Foods), to get you started:

Reference   -  Low FODMAP Foods

Reference   -  High FODMAP Foods