{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:49:14Z","timestamp":1786978154632,"version":"build-2736575974"},"reference-count":23,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T00:00:00Z","timestamp":1697587200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["JGH Open"],"published-print":{"date-parts":[[2023,11]]},"abstract":"Abstract<\/jats:title>\n \n Background and Aim<\/jats:title>\n Low\u2010fermentable oligo\u2010, di\u2010, and monosaccharides and polyol (FODMAP) diets have been recommended for individuals with food intolerance and irritable bowel syndrome (IBS). Individual food intolerances may, however, not correspond to the FODMAP content alone.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We conducted a survey on self\u2010reported intolerance to articles of food commonly identified as high FODMAP in 400 healthy Indian subjects (median age 40\u2009years; 69% men) and 204 consecutive consenting patients with IBS (median age 36\u2009years; 58% men).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n One\u2010hundred seventy\u2010nine (44.8%) healthy subjects and 147 (72.1%) patients with IBS reported some food intolerance (\n P<\/jats:italic>\n \u2009<\u20090.00001); the latter reported intolerance to all items (except nuts) more frequently than healthy subjects. The prevalence, however, varied from 2.5 to 32%. Milk intolerance was reported equally commonly by healthy subjects and patients (23%\n vs<\/jats:italic>\n 29.9%). Twenty\u2010three (11.3%) patients and no healthy subjects reported wheat sensitivity. The IBS diarrhea subgroup reported intolerance to milk, pulses, capsicum, cauliflower, leafy vegetables, and dry fruits more frequently than the constipation subgroup.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n From among a list of high\u2010FODMAP items, individuals' intolerance varied widely, suggesting that individuals should be the final judge in deciding their elimination diets rather than devise them based on the FODMAP content alone. As in the West, food intolerance was reported more commonly by patients with IBS, especially those with diarrhea, than by healthy individuals. Also noteworthy is the low prevalence of milk intolerance in a subcontinent labeled as high in lactose intolerance. Unlike in the West, wheat intolerance was not reported by any healthy individual.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/jgh3.12981","type":"journal-article","created":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T01:55:10Z","timestamp":1697680510000},"page":"772-776","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Self\u2010reported food intolerances in an Indian population: Need for individualization rather than a universal\n low\u2010FODMAP<\/scp>\n diet"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0604-3306","authenticated-orcid":false,"given":"Philip","family":"Abraham","sequence":"first","affiliation":[{"name":"Division of Gastroenterology P D Hinduja Hospital Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8618-7061","authenticated-orcid":false,"given":"Pavan","family":"Dhoble","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology P D Hinduja Hospital Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9741-5549","authenticated-orcid":false,"given":"Devendra","family":"Desai","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology P D Hinduja Hospital Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9493-8769","authenticated-orcid":false,"given":"Anand","family":"Joshi","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology P D Hinduja Hospital Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2278-207X","authenticated-orcid":false,"given":"Tarun","family":"Gupta","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology P D Hinduja Hospital Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,18]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/apt.13041"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu11071684"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1159\/000051878"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2013.105"},{"key":"e_1_2_6_6_1","first-page":"131","article-title":"Efficacy of the low FODMAP diet for treating irritable bowel syndrome: the evidence to date","volume":"9","author":"Nanayakkara WS","year":"2016","journal-title":"Clin. 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Gastroenterol."},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0182942"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu9090940"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2021.683191"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2021-325214"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41395-018-0195-4"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1021\/jf070623x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-277X.2010.01139.x"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.13698"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.5056\/jnm15111"},{"key":"e_1_2_6_16_1","volume-title":"Indian Food Composition Table 2017","author":"Longvah T","year":"2017"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12664-022-01250-7"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1746.2007.04986.x"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.5056\/jnm20086"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.13465"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu7095380"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu9010081"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.5056\/jnm18125"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.5056\/jnm22035"}],"container-title":["JGH Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jgh3.12981","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,14]],"date-time":"2023-12-14T04:38:46Z","timestamp":1702528726000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jgh3.12981"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,18]]},"references-count":23,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1002\/jgh3.12981"],"URL":"https:\/\/doi.org\/10.1002\/jgh3.12981","archive":["Portico"],"relation":{},"ISSN":["2397-9070","2397-9070"],"issn-type":[{"value":"2397-9070","type":"print"},{"value":"2397-9070","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,18]]},"assertion":[{"value":"2023-06-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}