{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T23:48:42Z","timestamp":1790207322579,"version":"4.1.0"},"reference-count":52,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009717","name":"Eastern Health Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009717","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100015539","name":"Australian Government","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015539","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurogastroenterology Motil"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Limited data exist on long\u2010term outcomes in patients with irritable bowel syndrome (IBS) following dietetic education on a FODMAP (fermentable, oligo\u2010, di\u2010, monosaccharides and polyols) diet. We aimed to investigate long\u2010term outcomes with regards to the educative process, symptom control, quality of life, and dietary intake and patterns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Medical histories of individuals with IBS educated on a FODMAP diet by a gastrointestinal specialist dietitian 2008\u20132018 were interrogated. At face\u2010to\u2010face interview, demographic data, symptoms, dietary intake, and overall and food\u2010related quality of life (QOL) were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Results<\/jats:title>\n                    <jats:p>Seventy\u2010four participants, 62% female, median age 59 (IQR 47\u201367) years, were educated to restrict intake of all FODMAPs; 23% had dietitian\u2010directed progression through reintroduction and personalization phases. After mean 7.1 (range 2.5\u201313.4) years, 26% reported returning to habitual diet, 62% following a personalized diet and 12% continuing strict FODMAP restriction. Overall FODMAP intake was similar to that of historical healthy controls, but reduced in those continuing strict restriction. At least one type of FODMAP was restricted in 84%. Symptom severity and IBS\u2010related QOL were similar across reported dietary patterns and FODMAP intakes, but food\u2010related QOL was low in those with continuing strict restriction. Satisfactory relief of symptoms was reported by 64%. Symptom exacerbation was ameliorated by altering FODMAP (66%) or fiber intake (26%) with a minority (27%) utilizing medication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Inferences<\/jats:title>\n                    <jats:p>Despite suboptimal implementation, dietitian\u2010delivered education on a FODMAP diet in patients with IBS generally achieved satisfactory relief of symptoms, self\u2010empowerment and minimal restriction of FODMAPs in the long term.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nmo.70116","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T03:54:42Z","timestamp":1751342082000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Dietary Intake, Symptom Control and Quality of Life After Dietitian\u2010Delivered Education on a\n                    <scp>FODMAP<\/scp>\n                    Diet for Irritable Bowel Syndrome: A 7\u2010Year Follow Up"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4592-7809","authenticated-orcid":false,"given":"Hannah","family":"Silva","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Eastern Health Clinical School Monash University  Melbourne Australia"},{"name":"Nutrition and Dietetics Department Northern Health  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judi","family":"Porter","sequence":"additional","affiliation":[{"name":"School of Exercise &amp; Nutrition Sciences, Institute for Physical Activity and Nutrition Deakin University  Geelong Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Barrett","sequence":"additional","affiliation":[{"name":"Diet Solutions  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9108-1712","authenticated-orcid":false,"given":"Peter R.","family":"Gibson","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, School of Translational Medicine Monash University and Alfred Health  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayur","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Eastern Health Clinical School Monash University  Melbourne Australia"},{"name":"Department of Gastroenterology Northern Health  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(20)30217-X"},{"issue":"16","key":"e_1_2_11_3_1","article-title":"Bowel Disorders","volume":"0016","author":"Mearin F.","year":"2016","journal-title":"Gastroenterology"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1403494818776168"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2021-324598"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2021.12.248"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.13730"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.13685"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2005.02506.x"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.15772"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.13686"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.13687"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12530"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.5056\/jnm22035"},{"issue":"6","key":"e_1_2_11_15_1","first-page":"3505","article-title":"Efficacy of a Low\u2010FODMAP Diet in Adult Irritable Bowel Syndrome: A Systematic Review and Meta\u2010Analysis","volume":"60","author":"Lanen A. 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