Dietary fiber (oligosaccharide and non-starch polysaccharide) in preventing and treating functional gastrointestinal disorders - Challenges and controversies: A review

Int J Biol Macromol. 2024 Feb;258(Pt 1):128835. doi: 10.1016/j.ijbiomac.2023.128835. Epub 2023 Dec 19.

Abstract

Functional gastrointestinal disorders (FGIDs) are a group of chronic or recurrent gastrointestinal functional diseases, including functional dyspepsia, irritable bowel syndrome, and functional constipation. A lack of safe and reliable treatments for abdominal pain-related FGIDs has prompted interest in new therapies. Evidence has shown that supplementation with dietary fiber may help treat FGIDs. Dietary fibers (DFs) have been demonstrated to have regulatory effects on the gut microbiota, microbiota metabolites, and gastrointestinal movement and have important implications for preventing and treating FGIDs. However, the adverse effects of some DFs, such as fermentable oligosaccharides, on FGIDs are unclear. This review provides an overview of the DFs physiological properties and functional characteristics that influence their use in management of FGIDs, with emphasis on structural modification technology to improve their therapeutic activities. The review highlights that the use of appropriate or novel fibers is a potential therapeutic approach for FGIDs.

Keywords: Adverse effect; Dietary fiber; Gastrointestinal movement; Gut microbiota; Modification technologies.

Publication types

  • Review

MeSH terms

  • Abdominal Pain
  • Dietary Fiber / therapeutic use
  • Gastrointestinal Diseases* / drug therapy
  • Humans
  • Oligosaccharides / therapeutic use
  • Polysaccharides / therapeutic use

Substances

  • Dietary Fiber
  • Polysaccharides
  • Oligosaccharides