{"id":91595,"date":"2023-04-27T11:21:00","date_gmt":"2023-04-27T09:21:00","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/?post_type=article_revue&#038;p=91595"},"modified":"2023-04-27T11:30:39","modified_gmt":"2023-04-27T09:30:39","slug":"health-benefits-of-dietary-fibre-in-childhood","status":"publish","type":"article_revue","link":"https:\/\/aprifel-pp.mentalworks.biz\/en\/global-fv-newsletter-article\/health-benefits-of-dietary-fibre-in-childhood\/","title":{"rendered":"Health benefits of dietary fibre in childhood"},"content":{"rendered":"\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"900\" height=\"450\" src=\"https:\/\/aprifel-pp.mentalworks.biz\/wp-content\/uploads\/2023\/04\/article-3-ok.jpg\" alt=\"\" class=\"wp-image-91600\"\/><\/figure>\n\n\n\n<p><strong>Fibre is an important nutrient in the human diet, that is essential for human health. In children, low-fibre diets can cause several disorders like irritable bowel syndrome, constipation, allergies and immune-related disorders. In pediatric practice, concerns exist over tolerance of dietary fibre which may lead to unnecessary restrictions. One reason is that fibre has often been described by its physicochemical properties (solubility\/viscosity), rather than its physiological effects (fermentability, bulking effects).<\/strong><\/p>\n\n\n\n<p><strong>This article (<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9606532\/\">Hojsak, 2022<\/a>) provides evidence on health benefits on dietary fibre and recommendations for healthy children and those with functional gastrointestinal disorders.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Dietary fibre recommendations for children should differentiate quantity from quality<\/h2>\n\n\n\n<p>Current recommendations for daily fibre intake for children vary and suggest a daily amount of fibre approximatively of 10 g\/day for young children increasing to around 20 g\/day for adolescents. These recommendations are rarely met by children. In UK, only 14% of children aged 4-10 years met the recommendation established by <strong><span class='tooltipsall tooltip_post_id_custom_1c36457b1a3eec4bbef452eacbe888e0 classtoolTipsCustomShortCodeOnlyForMultiTooltips'>SACN<\/span><script type=\"text\/javascript\">jQuery(\"document\").ready(function(){ toolTips('.tooltip_post_id_custom_1c36457b1a3eec4bbef452eacbe888e0',\"<\/strong>UK Scientific Advisory Committee on Nutrition<strong>\",'0'); });<\/script><\/strong>&nbsp;(20g\/d) (<a href=\"https:\/\/www.gov.uk\/government\/%20statistics\/ndns-results-from-years-9-to-11-2016-to-2017-and-2018-to-2019\" target=\"_blank\" rel=\"noreferrer noopener\">NDNS, 2020<\/a>).<\/p>\n\n\n\n<p>However, the current recommendations for daily fibre intake refer to total fibre regardless of the source or fibre quality provided. Yet, different fibre types, and fibre from different sources, have markedly different physiological effects and functions providing benefits within and beyond the human gut once consumed , showing the necessity to take these aspects into account.<\/p>\n\n\n\n<p>The importance of the quality of fibre consumed is increasingly recognized:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong><span class='tooltipsall tooltip_post_id_custom_2a2cc925d5d82625455ae0c1bec67bda classtoolTipsCustomShortCodeOnlyForMultiTooltips'>fermentable fibre<\/span><script type=\"text\/javascript\">jQuery(\"document\").ready(function(){ toolTips('.tooltip_post_id_custom_2a2cc925d5d82625455ae0c1bec67bda',\"<\/strong>The fermentability of fibre refers to the extent to which it can be broken down by the gut microbiota and is determined by the chemical and physical structure of the fibre and its accessibility to bacteria<strong>\",'0'); });<\/script><\/strong>&nbsp; are essential for maintaining a healthy microbiome, with benefits within and beyond the gut;<\/li>\n\n\n\n<li>bulking fibre, which are non or poorly fermentable, are predominantly insoluble. Insoluble fibre provide faecal bulk, stimulate bowel movement, dilute the colonic content (thereby protecting the gut from harmful substances) and adsorb undesirable colonic contents (certain xenobiotics) (Table2).<\/li>\n<\/ul>\n\n\n\n<p>Table 2: Examples of fermentable and bulking plant-based fibre<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<figure class=\"wp-block-table\">\n<table class=\"has-white-background-color has-background\">\n<tbody>\n<tr>\n<td class=\"has-text-align-center\" style=\"border-color: #f5cd1d; background-color: #f5cd1d;\" data-align=\"center\"><strong>Fermentable fibre<\/strong><\/td>\n<td class=\"has-text-align-center\" style=\"border-color: #f5cd1d; background-color: #f5cd1d;\" data-align=\"center\"><strong>Non or poorly fermentable fibre*<\/strong><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\"><strong>Pectin<\/strong><br \/><em>Sources: Fruit like apples and citrus fruit<br \/><\/em><br \/><strong>Glucan<\/strong><br \/><em>Sources: Grains like oats, barley<br \/><\/em><br \/><strong>Inulin<\/strong><br \/><em>Sources: Fruit and vegetables like garlic, onion, leeks, chicory root, asparagus, bananas<br \/><\/em><br \/><strong>Soy polysaccharide<\/strong><br \/><em>Source: soybean<\/em><br \/><br \/><strong>Gum Arabic<\/strong><br \/><em>Source: gum of the Acacia tree<\/em><\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><strong>Lignin<\/strong><br \/><em>Sources: Wheat bran, oat bran\/hull<\/em><br \/><br \/><strong>Cellulose<\/strong><br \/><em>Source: Fruit and vegetables, legumes<\/em><br \/><br \/><strong>Hemicellulose<\/strong><br \/><em>Sources: whole grains<\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<figcaption class=\"wp-element-caption\">*depending on the extent of processing which may increase the fermentability of fibre<\/figcaption>\n<\/figure>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Dietary fibre has an effect on gut health and beyond<\/h2>\n\n\n\n<p>Fermentation of fibre in the human gut results in the production of short-chain fatty acids (SCFAs) which stimulate <strong><span class='tooltipsall tooltip_post_id_custom_0fca72d32f3de8882277991f6b3ce6fc classtoolTipsCustomShortCodeOnlyForMultiTooltips'>gut motility <\/span><script type=\"text\/javascript\">jQuery(\"document\").ready(function(){ toolTips('.tooltip_post_id_custom_0fca72d32f3de8882277991f6b3ce6fc',\"SCFAs are known to increase colonic mineral absorption (eg, calcium and magnesium), stimulate the growth of beneficial bacteria (eg, bifidobacteria) in the gut (through cross-feeding) and increase bacterial biomass which can benefit bowel movement.\",'0'); });<\/script><\/strong>&nbsp; and have multiple benefits within and beyond the gut including maintaining the effective barrier function of the gut wall and anti-inflammatory properties (<a href=\"https:\/\/www.nature.com\/articles\/s41575-020-00375-4\" target=\"_blank\" rel=\"noreferrer noopener\">Gill, 2020<\/a>; <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5847071\/\" target=\"_blank\" rel=\"noreferrer noopener\">Rowland, 2018<\/a>; <a href=\"https:\/\/www.nature.com\/articles\/284283a0\" target=\"_blank\" rel=\"noreferrer noopener\">Stephen, 1980<\/a>). These anti-inflammatory effects have potential benefits in terms of preventing or improving autoimmune diseases such as diabetes, inflammatory arthritis, inflammatory gastrointestinal disorders and allergic disease (<a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/all.13660\" target=\"_blank\" rel=\"noreferrer noopener\">Roduit, 2019<\/a>).<\/p>\n\n\n\n<p>Epidemiological and interventional studies have demonstrated health benefits of dietary fibre including cholesterol lowering, glycemic control, prevention of constipation, diverticular disease, weight control and, more recently, cognition in prepubertal children (<a href=\"https:\/\/www.cambridge.org\/core\/journals\/public-health-nutrition\/article\/associations-of-dietary-carbohydrate-and-fatty-acid-intakes-with-cognition-among-children\/4B9596CFEE0BAA7E67538128732DF6AB\" target=\"_blank\" rel=\"noreferrer noopener\">Naveed, 2020<\/a>; <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0022316622085984?via%3Dihub\" target=\"_blank\" rel=\"noreferrer noopener\">Khan, 2015<\/a>) .<\/p>\n\n\n\n<p>Other effects have been studied like prevention in chronic disease. In 2015, a meta-analysis of epidemiological studies in adults has shown an association between an increase in dietary fibre of 7 g\/d and a statistically significant decrease in the risk of cardiovascular disease, haemorrhagic and ischemic stroke, colorectal cancer and diabetes (<a href=\"https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/445503\/SACN_Carbohydrates_and_Health.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">SACN, 2015<\/a>).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Encouraging fiber intake in children with gastrointestinal problems seems necessary for better general health<\/strong><\/h2>\n\n\n\n<p>Functional gastrointestinal disorders, such as infant regurgitation, infant rumination, infant colic, functional diarrhea, functional abdominal pain disorders, and functional defecation disorders in children and adolescents (<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0016508516001827?via%3Dihub\" target=\"_blank\" rel=\"noreferrer noopener\">Benninga, 2016<\/a>; <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0016508516001827?via%3Dihub\" target=\"_blank\" rel=\"noreferrer noopener\">Hyams, 2016<\/a>), are a common problem in children (20-32%) (Scarpato,2018) . Data suggest that a balanced diet including a source of fiber may promote a healthy microbiome and thus reduce the risk of some of these diseases, while promoting the overall health of children with functional gastrointestinal problems. However, the studies conducted did not distinguish between the different types of fiber.<\/p>\n\n\n\n<p>Childhood constipation is a complex problem and poor fibre intake appears to have a causal link with its development. Indeed, including fibre from different sources to ensure intake of both fermentable and bulking fibre may support a healthy microbiome and help to prevent some forms of constipation in children. The European Society for Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) and North American Society For Pediatric Gastroenterology, Hepatology &amp; Nutrition (NASPGHAN) recommend fibre intake for children with functional constipation. However, those guidelines do not provide any specific guidance on the type or source of fibre that might be most beneficial.<\/p>\n\n\n\n<p><strong>Further studies are needed to ensure that dietary recommendations include not only the amount of fibre to be achieved but also the type of fiber to be favored for healthy children and those with gastrointestinal problems.<\/strong><\/p>\n\n\n\n<p><strong>Based on<\/strong> : <em>Hojsak I et al. Benefits of dietary fibre for children in health and disease. Arch Dis Child 2022;107:973\u2013979.<\/em>*<\/p>\n\n\n\n<div class=\"block__stylized-list\">\n    <div class=\"block__stylized-list__leading\" id=\"block__stylized-list__leading\">\n        <i class=\"fa-classic fa-regular fa-pen-to-square\" aria-hidden=\"true\"><\/i>\n        <strong>Methodology<\/strong>\n    <\/div>\n    <div id=\"block__stylized-list__content\" style=\"display: none;\"><p>Review including 59 publications<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"block__solid-colored\">\n    <div class=\"block__solid-colored__leading\">\n        <i class=\"fa-classic fa-regular fa-square-check\" aria-hidden=\"true\"><\/i>\n        <strong>Messages cl\u00e9s<\/strong>\n    <\/div>\n    <div class=\"block__solid-colored__content\"><p>The quality of the dietary fibre consumed by children is equally important as the quantity. A healthy diet should contain both fermentable and bulking fibre.<br \/>\nFibre play an essential role in maintaining the structure and function of the gut microbiome for the benefit of host health.<br \/>\nDietary fiber intake is associated with cholesterol lowering, glycemic control, prevention of constipation, colon cancer, weight control.<br \/>\nThe recommendations for dietary fibre are relevant for healthy children and those with post functional gastrointestinal disorders.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"block__reference\">\n    <div class=\"block__reference__leading\" id=\"block__reference__leading\">\n        <i class=\"fa-classic fa-solid fa-share-from-square\" aria-hidden=\"true\"><\/i>\n        <strong>R\u00e9f\u00e9rences<\/strong>\n    <\/div>\n    <div class=\"block__reference__entries\" id=\"block__reference__entries\" style=\"display: none;\">\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span>National Diet and Nutrition Survey (NDNS). NDNS: results from years 9 to 11 (2016 to 2017 and 2018 to 2019). Available: https:\/\/www.gov.uk\/government\/ statistics\/ndns-results-from-years-9-to-11-2016-to-2017-and-2018-to-2019 <\/span>\n            <\/div>\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span>Naveed S, Ven\u00e4l\u00e4inen T, Eloranta AM, Erkkil\u00e4 AT, Jalkanen H, Lindi V, Lakka TA, Haapala EA. Associations of dietary carbohydrate and fatty acid intakes with cognition among children. Public Health Nutr. 2020 Jun;23(9):1657-1663.<\/span>\n            <\/div>\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span>Khan NA, Raine LB, Drollette ES, Scudder MR, Kramer AF, Hillman CH. Dietary fiber is positively associated with cognitive control among prepubertal children. J Nutr. 2015 Jan;145(1):143-9.<\/span>\n            <\/div>\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span>Gill SK, Rossi M, Bajka B, Whelan K. Dietary fibre in gastrointestinal health and disease. Nat Rev Gastroenterol Hepatol. 2021 Feb;18(2):101-116.<\/span>\n            <\/div>\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span>Rowland I, Gibson G, Heinken A, Scott K, Swann J, Thiele I, Tuohy K. Gut microbiota functions: metabolism of nutrients and other food components. Eur J Nutr. 2018 Feb;57(1):1-24.<\/span>\n            <\/div>\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span>Stephen AM, Cummings JH. Mechanism of action of dietary fibre in the human colon. Nature. 1980 Mar 20;284(5753):283-4.<\/span>\n            <\/div>\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span>Roduit C, Frei R, Ferstl R, et al. High levels of butyrate and propionate in early life are associated with protection against atopy. Allergy 2019;74:799\u2013<\/span>\n            <\/div>\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span>Scientific Advisory Committee on Nutrition. Carbohydrates and health, 2015. Available: https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/ uploads\/attachment_data\/file\/445503\/SACN_Carbohydrates_and_Health.pdf 809.<\/span>\n            <\/div>\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span>Scarpato E, Kolacek S, Jojkic-Pavkov D, et al. Prevalence of functional gastrointestinal disorders in children and adolescents in the Mediterranean region of Europe. Clin Gastroenterol Hepatol 2018;16:870\u20136.<\/span>\n            <\/div>\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span>Benninga MA, Faure C, Hyman PE, et al. Childhood functional gastrointestinal disorders: Neonate\/Toddler. Gastroenterology 2016;150:1443\u201355. <\/span>\n            <\/div>\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span>Hyams JS, Di Lorenzo C, Saps M, et al. Childhood functional gastrointestinal disorders: Child\/Adolescent. Gastroenterology 2016;150:1456\u201368.<\/span>\n            <\/div>\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span><\/span>\n            <\/div>\n            <\/div>\n<\/div>\n\n\n\n<p><\/p>\n","protected":false},"template":"","class_list":["post-91595","article_revue","type-article_revue","status-publish","hentry"],"acf":{"auteur":"","source":"3","revue":[{"ID":91543,"post_author":"25","post_date":"2023-04-27 11:11:57","post_date_gmt":"2023-04-27 09:11:57","post_content":"<!-- wp:image {\"id\":91605,\"sizeSlug\":\"full\",\"linkDestination\":\"none\"} -->\n<figure class=\"wp-block-image size-full\"><img src=\"https:\/\/aprifel-pp.mentalworks.biz\/wp-content\/uploads\/2023\/04\/edito.ok_.jpg\" alt=\"\" class=\"wp-image-91605\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p><strong>Irritable bowel syndrome<\/strong> (IBS) is a<strong> functional gastrointestinal disorder<\/strong>. With an approximative <strong>global prevalence of 11.2%<\/strong>, IBS is a commonly diagnosed disorder that can have a substantial impact on patients\u2019 quality of life as well as a huge economic impact on society (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32702295\/\" target=\"_blank\" rel=\"noreferrer noopener\">Oka, 2020<\/a>). The <strong>pathogenesis <\/strong>of IBS is <strong>multifactorial<\/strong>, and IBS can be associated with altered intestinal motility, visceral hypersensitivity, altered brain\u2013gut interactions, dysbiosis, increased intestinal permeability, and\/or mucosal immune activation (<a href=\"https:\/\/journals.lww.com\/ajg\/Fulltext\/2018\/06002\/American_College_of_Gastroenterology_Monograph_on.1.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">Ford, 2018<\/a>). Although there is <strong>not a specific food that triggers the condition<\/strong>, people suffering from this disorder report that certain foods, or their combination, can promote or aggravate symptoms.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>This month, the issue of the Global Fruit and Veg Newsletter <strong>sheds light on this syndrome<\/strong> with <strong>three recent articles<\/strong>. It covers the <strong>mechanistic approach<\/strong> of how <strong>diet<\/strong>, and more particularly <strong>FODMAPs<\/strong>, can dysregulate the colonic mucus barrier as well as <strong>dietary advice<\/strong> for irritable bowel syndrome, with a <strong>focus on a key nutrient<\/strong> -dietary fiber- that provides functional and physiological benefits.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The <a href=\"https:\/\/aprifel-pp.mentalworks.biz\/en\/global-fv-newsletter-article\/how-does-the-intake-of-fermentable-carbohydrate-alter-barrier-function\/\" target=\"_blank\" rel=\"noreferrer noopener\">first article<\/a> from a French group of researchers explores the <strong>mechanistic implication of an increased intake of dietary fermentable carbohydrates<\/strong> in <strong>mucus barrier particularities<\/strong>. The study shows that excessive intake of fermentable carbohydrates can cause colonic mucus barrier dysregulation in mice, by a process that involves glycating agents and increases mucosal mast cell counts.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The <a href=\"https:\/\/aprifel-pp.mentalworks.biz\/en\/global-fv-newsletter-article\/practical-advice-on-the-role-of-diet-in-treating-patients-with-irritable-bowel-syndrome\/\" target=\"_blank\" rel=\"noreferrer noopener\">second article<\/a> is an <strong>expert review <\/strong>of the American Gastroenterological Association (AGA) providing <strong>advice statements<\/strong>, mainly to gastroenterologists, with regards to the<strong> role of diet in IBS treatment<\/strong>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The <a href=\"https:\/\/aprifel-pp.mentalworks.biz\/en\/global-fv-newsletter-article\/health-benefits-of-dietary-fibre-in-childhood\/\" target=\"_blank\" rel=\"noreferrer noopener\">third article<\/a> focuses on the<strong> role of dietary fibre<\/strong> intake in <strong>healthy children<\/strong> but also in case of <strong>functional digestive disorders<\/strong> such as IBS and constipation. This review highlights the importance of the quality of fiber consumed and emphasizes that a healthy diet should contain both fermentable and bulking fiber.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/pictureable {\"name\":\"acf\/pictureable\",\"data\":{\"authors_0_fully_name\":\"Pauline Jou\u00ebt\",\"_authors_0_fully_name\":\"field_pictureable_author_fully_name\",\"authors_0_profession\":\"Medical doctor - Universit\u00e9 Paris VII\",\"_authors_0_profession\":\"field_pictureable_author_profession\",\"authors_0_information\":\"\",\"_authors_0_information\":\"field_pictureable_author_information\",\"authors_0_picture\":91544,\"_authors_0_picture\":\"field_pictureable_author_picture\",\"authors\":1,\"_authors\":\"field_pictureable_authors\"},\"align\":\"center\",\"mode\":\"auto\"} \/-->\n\n<!-- wp:acf\/about {\"name\":\"acf\/about\",\"data\":{\"title\":\"About the author\",\"_title\":\"field_about_title\",\"content\":\"Pauline Jou\u00ebt is a medical doctor and has a PhD in epithelial biology and pathology (Universit\u00e9 Paris VII). She has worked as a researcher in Pr SARNA\u2019s laboratory, Wisconsin, USA, 1992-1994). She is Professeur associ\u00e9e at the Coll\u00e8ge de M\u00e9decine des H\u00f4pitaux de Paris, works full time at Avicenne Hospital (Bobigny, France) as a gastroenterologist, and at the INSERM U 987 unit (Dr Bouhassira, Boulogne-Billancourt). She currently is the President of the French Groupe of Neurogastroenterology (GFNG) and is part of the scientific committee of the french association for IBS patients (appssii.org).  \",\"_content\":\"field_about_content\"},\"align\":\"center\",\"mode\":\"auto\"} \/-->","post_title":"Food in functional gastro-intestinal disorders: friend or foe?","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"food-in-functional-gastro-intestinal-disorders-friend-or-foe","to_ping":"","pinged":"","post_modified":"2024-10-24 17:26:50","post_modified_gmt":"2024-10-24 15:26:50","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/?post_type=revue&#038;p=91543","menu_order":36,"post_type":"revue","post_mime_type":"","comment_count":"0","filter":"raw"}],"position":"3","references":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.6 (Yoast SEO v23.6) - 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