A Low FODMAP Diet Is Nutritionally Adequate and Therapeutically Efficacious in Community Dwelling Older Adults with Chronic Diarrhoea

Autor: Leigh O'Brien, Chris Frampton, Richard B. Gearry, Tim J Wilkinson, Catherine L. Wall, Paula M L Skidmore, Jane G. Muir
Rok vydání: 2020
Předmět:
Diarrhea
Male
medicine.medical_specialty
Oligosaccharides
Colonoscopy
lcsh:TX341-641
Disaccharides
Hospital Anxiety and Depression Scale
Article
Diet
Carbohydrate-Restricted
03 medical and health sciences
0302 clinical medicine
Quality of life
Internal medicine
medicine
Humans
030212 general & internal medicine
older adults
Aged
chemistry.chemical_classification
therapy
Nutrition and Dietetics
medicine.diagnostic_test
business.industry
food
Monosaccharides
Micronutrient
Treatment Outcome
nutrition
quality of life
chemistry
gastrointestinal diseases
Low fodmap diet
Chronic Disease
Fermentation
Feasibility Studies
Anxiety
Female
fermentable oligosaccharides
disaccharides
monosaccharides
and polyols (FODMAP) diet
030211 gastroenterology & hepatology
Independent Living
medicine.symptom
diet
FODMAP
business
lcsh:Nutrition. Foods and food supply
Food Science
Zdroj: Nutrients, Vol 12, Iss 3002, p 3002 (2020)
Nutrients
Volume 12
Issue 10
ISSN: 2072-6643
DOI: 10.3390/nu12103002
Popis: The low fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAP)diet has been extensively researched, but not in the management of older adults with functional gastrointestinal symptoms. This study determines the positive and negative impacts of this dietary treatment in older adults with chronic diarrhea. A non-blinded intervention study was conducted with adults over 65 years with chronic diarrhea referred for colonoscopy where no cause was found. Participants followed a dietitian-led low FODMAP diet for six weeks and completed a structured assessment of gastrointestinal symptoms, the Hospital Anxiety and Depression scale, and a four-day food diary before and after the intervention. Twenty participants, mean age 76 years, were recruited. Adherence to the low FODMAP diet was acceptable
mean daily FODMAP intake reduced from 20.82 g to 3.75 g (p <
0.001) during the intervention and no clinically significant changes in macro- or micronutrient intakes were observed. There were clinically significant improvements in total gastrointestinal symptoms (pre diet 21.15/88 (standard deviation SD = 10.99), post diet 9.8/88 (SD = 9.58), p <
0.001) including diarrhea (pre diet 9.85 (SD = 3.84), post diet 4.05 (SD = 3.86), p <
0.001) and significant reductions in anxiety (pre diet 6.11/21 (SD = 4.31), post diet 4.26/21 (SD = 3.38), p <
0.05). In older adults the low FODMAP diet is clinically effective and does not jeopardise nutritional intake when supervised by an experienced dietitian.
Databáze: OpenAIRE
Externí odkaz: