A Low FODMAP Diet Is Nutritionally Adequate and Therapeutically Efficacious in Community Dwelling Older Adults with Chronic Diarrhoea
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 ol...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-09-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/12/10/3002 |
| _version_ | 1797552163119955968 |
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| author | Leigh O’Brien Paula Skidmore Catherine Wall Tim Wilkinson Jane Muir Chris Frampton Richard Gearry |
| author_facet | Leigh O’Brien Paula Skidmore Catherine Wall Tim Wilkinson Jane Muir Chris Frampton Richard Gearry |
| author_sort | Leigh O’Brien |
| collection | DOAJ |
| description | 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 (<i>p</i> < 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), <i>p</i> < 0.001) including diarrhea (pre diet 9.85 (SD = 3.84), post diet 4.05 (SD = 3.86), <i>p</i> < 0.001) and significant reductions in anxiety (pre diet 6.11/21 (SD = 4.31), post diet 4.26/21 (SD = 3.38), <i>p</i> < 0.05). In older adults the low FODMAP diet is clinically effective and does not jeopardise nutritional intake when supervised by an experienced dietitian. |
| first_indexed | 2024-03-10T15:56:59Z |
| format | Article |
| id | doaj.art-9826a0263b8846debd75ac60829aec7e |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T15:56:59Z |
| publishDate | 2020-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-9826a0263b8846debd75ac60829aec7e2023-11-20T15:37:36ZengMDPI AGNutrients2072-66432020-09-011210300210.3390/nu12103002A Low FODMAP Diet Is Nutritionally Adequate and Therapeutically Efficacious in Community Dwelling Older Adults with Chronic DiarrhoeaLeigh O’Brien0Paula Skidmore1Catherine Wall2Tim Wilkinson3Jane Muir4Chris Frampton5Richard Gearry6Department of Medicine, University of Otago, Christchurch 8140, New ZealandDepartment of Medicine, University of Otago, Christchurch 8140, New ZealandDepartment of Medicine, University of Otago, Christchurch 8140, New ZealandDepartment of Medicine, University of Otago, Christchurch 8140, New ZealandDepartment of Gastroenterology, Central Clinical School, Monash University, Melbourne 3004, VIC, AustraliaDepartment of Medicine, University of Otago, Christchurch 8140, New ZealandDepartment of Medicine, University of Otago, Christchurch 8140, New ZealandThe 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 (<i>p</i> < 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), <i>p</i> < 0.001) including diarrhea (pre diet 9.85 (SD = 3.84), post diet 4.05 (SD = 3.86), <i>p</i> < 0.001) and significant reductions in anxiety (pre diet 6.11/21 (SD = 4.31), post diet 4.26/21 (SD = 3.38), <i>p</i> < 0.05). In older adults the low FODMAP diet is clinically effective and does not jeopardise nutritional intake when supervised by an experienced dietitian.https://www.mdpi.com/2072-6643/12/10/3002fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAP) dietolder adultsnutritionquality of lifegastrointestinal diseasesdiet |
| spellingShingle | Leigh O’Brien Paula Skidmore Catherine Wall Tim Wilkinson Jane Muir Chris Frampton Richard Gearry A Low FODMAP Diet Is Nutritionally Adequate and Therapeutically Efficacious in Community Dwelling Older Adults with Chronic Diarrhoea Nutrients fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAP) diet older adults nutrition quality of life gastrointestinal diseases diet |
| title | A Low FODMAP Diet Is Nutritionally Adequate and Therapeutically Efficacious in Community Dwelling Older Adults with Chronic Diarrhoea |
| title_full | A Low FODMAP Diet Is Nutritionally Adequate and Therapeutically Efficacious in Community Dwelling Older Adults with Chronic Diarrhoea |
| title_fullStr | A Low FODMAP Diet Is Nutritionally Adequate and Therapeutically Efficacious in Community Dwelling Older Adults with Chronic Diarrhoea |
| title_full_unstemmed | A Low FODMAP Diet Is Nutritionally Adequate and Therapeutically Efficacious in Community Dwelling Older Adults with Chronic Diarrhoea |
| title_short | A Low FODMAP Diet Is Nutritionally Adequate and Therapeutically Efficacious in Community Dwelling Older Adults with Chronic Diarrhoea |
| title_sort | low fodmap diet is nutritionally adequate and therapeutically efficacious in community dwelling older adults with chronic diarrhoea |
| topic | fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAP) diet older adults nutrition quality of life gastrointestinal diseases diet |
| url | https://www.mdpi.com/2072-6643/12/10/3002 |
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