Gastrointestinal Symptoms and FODMAP Intake of Aged-Care Residents from Christchurch, New Zealand

Studies on fermentable oligo-, di-, and monosaccharides as well as polyols (FODMAPs) intake in older adults are lacking. This study investigated the relationship between gastrointestinal (GI) symptoms and FODMAPs in aged care residents. The Gastrointestinal Symptom Rating Score questionnaire modifie...

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Main Authors: Wathsala S. Nanayakkara, Richard B. Gearry, Jane G. Muir, Leigh O’Brien, Tim J. Wilkinson, Jonathan A. Williman, Paula M. L. Skidmore
Format: Article
Language:English
Published: MDPI AG 2017-09-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/9/10/1083
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author Wathsala S. Nanayakkara
Richard B. Gearry
Jane G. Muir
Leigh O’Brien
Tim J. Wilkinson
Jonathan A. Williman
Paula M. L. Skidmore
author_facet Wathsala S. Nanayakkara
Richard B. Gearry
Jane G. Muir
Leigh O’Brien
Tim J. Wilkinson
Jonathan A. Williman
Paula M. L. Skidmore
author_sort Wathsala S. Nanayakkara
collection DOAJ
description Studies on fermentable oligo-, di-, and monosaccharides as well as polyols (FODMAPs) intake in older adults are lacking. This study investigated the relationship between gastrointestinal (GI) symptoms and FODMAPs in aged care residents. The Gastrointestinal Symptom Rating Score questionnaire modified for patients with IBS (GSRS-IBS) was used to identify participants with IBS-like symptoms. Dietary intake was assessed for a subgroup of participants with highest total GSRS-IBS score (symptomatic cases) and age, sex, and level of care matched participants with low total GSRS-IBS score (asymptomatic controls). Seventy-four participants with a mean (SD) age of 86 (6.6) years completed the GSRS-IBS questionnaire and dietary data were collected using food diaries from a subsample of 27 symptomatic and 27 asymptomatic participants. The study found many older adults with functional gut symptoms. There were no differences between the groups for FODMAP intake and no significant relationship was found between FODMAP intake and total GSRS-IBS score. Lactose from milk and milk-based desserts was the biggest FODMAP contributor (16 g/day) and a significant relationship between total FODMAP intake and diarrhoea was found. A larger study sample in future studies is required to better capture symptomatic cases and manipulation of dietary FODMAPs may assist with the management of IBS in the elderly.
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spelling doaj.art-d7275c4ad7254808abc9b68aa4d6d9f52022-12-22T03:42:27ZengMDPI AGNutrients2072-66432017-09-01910108310.3390/nu9101083nu9101083Gastrointestinal Symptoms and FODMAP Intake of Aged-Care Residents from Christchurch, New ZealandWathsala S. Nanayakkara0Richard B. Gearry1Jane G. Muir2Leigh O’Brien3Tim J. Wilkinson4Jonathan A. Williman5Paula M. L. Skidmore6Department of Human Nutrition, University of Otago, P.O. Box 56, Dunedin 9054, New ZealandDepartment of Medicine, University of Otago, P.O. Box 4345, Christchurch 8140, New ZealandDepartment of Gastroenterology, Monash University, 99 Commercial Rd, Melbourne VIC 3004, AustraliaDepartment of Human Nutrition, University of Otago, P.O. Box 56, Dunedin 9054, New ZealandDepartment of Medicine, University of Otago, P.O. Box 4345, Christchurch 8140, New ZealandDepartment of Population Health, University of Otago, P.O. Box 4345, Christchurch 8140, New ZealandDepartment of Human Nutrition, University of Otago, P.O. Box 56, Dunedin 9054, New ZealandStudies on fermentable oligo-, di-, and monosaccharides as well as polyols (FODMAPs) intake in older adults are lacking. This study investigated the relationship between gastrointestinal (GI) symptoms and FODMAPs in aged care residents. The Gastrointestinal Symptom Rating Score questionnaire modified for patients with IBS (GSRS-IBS) was used to identify participants with IBS-like symptoms. Dietary intake was assessed for a subgroup of participants with highest total GSRS-IBS score (symptomatic cases) and age, sex, and level of care matched participants with low total GSRS-IBS score (asymptomatic controls). Seventy-four participants with a mean (SD) age of 86 (6.6) years completed the GSRS-IBS questionnaire and dietary data were collected using food diaries from a subsample of 27 symptomatic and 27 asymptomatic participants. The study found many older adults with functional gut symptoms. There were no differences between the groups for FODMAP intake and no significant relationship was found between FODMAP intake and total GSRS-IBS score. Lactose from milk and milk-based desserts was the biggest FODMAP contributor (16 g/day) and a significant relationship between total FODMAP intake and diarrhoea was found. A larger study sample in future studies is required to better capture symptomatic cases and manipulation of dietary FODMAPs may assist with the management of IBS in the elderly.https://www.mdpi.com/2072-6643/9/10/1083FODMAPsgastrointestinal symptomirritable bowel syndromeolder people
spellingShingle Wathsala S. Nanayakkara
Richard B. Gearry
Jane G. Muir
Leigh O’Brien
Tim J. Wilkinson
Jonathan A. Williman
Paula M. L. Skidmore
Gastrointestinal Symptoms and FODMAP Intake of Aged-Care Residents from Christchurch, New Zealand
Nutrients
FODMAPs
gastrointestinal symptom
irritable bowel syndrome
older people
title Gastrointestinal Symptoms and FODMAP Intake of Aged-Care Residents from Christchurch, New Zealand
title_full Gastrointestinal Symptoms and FODMAP Intake of Aged-Care Residents from Christchurch, New Zealand
title_fullStr Gastrointestinal Symptoms and FODMAP Intake of Aged-Care Residents from Christchurch, New Zealand
title_full_unstemmed Gastrointestinal Symptoms and FODMAP Intake of Aged-Care Residents from Christchurch, New Zealand
title_short Gastrointestinal Symptoms and FODMAP Intake of Aged-Care Residents from Christchurch, New Zealand
title_sort gastrointestinal symptoms and fodmap intake of aged care residents from christchurch new zealand
topic FODMAPs
gastrointestinal symptom
irritable bowel syndrome
older people
url https://www.mdpi.com/2072-6643/9/10/1083
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