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Fodmaps Presentation For Website
Fodmaps Presentation For Website
DNS Divas
Lauren Killian, Natalie Masis, Morgan Curran, Erin Davis
Learning Objectives
1.Identify what the acronym FODMAP stands for
2.Name two physiological effects of FODMAPs in those with
FGIDs
3.List two ways that dietitians can help clients to manage
their IBS
Background
https://www.foodnotmeds.com/irritable-bowel-syndrome-affects-20-ofthe-population-primarily-women/
(fructans/galactans)
Disaccharides (lactose)
Monosaccharides
(fructose)
And
Source: Food intolerance management plan by Dr. Sue Shepherd and Dr. Peter Gibson
Polyols
(sugar alcohols)
Characteristics and
Physiological
Effects
Short-chain carbohydrates that are:
Poorly absorbed
Osmotically active
Rapidly fermentable
Note: FODMAPs do not cause GI disorders; however, they can exacerbate symptoms
iClicker Question 1
What does FODMAP stand for?
A.Friendly Oligosaccharides Disaccharides Monosaccharides
and Polyols
B.Fermentable Oligosaccharides Disaccharides
Monosaccharides and Polyols
C.Fruits, oats, donuts, muffins, agave, pasta
D.Facilitative Oligosaccharides Disaccharides
Monosaccharides and Polyols
iClicker Question 2
Which of the following can be classified in the monosaccharide
category?
A.Apples, Asparagus, Bread
B.Mannitol, Xylitol
C.Honey, Corn Syrup
D.Yogurt, Cheese, Ice Cream
Success in up to 75% of
patients
Superior to current UK best
practice for IBS
jazztruth.blogspot.com
Develop database
Monash University Low FODMAP Diet App
FODMAP-specific dietary analysis
Complete Nutritional Assessment Questionnaire
Overall gastrointestinal
symptoms were less in the
low FODMAP diet
Similar results were seen in
abdominal pain, bloating,
and passage of wind
Improvement was
statistically significant
(P<0.001) in 70% of the
participants
iClicker Question 3
Which of the following are major symptoms of IBS?
A.Abdominal pain, cramps, bloating, gas
B.Fever, chills, runny nose, congestion
C.Fatigue, headache, skin rash, sore throat
D.Vomiting, indigestion, fever, muscle weakness
Conclusions
Foods trigger FGID and IBS symptoms
Low FODMAP diet can decrease symptoms
FODMAP carbs are poorly absorbed
Future directions
Long-term, larger studies
Nutrient deficiencies with restriction
Other populations
Complementary and alternative medicine treatments
US Foods
Impact of the FODMAP restriction on GI microbiota
May affect diversity/composition of the microbiota
RD-specific training
References
1.
Barrett JS, Gearry RB, Muir JG, Irving PM, Rose R, Rosella O, Haines ML, Shepherd SJ, Gibson PR. Dietary poorly
absorbed, short-chain carbohydrates increase delivery of water and fermentable substrates to the proximal colon.
Aliment Pharmacol Ther. 2010;31:874882.
2.
Barrett JS, Gibson PR. Fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAPs) and
nonallergic food intolerance: FODMAPs or food chemicals? Therap Adv Gastroenterol. 2012; 5(4): 261-268.
3.
Chey WD. Food: The Main Course to Wellness and Illness in Patients With Irritable Bowel Syndrome. Am J
Gastroenterol. 2016;111:366371.
4.
Chey WD, Kurlander J, Eswaran S. Irritable Bowel Syndrome: A Clinical Review. JAMA. 2015; 313(9): 949-958.
5.
Gibson PR, Shepherd SJ. Evidence-based dietary management of functional gastrointestinal symptoms: The
FODMAP approach. J Gastroen Hepatol. 2010;25:252-258.
6.
Gibson PR, Shepherd SJ. Food Choice as a Key Management Strategy for Functional Gastrointestinal Symptoms.
Am J Gastroentero. 2012;107: 657-666.
7.
Halmos, Emma P., Victoria A. Power, Susan J. Shepherd, Peter R. Gibson, and Jane G. Muir. "A Diet Low in FODMAPs
Reduces Symptoms of Irritable Bowel Syndrome."Gastroenterology 146.1 (2014): 67-75. Print.
8.
King K, Chumpitazi B. FODMAPS: Navigating the Novel Diet in the Pediatric Populations. Food & Nutrition
Conference & Expo. 2015.
9.
Langhorst, J., Wulfert, H., Lauche, R., Klose, P., Cramer, H., Dobos, G. J., & Korzenik, J. (2015). Systematic review
of complementary and alternative medicine treatments in inflammatory bowel diseases. Journal of Crohn's and
Colitis, 9(1): 86-106.