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Case Study: Utilizing a Low FODMAP Diet to Combat Exercise-Induced Gastrointestinal Symptoms.

International journal of sport nutrition and exercise metabolism
October 1, 2016
Dana Lis et al. (5 authors)
Case ReportsJournal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to determine if a short-term low FODMAP diet could reduce exercise-induced gastrointestinal symptoms in a recreationally competitive multisport athlete.

Results Summary

The low FODMAP diet completely eliminated GI symptoms (scores dropped from 0-4 to 0) and improved perceptual wellbeing (DALDA scores improved from 3-10 to 0-8) compared to the habitual diet.

Population

Recreationally competitive multisport male athlete (86 kg, 57.9 ml·kg·min-1 V02max, 10-15 hr/week training) with no diagnosed GI disorder.

Effective Dosage

7.2 ± 5.7g FODMAPs/day

Duration

6 days

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
low FODMAP diet
decrease
persistent running specific GI symptoms
recreationally competitive multisport athlete
-
attenuated
#1
low FODMAP diet
decrease
Daily and During GI symptom scores
recreationally competitive multisport athlete
0 (no symptoms at all)
ranged from 0-4 vs 0
#2
low FODMAP diet
decrease
DALDA scores for worse than normal
recreationally competitive multisport athlete
0-8
ranged from 3-10 vs 0-8
#3
low FODMAP diet
decrease
DALDA scores
recreationally competitive multisport athlete
-
improvement
#4
low FODMAP diet
decrease
GI symptoms
GI symptom prone athlete
-
effective
#5
Abstract

Athletes employ various dietary strategies in attempts to attenuate exercise-induced gastrointestinal (GI) symptoms to ensure optimal performance. This case-study outlines one of these GI-targeted approaches via the implementation of a short-term low FODMAP (Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols) diet, with the aim to attenuate persistent running specific GI symptoms in a recreationally competitive multisport athlete (male, 86 kg, 57.9 ml·kg·min-1 V02max, 10-15 hr/week training, with no diagnosed GI disorder). Using a single-blinded approach a habitual diet was compared with a 6-day low FODMAP intervention diet (81 ± 5g vs 7.2 ± 5.7g FODMAP s/day) for their effect on GI symptoms and perceptual wellbeing. Training was similar during the habitual and dietary intervention periods. Postexercise (During) GI symptom ratings were recorded immediately following training. Daily GI symptoms and the Daily Analysis of Life Demands for Athletes (DALDA) were recorded at the end of each day. Daily and During GI symptom scores (scale 0-9) ranged from 0-4 during the habitual dietary period while during the low FODMAP dietary period all scores were 0 (no symptoms at all). DALDA scores for worse than normal ranged from 3-10 vs 0-8 in the habitual and low FODMAP dietary periods, respectively, indicating improvement. This intervention was effective for this GI symptom prone athlete; however, randomized-controlled trials are required to assess the suitability of low FODMAP diets for reducing GI distress in other symptomatic athletes.

Medical Subject Headings (MeSH)
AdultAthletesDietDisaccharidesExerciseFermentationGastrointestinal DiseasesHumansMaleMonosaccharidesNutritional StatusOligosaccharidesPolymersRunningTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality65/10
Citation Metrics
Total Citations32
Citations/Year3.6
Relative Citation Ratio1.81
NIH Percentile71.4%
Research Impact Scores
APT Score0.75
Weight Score0.85
Normalized Score0.67
Related Supplements
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