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Nutrients 2017, 9(10), 1083; doi:10.3390/nu9101083

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

1
Department of Human Nutrition, University of Otago, P.O. Box 56, Dunedin 9054, New Zealand
2
Department of Medicine, University of Otago, P.O. Box 4345, Christchurch 8140, New Zealand
3
Department of Gastroenterology, Monash University, 99 Commercial Rd, Melbourne VIC 3004, Australia
4
Department of Population Health, University of Otago, P.O. Box 4345, Christchurch 8140, New Zealand
*
Author to whom correspondence should be addressed.
Received: 24 July 2017 / Revised: 21 September 2017 / Accepted: 21 September 2017 / Published: 29 September 2017
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Abstract

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. View Full-Text
Keywords: FODMAPs; gastrointestinal symptom; irritable bowel syndrome; older people FODMAPs; gastrointestinal symptom; irritable bowel syndrome; older people
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Nanayakkara, W.S.; Gearry, R.B.; Muir, J.G.; O’Brien, L.; Wilkinson, T.J.; Williman, J.A.; Skidmore, P.M.L. Gastrointestinal Symptoms and FODMAP Intake of Aged-Care Residents from Christchurch, New Zealand. Nutrients 2017, 9, 1083.

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