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Article

Dietary Patterns in Runners with Gastrointestinal Disorders

1
Canadian Sport Institute, Calgary, AB T3B 6B7, Canada
2
Helios Wellness Centres, Calgary, AB T2N 4Z6, Canada
3
Health and Physical Education, Mount Royal University, Calgary, AB T3E 6K6, Canada
*
Author to whom correspondence should be addressed.
Academic Editor: Marco Malaguti
Nutrients 2021, 13(2), 448; https://doi.org/10.3390/nu13020448
Received: 3 January 2021 / Revised: 26 January 2021 / Accepted: 26 January 2021 / Published: 29 January 2021
(This article belongs to the Special Issue Performance Nutrition in Diverse Populations)
Individuals with inflammatory bowel disease (IBD), irritable bowel syndrome (IBS) and reflux frequently experience gastrointestinal symptoms (GIS), potentially enhanced by high-intensity running. Food avoidances, food choices, and GIS in runners with IBS/IBD (n = 53) and reflux (n = 37) were evaluated using a reliability and validity tested questionnaire. Comparisons to a control group of runners (n = 375) were made using a Fisher’s Exact test. Runners with IBS/IBD experienced the greatest amount of exercise-induced GIS followed by those with reflux. Commonly reported GIS were stomach pain/cramps (77%; 53%), bloating (52%; 50%), intestinal pain/cramps (58%; 33%), and diarrhea (58%; 39%) in IBS/IBD and reflux groups respectively. In the pre-race meal, those with IBS/IBD frequently avoided milk products (53%), legumes (37%), and meat (31%); whereas, runners with reflux avoided milk (38%), meat (36%), and high-fibre foods (33%). When considering food choices pre-race, runners with IBS/IBD chose grains containing gluten (40%), high fermentable oligo-, di-, mono-saccharides and polyols (FODMAP) fruits (38%), and water (38%). Runners with reflux chose water (51%), grains containing gluten (37%), and eggs (31%). In conclusion, while many runners with IBS/IBD and reflux are avoiding trigger foods in their pre-race meals, they are also consuming potentially aggravating foods, suggesting nutrition advice may be warranted. View Full-Text
Keywords: runners; inflammatory bowel disease (IBD); irritable bowel syndrome (IBS); heartburn/reflux; dietary restrictions; dietary patterns; exercise-induced gastrointestinal symptoms; runner’s gut runners; inflammatory bowel disease (IBD); irritable bowel syndrome (IBS); heartburn/reflux; dietary restrictions; dietary patterns; exercise-induced gastrointestinal symptoms; runner’s gut
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MDPI and ACS Style

Erdman, K.A.; Jones, K.W.; Madden, R.F.; Gammack, N.; Parnell, J.A. Dietary Patterns in Runners with Gastrointestinal Disorders. Nutrients 2021, 13, 448. https://doi.org/10.3390/nu13020448

AMA Style

Erdman KA, Jones KW, Madden RF, Gammack N, Parnell JA. Dietary Patterns in Runners with Gastrointestinal Disorders. Nutrients. 2021; 13(2):448. https://doi.org/10.3390/nu13020448

Chicago/Turabian Style

Erdman, Kelly Anne, Kim Wagner Jones, Robyn F. Madden, Nancy Gammack, and Jill A. Parnell. 2021. "Dietary Patterns in Runners with Gastrointestinal Disorders" Nutrients 13, no. 2: 448. https://doi.org/10.3390/nu13020448

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