Friday, 29 April 2016

NEW PUBLICATION ALERT: Consistent prebiotic effect on gut microbiota with altered FODMAP intake in patients with Crohn’s disease: a randomised, controlled cross-over trial of well-defined diets

By CK Yao (Accredited Practising Dietitian, PhD candidate)

Research by our team has recently identified that a reduction in FODMAP intake in individuals with Crohn’s disease who were in remission produced significant changes in the gut bacteria, particularly selected species with beneficial roles in gut health.

The effectiveness of a low FODMAP diet therapy in inflammatory bowel disease (IBD) had only been explored in a group of patients with IBS-like symptoms and inactive IBD. Considerable improvement in symptoms occurred in > 50% patients after 6 weeks of the diet. However, it is not known whether a low FODMAP diet there may be potential negative changes as seen in a recent study in IBS. An ‘imbalance’ in gut bacteria may already be occurring in some individuals with inflammatory bowel disease.
We recently studied the habitual FODMAP intake and gut bacteria of 8 participants with stable Crohn’s disease and the effects of altering their diets. They were fed diets containing either low FODMAP or a ‘typical Australian’ diet (see sample meal plan) for 3 weeks, followed by a 3-week break before crossing over to the other diet. Daily gut symptoms were measured as well as changes in stool bacteria during both dietary periods.

Sample meal plan
Typical Australian diet
Honey quick oats or wheat flakes with dried fruit cereal
with ½ cup lactose-free milk
Packaged peaches
Brown sugar and cinnamon quick oats or rice bubbles
with ½ cup lactose-free milk
2 kiwi fruit
Morning tea
Lactose-free yoghurt
2 rye vita crackers with cheese
Lactose-free yoghurt
2 rice cakes with cheese
Wheat sandwich
Vegetable fritata
Apple juice
Spelt sandwich
Low FODMAP vegetable frittata
Afternoon tea
2 chocolate biscuits
2 gluten-free chocolate biscuits
Braised lamb shanks with vegetables
Salmon and vegetable couscous
Braised lamb shanks with low FODMAP vegetables
Salmon with low FODMAP vegetables and quinoa
Apple sorbet
Raspberry sorbet

Low FODMAP Chicken Madras with Monash Certified sauce

By SOME Foods

Thursday, 28 April 2016

Research update: long-term improvement in symptoms of IBS and IBD patients treated with a low FODMAP diet- A retrospective Study

By Lyndal McNamara (APD)


New research about the long-term effectiveness of a low-FODMAP diet to reduce the symptoms of irritable bowel syndrome (IBS) has just been published! This retrospective study provides data regarding the longest follow up to date of patients with IBS (some of which also had IBD) using the low FODMAP diet approach. One hundred and eighty patients were included in the study. All patients had been assessed by a gastroenterologist and previously received dietary education from a dietitian regarding a low FODMAP diet. Participants were surveyed to collect information about the effectiveness of the diet, symptoms, adherence to the diet, their satisfaction with dietary treatment, disease activity, changes in stool type and quality of life over an average follow-up time of 16 months.

Monday, 25 April 2016

Low FODMAP Anzac Day Biscuits

By Alana Scott, low FODMAP cook from A Little Bit Yummy

Image by Alana Scott- A Little Bit Yummy

ANZAC day is a special time of year where New Zealanders and Australians gather to celebrate our war heroes, and the soldiers who have dedicated their lives to protecting us. In honour of them I have developed a delicious low FODMAP ANZAC biscuit. It’s soft and chewy with yummy hints of sunflower seeds and coconut. Enjoy!

Saturday, 23 April 2016

Dutch low FODMAP breakfast for kids

By Peta Hill (Paediatric Dietitian)

Dutch breakfast (image by Hannah Whitaker via New York Times)
For the typical Dutch child, breakfast is a glass of milk with bread, unsalted butter and most importantly, hagelslag “hailstorm” – sweet sprinkles that come in multiple flavours (chocolate, fruit, anise), shapes and sizes. My local supermarket has half an aisle devoted to them.

Wednesday, 20 April 2016

The low FODMAP diet in East and South East Asia

By Marina Iacovou (PhD Candidate and Accredited Practising Dietitian)

In October 2015, we published an article in the Journal of Neurogastroenterology and Motility, on how the low FODMAP diet can be applied to countries in East and South East Asia. There is growing interest in using food choice/dietary change to influence clinical outcomes in patients with irritable bowel syndrome across the globe, in particular the low FODMAP diet. This interest has also led us to testing international foods, sourced from other countries.
Major high FODMAP sources are frequently used in Asian cuisines, including: onion, garlic, shallots, legumes/pulses, and wheat-based products. Also many Asian countries are adopting some more Western dietary habits, such as the inclusion of lactose-containing milk and dairy products. Both of these factors are likely to be contributing the prevalence of IBS in Asia.

Sunday, 17 April 2016

What are the Polyols?

Dr Jaci Barrett, (Accredited Practising Dietitian)

Stone fruits, pears, and cherries all contain high levels of polyols

You may have noticed the ‘polyol’ category of FODMAPs within the Monash University low FODMAP diet Smartphone app. It combines two common sugar polyols that can trigger IBS symptoms, sorbitol and mannitol. These are naturally occurring sugar polyols found in a range of fruits and vegetables including stone fruits and mushrooms. There are other sugar polyols that are added to commercial products such as chewing gums, mints and diabetic products. These include xylitol and isomalt. You may have noticed the warning that comes on some of these packages “Excess consumption can have a laxative effect”. 

Sunday, 10 April 2016

What is lactose intolerance?

By Lyndal McNamara (APD)

As a dietitian, I often see patients who have just been diagnosed with lactose intolerance and understandably assume that this means they need to avoid all dairy products. You will be relieved to know that this is certainly not the case! In fact, most dairy products can still be enjoyed on a low lactose diet. But first, what exactly is lactose and what does a diagnosis of lactose intolerance really mean in terms of diet?  

Friday, 8 April 2016

Research update: FODMAPs alter symptoms and the metabolome of patients with IBS: A randomised controlled trial in Canada

By Marina Iacovou (Accredited Practising Dietitian and PhD Candidate)

The evidence supporting the use of a low-FODMAP diet to reduce symptoms of IBS is gaining momentum around the world.  Last month an article was published by the Journal of Neurogastroenterology of a single-blinded, randomised controlled study, conducted at a teaching hospital – Queens University, Kingston General Hospital, in Ontario, Canada 1.

The study found that 72% of IBS patients responded to the low FODMAP diet, they had a marked decrease in abdominal pain, and tended to have less abdominal distension. The study also provided a high FODMAP diet to a separate group of IBS patients, who reported having significantly more days of abdominal pain, but overall their IBS symptoms were not significantly different to that of their usual diet.

Low FODMAP German Potato Pancakes (Kartoffelpuffer)

By Alana Scott, low FODMAP cook from A Little Bit Yummy

German potato pancakes (called Kartoffelpuffer or Reibekuchen) make a hearty low FODMAP breakfast option, especially when you pair them with bacon, scrambled eggs and baby spinach. These savoury pancakes also pair beautifully with sweet toppings. In Germany, potato pancakes are often served with stewed apple (but this is high FODMAP), so instead I like serving them with a low FODMAP blueberry sauce.

Sunday, 3 April 2016

The facts about glucose and fructose

By Dr Jaci Barrett (APD) and Caroline Tuck (APD)

Early research demonstrated that if you add glucose sugar to fructose sugar, fructose is better absorbed. This is because there are two ways that fructose is absorbed, firstly when it is absorbed slowly on its own, and secondly when it is absorbed in combination with glucose. 

Many people do not have a great ability to use the first pathway, where fructose is absorbed on its own, and this can change over time. This causes fructose to be poorly absorbed, and in IBS, cause symptoms of bloating, abdominal pain and possibly diarrhoea. The second pathway, where fructose is absorbed together with glucose, is much more efficient and works well in the vast majority of people.

We therefore test foods for their level of fructose and glucose, and only foods that contain levels of fructose higher than glucose, are considered high fructose, and avoided as part of the low FODMAP diet.

Friday, 1 April 2016

Special iTunes Promo code Giveaway #myFODMAPdiet

As part of April IBS Awareness month, we would like to give away x10 FREE iTunes APP PROMO CODES for the Monash University Low FODMAP diet app (Sorry - Promo codes available for Apple iPhone & iPad users ONLY!)

To support IBS Awareness Month please share your low FODMAP diet experience, good or bad we'd love to hear from you. By speaking out we're sure you'll encourage those suffering with IBS to seek help from a health professional. Happy IBS Awareness Month! 

Low FODMAP Mixed berry and yoghurt granola bar

By Lyndal McNamara (APD)