DR DOM, DO I NEED TO
TAKE A PROBIOTIC AND
HOW CAN IT HELP ME?
Purposeful probiotics and insight into a tailored diet for Irritable Bowel Syndrome.
reat question! Probiotics, or ‘good’ bacteria, have received a
lot of attention and are available in capsules, yoghurts,
fermented drinks and powders, claiming to provide a variety
of health outcomes. However, probiotics are not a magic pill that will
cure all health conditions but they can offer a range of benefits
depending on the purpose of use.
Current literature findings reveal that probiotics have proven benefits for
infectious or antibiotic related diarrhoea - helping to reduce symptoms,
as well as those with inflammatory bowel diseases such as ulcerative
colitis. Probiotics have also shown benefit in improving irritable bowel
syndrome (IBS) symptoms such as bloating and pain. An exciting area
for athletes is the potential benefit of probiotics for immune health and
recovery, with research indicating a reduction in the severity and
duration of colds. Emerging research also suggests potential positive
outcomes for the management of anxiety and depression.
The exciting benefits of probiotics will also depend on additional
dietary, lifestyle and stress factors as well as the specific strains and
strength (measured by colony forming units, CFU). You do not ‘need’
to take probiotics, however the right type can be beneficial in specific
situations. If you are unsure and need further assistance about the
best type for you, contact an Accredited Sports Dietitian.
DR DOMINIQUE CONDO
Dr Dominique Condo is an Accredited Sports Dietitian and
Vice President of Sports Dietitians Australia. She is a lecturer
in sports nutrition at Deakin University and consults as the
performance dietitian at Geelong Cats and WMBL Deakin
Through a Low FODMAP Diet
BS can be tough to talk about due to the symptoms it is
characterised by. IBS affects 10-20% of Australians, with many
responding positively from following a low FODMAP diet. The
following case study outlines what you should expect upon working with
an Accredited Sports Dietitian, experienced with managing IBS.
Sarah* is a 28 year old road cyclist. Years ago she picked up a bug
whilst on holiday and her gut has not been the same since. She has
been tested for parasites, coeliac disease, bowel cancer and other gut
disorders, but everything is clear. Her GP has suggested she work with
an Accredited Sports Dietitian, as it is likely she has IBS.
IBS symptoms can often occur when there is an increased consumption
of one or more of the types of FODMAPs you are intolerant to. Sarah
loves adding garlic to her food, eats an apple every day, and drizzles
honey on her muesli. Sarah has already reduced the amount of dairy
and wheat she has, but she is still getting symptoms. When Sarah
meets with her dietitian, it’s suggested she trials a low FODMAP diet.
Sarah eliminates all high FODMAP foods from her diet. This means
swapping to garlic infused olive oil, maple syrup on her muesli, an
orange instead of an apple, along with a number of other changes her
dietitian suggests. Sarah’s dietitian works with her to ensure her diet
remains nutritionally adequate and recommends a probiotic to help
maintain healthy gut bacteria.
ReFuel Magazine Winter 2018
After four weeks, Sarah’s symptoms have improved;
she cannot believe how good she feels on the bike!
Next, is participating in a series of food challenges to
determine which types of FODMAPs are triggers.
Once challenges were completed, Sarah’s dietitian
worked through the specific FODMAPs she reacted
to and p rovided her with a tailored, modified low
FODMAP diet, to ensure maximum variation in her
diet as well as minimal symptoms.
With IBS, and FODMAP intolerance, it all comes down
to dose. For example, Sarah was able to tolerate her
daily apple, as long as she didn’t also add honey to her
muesli, as these are both rich in fructose.
Chloe is a Sports Dietitian and SDA board member from
Sydney. She owns The FODMAP Challenge and co- owns Health
& Performance Collective. Learn more about Chloe here: