ReFuel WINTER 2018 - Page 12

QUESTION: 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. G 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 Melbourne Boomers. MANAGING IBS 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. I 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. 12 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. FODMAP 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 MCLEOD 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: ;