低フォドマップ食はアスリートの運動誘発性胃腸症状を予防する

 
 

 
宇野良治、医師・医学博士

 
 

20164月に、オーストラリアから、低フォドマップ食がアスリートの運動誘発性胃腸症状を軽快すると報告されたことを記しました。

 

http://blog.livedoor.jp/yoshiharu333/archives/2016-04-21.html

20160421

オーストラリア報告:アスリートの腹部症状改善に低FODMAP食が有効

 

その論文は、速報だったらしく、1026日に正式に論文が掲載されました。

 

Int J Sport Nutr Exerc Metab. 2016 Oct;26(5):481-487. Epub 2016 Aug 24.

Case Study: Utilizing a Low FODMAP Diet to Combat Exercise-Induced Gastrointestinal Symptoms.

Lis DAhuja KDStellingwerff TKitic CMFell J.

Abstract

Athletes employ various dietary strategies in attempts to attenuate exercise-induced gastrointestinal (GI) symptoms to ensure optimal performance. This case-study outlines one of these GI-targeted approaches via the implementation of a short-term low FODMAP (Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols) diet, with the aim to attenuate persistent running specific GI symptoms in a recreationally competitive multisport athlete (male, 86 kg, 57.9 ml·kg·min-1 V02max, 10-15 hr/week training, with no diagnosed GI disorder). Using a single-blinded approach a habitual diet was compared with a 6-day low FODMAP intervention diet (81 ± 5g vs 7.2 ± 5.7g FODMAP s/day) for their effect on GI symptoms and perceptual wellbeing. Training was similar during the habitual and dietary intervention periods. Postexercise (During) GI symptom ratings were recorded immediately following training. Daily GI symptoms and the Daily Analysis of Life Demands for Athletes (DALDA) were recorded at the end of each day. Daily and During GI symptom scores (scale 0-9) ranged from 0-4 during the habitual dietary period while during the low FODMAP dietary period all scores were 0 (no symptoms at all). DALDA scores for worse than normal ranged from 3-10 vs 0-8 in the habitual and low FODMAP dietary periods, respectively, indicating improvement. This intervention was effective for this GI symptom prone athlete; however, randomized-controlled trials are required to assess the suitability of low FODMAP diets for reducing GI distress in other symptomatic athletes.

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論文の解説は以前の通りですが、その著者は、オリンピック選手の食事指導を担当していることがわかりました。
 

 33図1

 

 

http://sigmanutrition.com/episode138/

 

Dana is a well-known sport dietitian with broad experience at the Professional, Olympic, National and International levels. Her passion for high performance sport nutrition has provided her the honor of working with several world-class athletes, achieving top performance; including helping Canada’s athletes win Olympic medals at London 2012 and Sochi 2014.

As a registered dietitian and graduate of the renowned IOC diploma in sport nutrition, she is currently completing PhD research investigating the effects of gluten-free and acute low FODMAPs diets on gastrointestinal health and inflammation in endurance athletes.

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私が、このコラムで201412月4日に考察したことが、世界のアスリートの食事を変えるかもしれません。世界中のアスリートが低フォドマップ食を取り入れ、日本だけが取り入れないで高フォドマップ食をしていたら、東京五輪はどうなるのか?不安を感じます。

「アスリートの食事に発酵食品は適切ですか?」

http://blog.livedoor.jp/yoshiharu333/archives/47225295.html

1

東京五輪でアスリート・ファーストというのであれば、会場の建設よりも、
腹痛が起きないような食事指導を徹底することが、なにより大切だと思うのですが・・・

私の非力が、残念です・・・