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cover of episode Could this diet solve your gut issues?

Could this diet solve your gut issues?

2023/12/7
logo of podcast ZOE Science & Nutrition

ZOE Science & Nutrition

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Dr. Will Bulsiewicz
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Jonathan Wolf
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Jonathan Wolf:许多建议的饮食方式,例如无乳制品饮食、无麸质饮食等,实际上都是低FODMAP饮食的变体。低FODMAP饮食与消化健康密切相关。研究表明,低FODMAP饮食会减少有益肠道菌群。我个人尝试过低FODMAP饮食,发现它实施起来非常困难,需要严格限制饮食,且难以确定哪些食物会引发症状。但我也发现,通过低FODMAP饮食,可以识别并逐渐重新引入可耐受的食物,改善肠道健康。如今,我可以食用以前无法食用的许多食物。这说明肠道菌群具有适应性,可以通过循序渐进的方式逐渐适应并耐受FODMAPs。 Dr. Will Bulsiewicz:FODMAP是“发酵性低聚糖、双糖、单糖和多元醇”的缩写,指的是含有易发酵碳水化合物的食物。FODMAPs的概念在21世纪初由澳大利亚莫纳什大学的科学家提出,他们发现很多人难以消化这些营养物质。FODMAPs包括五类:果糖(水果)、乳糖(乳制品)、半乳聚糖(豆类)、果聚糖(洋葱、大蒜、含麸质谷物)和多元醇(某些植物性食物和人工甜味剂)。FODMAPs不易消化,会在肠道中吸水产气,导致腹痛、胀气、腹泻等症状。低FODMAP饮食只适用于患有胃肠道疾病的人群,健康人群无需限制FODMAPs的摄入。FODMAPs具有益生元作用,有益于肠道菌群健康。富含FODMAPs的食物(如全谷物、豆类、水果)也富含纤维、多酚、植物化学物质等营养成分,对肠道健康有益。高FODMAP饮食可以增加肠道菌群多样性,并增加有益菌(如双歧杆菌)的数量。低FODMAP饮食并非简单地去除所有高FODMAP食物,而是需要根据个人情况进行调整。低FODMAP饮食的第一阶段是严格限制高FODMAP食物的摄入,持续2-6周,以观察症状是否改善。低FODMAP饮食的第二阶段是逐渐重新引入已被限制的食物,以确定哪些食物会引发症状。低FODMAP饮食并非永久性地去除所有问题食物,而是要学会适度摄入这些食物。低FODMAP饮食中,可以摄入低碳水化合物食物,例如肉类、鱼类、蛋类、某些奶制品、米饭、藜麦、燕麦等。低FODMAP饮食并非减肥方法,长期坚持可能导致营养不良和肠道菌群失调。进行低FODMAP饮食需要专业人士(如营养师)的指导,以避免营养不良等问题。低FODMAP饮食适用于有消化系统症状的人群,但应在专业人士的指导下进行,并非永久性限制,而是要逐渐提高肠道耐受性。

Deep Dive

Chapters
Introduction to the concept of FODMAPs and their importance in digestive health.

Shownotes Transcript

Do you know what FODMAPs are? Many of us aren’t aware of these cryptic carbohydrates hidden in everyday foods.

How can undigested FODMAPs cause bloating, gas, and other symptoms as they ferment in your gut? 

In today’s episode, Dr. Will Bulsiewicz, ZOE’S U.S. medical director and a board-certified gastroenterologist, teaches us about FODMAPs and how to tell if a low-FODMAP diet could be right for you. 

If you want to uncover the right foods for *your *body, head to zoe.com/podcast), and get 10% off your personalized nutrition program.

Download our FREE guide — Top 10 Tips to Live Healthier: https://zoe.com/freeguide)

Mentioned in today’s episode:

Nutritional, microbiological and psychosocial implications of the low FODMAP diet) from Journal of Gastroenterology and Hepatology

Personal view: Food for thought — Western lifestyle and susceptibility to Crohn's disease. The FODMAP hypothesis) from Alimentary Pharmacology & Therapeutics

Low fermentable, oligo-, di-, mono-saccharides and polyol diet in the treatment of irritable bowel syndrome: A systematic review and meta-analysis) from Nutrition)

Low fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) diet improves symptoms in adults suffering from irritable bowel syndrome (IBS) compared to standard IBS diet: A meta-analysis of clinical studies) from PLoS One

Nutritional, microbiological and psychosocial implications of the low FODMAP diet) from the Journal of Gastroenterology and Hepatology

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Episode transcripts are available here).

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