SPOTLIGHT ON HEALTH
April is “IBS AWARENESS MONTH”
Irritable bowel syndrome (IBS) includes symptoms like gas, bloating, cramping/abdominal pain and diarrhea or constipation. Symptoms are recurrent or regular and the cause is not clearly identifyable… they’re often attributed to “stress.”
Naturopathic approach to IBS is multi-systemic. We con
SPOTLIGHT ON HEALTH
April is “IBS AWARENESS MONTH”
Irritable bowel syndrome (IBS) includes symptoms like gas, bloating, cramping/abdominal pain and diarrhea or constipation. Symptoms are recurrent or regular and the cause is not clearly identifyable… they’re often attributed to “stress.”
Naturopathic approach to IBS is multi-systemic. We consider dietary contributors, the gut microbiome, delayed hypersensitivity food reactions that trigger inflammation, leaky gut, reduced smooth muscle tone and the influence of chronic stress and hormonal interference on digestion and hormonal interference.
The Low FODMAP Diet: A Scientific Approach to Managing IBS
The Low FODMAP Diet is a dietary approach designed to manage symptoms of Irritable Bowel Syndrome (IBS) by reducing the intake of specific types of carbohydrates known collectively as FODMAPs. FODMAPs—Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols—are short-chain carbohydrates that are poorly absorbed in the small intestine. When consumed, they can lead to increased water content in the intestines and fermentation by gut bacteria, resulting in symptoms such as bloating, gas, abdominal pain, and altered bowel habits.
Implementation of the Low FODMAP Diet
The Low FODMAP Diet is typically implemented in three phases:
Restriction: For 4–8 weeks, high-FODMAP foods are eliminated from the diet to assess symptom improvement.
Reintroduction: Gradual reintroduction of specific FODMAPs occurs to identify individual triggers and establish tolerance levels.
Personalization: A long-term, tailored eating plan is developed, incorporating tolerated FODMAPs while avoiding those that trigger symptoms.
This structured approach aims to alleviate symptoms during the restriction phase and promote dietary diversity and nutritional adequacy in the long term.
Efficacy of the Low FODMAP Diet
Multiple randomized controlled trials and meta-analyses have demonstrated the effectiveness of the Low FODMAP Diet in reducing IBS symptoms. Research suggests that the diet significantly improves global IBS symptoms compared to control diets. Additionally, improvements in stool consistency and reductions in abdominal pain and bloating have been reported.
Considerations and Potential Limitations
While the Low FODMAP Diet is effective for many individuals, it is not without potential drawbacks:
Nutritional Adequacy: Strict adherence, especially during the restriction phase, may lead to reduced intake of certain nutrients. Guidance from your Naturopathic Doctor is recommended to ensure nutritional balance.
Impact on Gut Microbiota: Some FODMAPs serve as prebiotics, promoting beneficial gut bacteria. Their reduction may negatively affect gut microbiota diversity. The reintroduction and personalization phases aim to mitigate this impact.
Long-Term Sustainability: The diet's complexity may pose challenges for long-term adherence. Ongoing support from your Naturopathic Doctor can enhance compliance and effectiveness.
Conclusion
The Low FODMAP Diet offers a structured and evidence-based approach to managing IBS symptoms through the reduction of specific fermentable carbohydrates. Its phased implementation allows for symptom relief while identifying individual dietary triggers, facilitating a personalized and sustainable long-term eating plan. However, due to potential nutritional and microbiota considerations, it is essential to undertake this diet under the guidance of qualified healthcare professionals.
References
Pain Research and Management. (2021). The Low FODMAP Diet and Its Effect on IBS Symptoms. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC7019579
Cambridge University Press. (2020). Long-term Considerations of the Low FODMAP Diet. Retrieved from https://www.cambridge.org/core/journals/proceedings-of-the-nutrition-society/article/low-fodmap-diet-in-clinical-practice
Frontiers in Nutrition. (2021). Meta-Analysis of the Low FODMAP Diet in IBS Patients. Retrieved from https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2021.683191/full
MDPI Nutrients. (2023). The Effect of the Low FODMAP Diet on Gut Microbiota. Retrieved from https://www.mdpi.com/2072-6643/16/3/370
SPOTLIGHT ON HEALTH
Recognizing the Symptoms:
Heart attack symptoms are not recognized in over 50% of women.
Heart attack symptoms in women can differ from those in men. While both men and women often report angina - sharp and crushing chest pain - leading up to a heart attack, many women experience atypical symptoms such as:
- Fatigue (unusual or extreme tiredness)
- Shortness of breath without chest pain
- Nausea or vomiting
- Indigestion or upper abdominal pain mistaken for gastrointestinal issues
- Pain in the neck, jaw, throat, or back
- Dizziness or lightheadedness
- Palpitations or a sense of anxiety
Women are more likely to present with 3 or more symptoms in addition to chest pain.
Conditions that can lead to a greater risk of heart disease for women:
- Certain pregnancy complications (ex. premature birth, diabetes or hypertension during pregnancy, preeclampsia)
- Earlier than average menopause
- Polycystic ovary syndrome (PCOS)
hormonal imbalance, irregular menstrual cycles, infrequent menstrual cycles, elevated androgens
- Systemic inflammatory and autoimmune disorders (ex. rheumatoid arthritis, lupus)
- Cigarette smoking (women have 3x higher risk of heart attack due to cigarette smoking compared to men)
Diabetes (women living with diabetes are 3x more likely to die from heart disease compared to men)
Lifestyle changes have been shown to play a significant role in preventing cardiac events. Peer-reviewed studies consistently demonstrate that a substantial percentage of cardiovascular events can be prevented through modifications in diet, exercise, and other behaviors.
Overall Prevention Potential:
Research suggests that up to 80% of coronary artery disease (CAD) events can be prevented through healthy lifestyle changes.
Diet and Nutrition:
A heart-healthy diet, such as the Mediterranean diet, can reduce cardiovascular events by approximately 30% in high-risk individuals.
Physical Activity:
Regular physical activity reduces the risk of heart disease by 20-30% in adults.
Smoking Cessation:
Quitting smoking can reduce the risk of coronary heart disease by 50% within the first year of cessation and progressively further in subsequent years.
Weight Management and Diabetes Prevention:
Maintaining a healthy weight and managing diabetes can significantly reduce cardiovascular risks. Weight loss in overweight individuals can lower the risk of cardiovascular events by approximately 40%.
References:
Mayo Clinic. "Heart Disease in Women: Understand Symptoms and Risk Factors." https://www.mayoclinic.org
Wear Red Canada. "Why Women’s Heart Health?" https://wearredcanada.ca/why-womens-heart-health
Nocon et al., European Journal of Cardiovascular Prevention & Rehabilitation (2008). This meta-analysis showed a significant reduction in cardiovascular mortality with increased physical activity.
DeVon et al., Circulation (2008). This review highlights the variability in symptom presentation and the need for heightened awareness among clinicians.
Yusuf et al., The Lancet (2004). The INTERHEART study, a large case-control study across multiple countries, identified nine modifiable risk factors (e.g., unhealthy diet, physical inactivity, smoking, and stress) that collectively account for the vast majority of myocardial infarction cases.
Reference: Estruch et al., The New England Journal of Medicine (2013). The PREDIMED trial demonstrated this reduction in cardiovascular risk with adherence to a Mediterranean diet supplemented with nuts or olive oil.
Reference: U.S. Department of Health and Human Services (2010), The Surgeon General’s Report on Tobacco Use and Health.
Reference: Wing et al., Diabetes Care (2011). The Diabetes Prevention Program demonstrated the effectiveness of lifestyle interventions in reducing diabetes-related cardiovascular risks.
Luna Integrated Health
136, 2755 Broadmoor Blvd. Sherwood Park AB T8H 2W7
ph: 780-467-0522 fax: 587-827-2600