Fodmap for irritable bowel . . . and other stories

Reducing dietary fodmapsA diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (fodmaps) is better than treatment with musculotropic spasmolytics in people with irritable bowel syndrome, according to a randomised trial in primary care. At eight weeks, around seven of 10 of those allocated to a smartphone fodmap lowering diet app reported symptomatic improvement. This compares with six of 10 of those receiving spasmolytics (Gut doi:10.1136/gutjnl-2021-325821).Genetics and physical activityAmong two twin cohorts from Finland, 17 monozygotic twin pairs were identified who were discordant for their levels of leisure time physical activity. On average, the more active twin took three times more physical exercise than the less active twin. More active twins had lower body fat, larger lumen diameters in lower limb arteries, greater bone mineral density, and higher concentrations of high density lipoprotein particles than their less active sibling. Proof, if any were needed, that exercise is good regardless of…
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