Athletes have borrowed the low FODMAP diet from IBS management because the symptoms look similar: bloating, lower abdominal pain, urgency. This Current Opinion argues the approach should be decided by severity rather than applied as a default.
Athletes with severe symptoms may benefit from short term FODMAP restriction around key sessions and race day. Athletes with mild or occasional symptoms are likely better served by a more liberal FODMAP intake, which supports gut integrity, and are otherwise restricting their diet for no reason.
The authors are explicit that neither restriction nor liberal intake has been shown to improve performance. Their core claim is that FODMAP manipulation should be individualized by symptom severity, underlying mechanism, and exercise demand.
| Performance benefit shown for either FODMAP approach | none |
| Recommended basis for FODMAP decisions | symptom severity, underlying mechanism, exercise demand |
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