Carbohydrate intolerance

2011 ◽  
Author(s):  
R. Mark Beattie ◽  
Anil Dhawan ◽  
John W.L. Puntis
Keyword(s):  
Energy Intake ◽  
Lactose Intolerance ◽  
Carbohydrate Malabsorption ◽  
Carbohydrate Intolerance ◽  
Carbohydrate Digestion ◽  
Storage Polysaccharides

Carbohydrates in the diet 128Carbohydrate digestion 129Hypolactasia/lactose intolerance 130Congenital sucrase–isomaltase deficiency 130Glucose–galactose malabsorption 131Confirmation of diagnosis of carbohydrate malabsorption 131Carbohydrates make up at least half the energy intake in the diet. The principal carbohydrates are the storage polysaccharides (starch, glycogen and cellulose), the disaccharides lactose and sucrose, and the monosaccharides glucose and fructose....

scholarly journals Probiotic treatment in children with lactose intolerance – An open labeled the one group pre-test post-test experimental study

2016 ◽  
Vol 46 (3) ◽  
pp. 139 ◽  
Author(s):  
Zainul Arifin ◽  
Aswitha D. Boediarso ◽  
Taralan Tambunan
Keyword(s):  
Lactose Intolerance ◽  
Clinical Signs ◽  
Inclusion Criteria ◽  
Probiotic Treatment ◽  
Post Test ◽  
Breath Hydrogen Test ◽  
Good Nutrition ◽  
The One ◽  
Carbohydrate Digestion

Background Lactose intolerance is the most common disorder ofintestinal carbohydrate digestion. Probiotic that contains the cor-rect strain in appropriate amount can be used as an alternativedietary for lactose intolerance patients.Objective This study was designed to describe the role of probioticin relieving lactose intolerance symptoms in children consumedfull-cream milk.Methods This study was a clinical trial. Inclusion criteria was chil-dren aged 12-14 years old, had a good nutrition and health status,with positive breath hydrogen test (BHT) result and lactose intoler-ance symptom(s), and their parents gave consent. Forty-two chil-dren were included. All subjects consumed one glass (200 ml) offull-cream milk twice a day for 21 days and recorded intolerancesymptoms. Probiotic was added from 8 th to 21 st day in their milk,and responses of treatment were evaluated by scoring system(based on borborigmic, flatulence, abdominal bloating, nausea andvomiting, abdominal pain, and diarrhea symptoms). At the end ofstudy they were undergone second BHT examination.Results There were decreasing mean score rates at 7 th day (pre)13.8 (SD 5.5) compared with 7.5 (SD 3.5) at 14 th day (after) andwas statistically significant (P<0.001). Mean score rate at 7 th day(pre) 13.8 (SD 5.5) compared with 21 st day (after) was 0.119 (SD0.55) and was statistically significant (P<0.001). At the end of study,only 2 subjects showed clinical signs of lactose intolerance. Thirty-six subjects had normal BHT result at 21 st day and was statisti-cally significant (P<0.001).Conclusion Two weeks administration of probiotic could relievelactose intolerance symptoms in children consumed full-cream milk

scholarly journals Luminal hypertonicity and acidity modulate colorectal afferents and induce persistent visceral hypersensitivity

2012 ◽  
Vol 303 (7) ◽  
pp. G802-G809 ◽  
Author(s):  
Jun-Ho La ◽  
Bin Feng ◽  
Erica S. Schwartz ◽  
Pablo R. Brumovsky ◽  
G. F. Gebhart
Keyword(s):  
Abdominal Pain ◽  
Sensory Neurons ◽  
Lactose Intolerance ◽  
Behavioral Responses ◽  
Enteric Infection ◽  
Pelvic Nerve ◽  
Carbohydrate Malabsorption ◽  
Digestive Disorder ◽  
Two Factors

Carbohydrate malabsorption such as in lactose intolerance or enteric infection causes symptoms that include abdominal pain. Because this digestive disorder increases intracolonic osmolarity and acidity by accumulation of undigested carbohydrates and fermented products, we tested whether these two factors (hypertonicity and acidity) would modulate colorectal afferents in association with colorectal nociception and hypersensitivity. In mouse colorectum-pelvic nerve preparations in vitro, afferent activities were monitored after application of acidic hypertonic saline (AHS; pH 6.0, 800 mosM). In other experiments, AHS was instilled intracolonically to mice and behavioral responses to colorectal distension (CRD) measured. Application of AHS in vitro excited 80% of serosal and 42% of mechanically-insensitive colorectal afferents (MIAs), sensitizing a proportion of MIAs to become mechanically sensitive and reversibly inhibiting stretch-sensitive afferents. Acute intracolonic AHS significantly increased expression of the neuronal activation marker pERK in colon sensory neurons and augmented noxious CRD-induced behavioral responses. After three consecutive daily intracolonic AHS treatments, mice were hypersensitive to CRD 4–15 days after the first treatment. In complementary single fiber recordings in vitro, the proportion of serosal class afferents increased at day 4; the proportion of MIAs decreased, and muscular class stretch-sensitive afferents were sensitized at days 11–15 in mice receiving AHS. These results indicate that luminal hypertonicity and acidity, two outcomes of carbohydrate malabsorption, can induce colorectal hypersensitivity to distension by altering the excitability and relative proportions of colorectal afferents, suggesting the potential involvement of these factors in the development of abdominal pain.

scholarly journals ANALYSIS OF LACTOSE INTOLERANCE IN STUDENTS WITH SUGGESTIVE SYMPTOMS OF IRRITABLE BOWEL SYNDROME

2019 ◽  
Vol 56 (3) ◽  
pp. 304-311
Author(s):  
Cleise de Jesus SILVA ◽  
Ingrid Dantas Sampaio LEITE ◽  
José Weberton RODRIGUES ◽  
Samara Pereira de ALMEIDA ◽  
Bruna Pessoa NÓBREGA ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Irritable Bowel Syndrome ◽  
Breath Test ◽  
Gastrointestinal Symptom ◽  
Lactose Intolerance ◽  
Gastrointestinal Symptoms ◽  
Bacterial Overgrowth ◽  
Irritable Bowel ◽  
Carbohydrate Intolerance

ABSTRACT BACKGROUND: Irritable bowel syndrome is a clinical condition presenting pain, distension and abdominal fullness, diarrhea, constipation, and other symptoms. It generates significant impacts on the quality of life of those affected. The pathophysiology is uncertain, but the role of various food types has been established in bowel sensitivity and its clinical manifestations. Carbohydrate intolerance, particularly to lactose, generates similar and sometimes indistinguishable symptoms from irritable bowel syndrome, and in clinical practice is both a frequent and underdiagnosed condition. Carbohydrate intolerance is related to enzymatic deficiencies, alterations of intestinal microbiota and even genetic change. The principal test for a diagnosis of lactose intolerance is the breath test, which measures hydrogen emission (produced only by bacteria), after ingestion of the corresponding substrate. OBJECTIVE: The present work aims to verify the prevalence of lactose intolerance in university students, presenting gastrointestinal symptoms suggestive of irritable bowel syndrome. METHODS: In a transversal study, to screen for those with suggestive symptoms, 124 medicine students participated by responding to a form. Those with abdominal pain were referred for anti-parasite treatment in order to exclude intestinal parasites as a secondary cause. Subsequently, using the hydrogen breath test, bacterial overgrowth was investigated, and if negative, lactose intolerance testing would be performed. Patients presenting high hydrogen concentrations of ≥20 ppm above the basal level were considered lactose intolerant. RESULTS: Of the total of students researched (n=124), 7 were excluded because they did not completing all study phases. From those 117 individuals effectively included in the survey; 8 (6.8%) were diagnosed with lactose intolerance and 2 (1.7%) with bacterial overgrowth. Intolerance was more frequent in; female individuals (75%), age range 18 to 25 years (62.5%), being colored (50%), and in their 5th semester of studies (37.5%). The presence of at least one gastrointestinal symptom among those presenting intolerance (100%), and those not presenting intolerance (42.2%) was found (P=0.002). In addition to abdominal pain (100%) (P<0.001), the most recurrent gastrointestinal symptom in the lactose intolerant students was the distension/flatulence (62.5%) (P=0.026). In relation to life habits and food patterns, there was no statistical difference between lactose tolerant and intolerant individuals, or for symptom frequencies. The more advanced students, completing more periods towards graduation, demonstrated more occurrences of gastrointestinal symptoms, yet without presenting significant statistical discrepancies. CONCLUSION: In view of the test sample quantity (n=21), a high prevalence of lactose intolerance (6.8%) in the academic environment, with epidemiological characteristics compatible to those found the literature is demonstrated, generating knowledge with understanding to prevent, diagnose, alleviate and treat lactose intolerant university students, and generate positive impacts towards well-being, improving the quality of life of these individuals.

Carbohydrate Intolerance

1992 ◽  
Vol 13 (11) ◽  
pp. 437-438
Keyword(s):  
Fatty Acids ◽  
Small Intestine ◽  
Abdominal Pain ◽  
Fermentation Process ◽  
Enteric Bacteria ◽  
Short Chain Fatty Acids ◽  
Blood Stream ◽  
Gastrointestinal Complaints ◽  
Carbohydrate Intolerance ◽  
Carbohydrate Digestion

Carbohydrate malabsorption can cause a variety of nonspecific gastrointestinal complaints. It occurs in conjunction with a deficiency of the enzyme needed to break down the sugar or starch or with pathology of the small intestine, the area where carbohydrate digestion and absorption occurs. The disaccharidase enzymes, located on the brush border of the small intestine, hydrolyze the carbohydrate into its components, which then are absorbed directly into the blood stream. If the carbohydrate is not digested or digested incompletely, it is fermented by enteric bacteria in the distal small bowel and colon. The major byproducts of this fermentation process are hydrogen gases and short chain fatty acids, which can cause symptoms such as abdominal pain, flatulence, and bloating.

scholarly journals Roles of Lactose and Fructose Malabsorption and Dietary Outcomes in Children Presenting with Chronic Abdominal Pain

Nutrients ◽  
2019 ◽  
Vol 11 (12) ◽  
pp. 3063 ◽  
Author(s):  
Carsten Posovszky ◽  
Vreni Roesler ◽  
Sebastian Becker ◽  
Enno Iven ◽  
Christian Hudert ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Incidental Finding ◽  
Elimination Diet ◽  
Chronic Abdominal Pain ◽  
Functional Abdominal Pain ◽  
Lactose Malabsorption ◽  
Carbohydrate Malabsorption ◽  
Fructose Malabsorption ◽  
Hydrogen Breath Tests ◽  
Carbohydrate Intolerance

Intolerance to lactose or fructose is frequently diagnosed in children with chronic abdominal pain (CAP). However, the causal relationship remains a matter of discussion. A cohort of 253 patients, aged 7–12 years, presenting with unexplained CAP received standardized diagnostics. Additional diagnostic tests were performed based on their medical history and physical and laboratory investigations. Fructose and lactose hydrogen breath tests (H2BT) as well as empiric diagnostic elimination diets were performed in 135 patients reporting abdominal pain related to the consumption of lactose or fructose to evaluate carbohydrate intolerance as a potential cause of CAP. Carbohydrate malabsorption by H2BT was found in 55 (41%) out of 135 patients. An abnormal increase in H2BT was revealed in 30% (35/118) of patients after fructose consumption and in 18% (20/114) of patients after lactose administration. Forty-six percent (25/54) reported pain relief during a diagnostic elimination diet. In total, 17 patients had lactose malabsorption, 29 fructose malabsorption, and nine combined carbohydrate malabsorption. Carbohydrate intolerance as a cause of CAP was diagnosed at follow-up in only 18% (10/55) of patients with malabsorption after the elimination of the respective carbohydrate. Thus, carbohydrate malabsorption appears to be an incidental finding in children with functional abdominal pain disorders, rather than its cause. Therefore, testing of carbohydrate intolerance should only be considered in children with a strong clinical suspicion and with the goal to prevent long-term unnecessary dietary restrictions in children suffering from CAP.

Nutritional intervention promoting Mediterranean diet improves dietary intake and enhances score adherence in adolescent athletes

2020 ◽  
Vol 13 (3) ◽  
pp. 237-253
Author(s):  
Rokia Sahnoune ◽  
Malika Bouchenak
Keyword(s):  
Mediterranean Diet ◽  
Energy Intake ◽  
Nutritional Intervention ◽  
Fiber Intake ◽  
Adequate Intake ◽  
Total Proteins ◽  
Adolescent Athletes ◽  
24 Hour Recall ◽  
The Impact ◽  
Kidmed Index

BACKGROUND: Appropriate nutrition is important to maintain health, growth, and development of adolescent athlete performance. OBJECTIVE: To evaluate the impact of nutritional intervention (NI) promoting Mediterranean diet (MD), on food consumption, and adherence to MD, in scholar adolescent athletes. METHODS: Eighty athletes (Females/Males, 39/41) aged 15±1 years participated to NI. MD Adherence was assessed, using Kidmed index, at baseline, and at 6 months. Food intake was evaluated by 24-hour recall at baseline, and at four NI times. RESULTS: At baseline, 61% of athletes had poor MD adherence, and after NI, this value decreased to 10%. At 6 months of NI, 73% of males vs 46% of females had good MD adherence (≥8). Energy intake represented 2369 Kcal/d, at baseline, and was less than recommended value. After NI, significant increase was observed in energy intake (p = 0.001). Mean fiber intake (19 and 21 g/d in females and males, respectively) was less than adequate intake (26/38 g/d), but increased after NI (p = 0.000). Enhancement was noted in total, and complex carbohydrates, and total proteins, and values were increased with time (p = 0.000, p = 0.000, p = 0.003). CONCLUSION: Nutritional intervention, based on Mediterranean diet, improves total energy, and macronutrients intake, and increases MD adherence scores in adolescents athletes.

Protein and energy intake of premature babies during parenteral feeding

2017 ◽  
pp. 56-60
Author(s):  
I. Sydorenko ◽  
◽  
Ye. Shunko ◽  
O. Baranovska ◽  
V. Tyshkevich ◽  
...  
Keyword(s):  
Energy Intake ◽  
Parenteral Feeding ◽  
Premature Babies
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