A week-long diet to end fluid retention
Satiating foods that will help you control your weight without starving
'Harvard plate', the system to lose weight without dieting
With summer just around the corner, all kinds of diets are once again on the table, some with more success than others and some, in fact, quite dangerous that, far from achieving healthy
weight loss,
what they cause is the dreaded
rebound effect
, among other sequels.
This is not the case with the
Fodmap diet
, but neither is it a regimen that can be followed lightly.
"It is not a diet to
lose weight
, it is another thing to lose weight with it," warns Dr. María José Crispín, nutritionist at Clínica Menorca.
"It's really for people who have digestive problems. It's usually recommended for people with
Irritable Bowel Syndrome,
people who get a bloated belly when they eat and don't know why, gas and aches."
Mireya García Pérez, dietitian and nutritionist at Deusto Salud, also insists on this point.
"The low-FODMAP diet reduces the intake of a group of
short-chain
carbohydrates that in certain people can cause gastrointestinal problems. It is indicated to reduce the symptoms of various
digestive pathologies,
including abdominal distension, pain and diarrhea."
Therefore, "it is not a diet that focuses on weight loss, but on improving
digestion
," she says.
And although with it you lose
weight
, "it is not an adequate strategy to do it," warns Mireya García.
An argument that all the
experts
insist on .
"I do not recommend it for someone who does not have irritable bowel syndrome. It is not a
balanced
diet , it is very restrictive. A healthy person should not do it," says Dr. Crispín.
And also
Mònica Llop,
specialist in dietetics and nutrition at the Obesity Unit of Clínica Option Médica: "It is not a nutritional plan designed for someone with problems of being overweight or obese, it is not a slimming diet".
Is the Fodmap diet safe?
In any case, under the supervision of a
specialist
, "and as long as the protocols are followed and it adapts to the tolerance and needs of the person, it can be healthy," says Lis Zamora, dietitian, nutritionist and member of Training of the College Official of Dietitians-Nutritionists of the Valencian Community (CODiNuCoVa).
As this specialist explains, the latest
studies
indicate that this diet is around 70%
effective
in improving the symptoms of Irritable Bowel Syndrome.
And why is it used to
lose weight
?
Weight is lost "because, in the initial phase, the variety and quantity of suitable foods is considerably reduced," answers
Lis Zamora.
In other words, "this diet prevents eating certain high-calorie foods, such as sugar, which in the long run contributes to weight loss," says
María José Crispín.
However, Zamora warns, losing weight or not is something "very
variable
that depends on each case."
And the control of a specialist is always necessary to carry it out safely.
What to eat on the Fodmap diet
The name of this diet responds to the
abbreviation
of the English Fermentable Oligo Di Monosaccharids And Polyols, and refers to those foods rich in oligosaccharides, disaccharides, fermentable monosaccharides and polyalcohols", says
Mònica Llop
. Actually, the expert explains, to be exact we would have to talk about a low-
FODMAPs
diet , that is, one that follows a dietary pattern that limits the consumption of these foods, "which are not fully absorbed in the small intestine and reach the colon.
In the large intestine they are fermented by our intestinal
microbiota
, which causes gas and other
discomforts
, "such as bloating, pain, diarrhea or constipation".
The intention of this diet is none other than to identify the foods that trigger symptoms in Irritable Bowel Syndrome, and currently the only way to do it "is to eliminate and reintroduce them," says Javier Molina Infante, a doctor at the Service of the Digestive System of
the University Hospital of Cáceres.
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How to do the Fodmap diet
According to the Spanish Digestive System Foundation (
FEAD
), this diet consists of two phases.
In a first, which lasts between four and eight weeks, a severe restriction of
Fodmap foods
is carried out .
Later, a second phase begins "in which they are reintroduced, according to the
tolerance
of each person."
To these two stages is added a third, the adaptation phase, in which "the
nutritional guideline
is adapted to the maximum normality possible", explains
Mireya García Pérez
.
"It has to be a guideline as
varied
as possible and created according to individual tolerance; the ideal would be to achieve a total, but there are usually certain
limitations
."
And if the
symptoms
do not improve with the first phase, "the ideal is to re-introduce some foods and assess if there are other triggers," recommends the expert.
To
reintroduce
foods, "one of each group is tested for three days, with one rest between them, above all care must be taken that the diet is
balanced
in nutrients," explains Dr.
Crispín
.
How long can the Fodmap diet be followed?
The low-Fodmap diet should only be followed for a certain period of time, which "will depend mainly on the improvement of symptoms during the initial phase," says
Lis Zamora
.
However, it is not necessary to exceed
eight weeks
because "maintaining it for a long time can lead to important nutritional deficiencies," warns
Mireya García
.
In addition, this expert assures, this diet "greatly limits the consumption of foods with
prebiotic
action , which serve the beneficial bacteria and favor the proper functioning of our intestinal
microbiota
, which in the long run can have negative effects."
In other words, this nutritional plan aims to modify the microbiota, therefore, "people who follow it without a diagnosis of
irritable bowel syndrome
only manage to reduce families of beneficial
bacteria
," warns
María José Crispín.
And therefore harm your health.
What to eat to deflate the intestines
With all the above conditions, and under the supervision of a specialist, a
balanced
diet free of
Fodmaps
can be followed , although limited in time.
These are the examples of menus with this type of regimen that the
Endocrinology and Nutrition
Service of the University Clinical Hospital of Valladolid has prepared.
In general, they recommend including 30 grams of
gluten
-free bread at lunch and dinner, always using extra virgin olive oil, eating at least three
fruits
a day, at least two
lactose
-free dairy products, and drinking two liters of
water
or infusions daily ( 8 cups).
In addition, food must be
cooked
without fat, grilled, steamed, en papillote, in the oven or microwave, avoiding fried, breaded and battered foods.
We must also control the amount of
salt
for cooking (less than 3g/day) and avoid carbonated soft drinks,
alcohol
, commercial juices, sausages, butter and margarine, sauces, pre-
cooked
foods and processed meats due to their high fat content.
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Breakfast.
Choose an option:
Lactose-free milk
(200ml) + toast (60g) + jam with no added sugar (20g)
Tea
(200ml) + toast (60g) + Serrano ham (40g)
Tea
(200ml) + toast (60g) + jam with no added sugar (20g) + fruit (150g)
Lactose-free milk
(200ml) + oat flakes (30g) + fresh orange juice (200ml)
Mid-morning / snack / dinner.
Choose an option:
Biscotte
toasted bread (2x10g) + natural light tuna (small can: 56 g)
Toasted bread biscotte ( 2x10g
) + Serrano ham (40g)
Fruit
(150g) + lactose-free/vegetable yogurt
Lactose-free milk
(200ml) + 3 lactose-free 'Maria' cookies
Lactose-free/vegetable yogurt
+ walnuts (30g) or almonds (25g)
Lactose-free milk
(200ml) + fruit (150g)
Meal.
Choose an option:
Rice
with vegetables.
[Rice (50g raw) + pepper (50g) + chives (20g) + mushrooms (50g) + olive oil (10g)].
Chicken breast fillet (110g).
Bread (30g).
Fruit (150g)
Lentils
with vegetables.
[Lentils (60g raw) + chives (20g) + carrot (20g)].
Grilled beef tenderloin (120g).
Olive oil (8g).
Bread (30g).
Fruit (150g).
Green
beans with arriero garlic.
[Beans (100g) + paprika + prawns (60g).
Sardines (150g)].
Olive oil (8g).
Bread (30g).
Fruit (150g)
Pasta
with tomato.
[Corn paste (60g raw) + crushed tomato (30g)].
Grilled beef steak (120g).
Bread (30g).
Fruit (150g)
Chickpeas
with cod.
[Chickpeas (50g raw) + cod (80g) + spinach (100g)].
Salad [lettuce (120g) + tomato (60g).
Olive oil (8g)].
Bread (30g).
Fruit (150g).
Vegetable
grill .
[Aubergine (120g) + pepper (70g) + chives (50g)].
Beef steak (120g).
Olive oil (8g).
Bread (30g).
Fruit (150g).
Pumpkin
puree .
(Pumpkin (120g) + chives (20g) + potato (50g) + cucumber (40g). Grilled salmon (120g). Olive oil (10g). Bread (30g). Fruit (150g).
Dinner.
Choose an option:
Scrambled
eggs with mushrooms and prawns.
[Mushrooms (100g) + 1 egg (60g) + prawns (60g)].
Olive oil (10g).
Bread (30g).
Fruit (150g)
Full salad
.
[Potato (80g) + natural tomato (70g) + mackerel (65g) + chives (20g) + germinated soybeans (20g).
Olive oil (8g)].
Bread (30g).
Fruit (150g)
Grilled cuttlefish
with vegetables.
[Sepia (150g) + courgette (100g).
Olive oil (10g)].
Bread (30g).
Fruit (150g).
Grilled hake
with salad.
[Hake (150g) + lettuce (120g) + tomato (60g) + olive oil (10g)].
Bread (30g).
Fruit (150g).
Battered sardines
.
[Sardine (100g) + small egg (45g) + olive oil (8g)].
Bread (30g).
Fruit (150g).
Sole
with salad.
[Sole (1500g) + lettuce (120g) + tomato (60g) + cucumber (70g).
Olive oil (10g)].
Bread (30g).
Lactose-free/vegetable yogurt (2x125g).
Baked orange
sea bass .
[Sea bass (120g) + potato (40g) + orange juice (75ml).
Olive oil (10g).
Bread (30g).
Fruit (150g).
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