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Fodmap 1 PDF
Fodmap 1 PDF
Fodmap 1 PDF
RESEARCH PAPER
Quantification of fructans, galacto-oligosacharides
and other short-chain carbohydrates in processed grains
and cereals
J. R. Biesiekierski, O. Rosella, R. Rose, K. Liels, J. S. Barrett, S. J. Shepherd, P. R. Gibson & J. G. Muir
Department of Medicine, Monash University, Box Hill, Victoria, Australia
Keywords Abstract
carbohydrates, cereals, FODMAPs, fructans,
fructooligosaccharides, fructose, galactooli- Background: Wholegrain grains and cereals contain a wide range of potentially
gosaccharides, grains, high-performance liquid protective factors that are relevant to gastrointestinal health. The prebiotics best
chromatography, mannitol, polyols, prebiotics, studied are fructans [fructooligosaccharides (FOS), inulin] and galactooligosac-
pulses, short-chain carbohydrates, sorbitol. charides (GOS). These and other short-chain carbohydrates can also be poorly
absorbed in the small intestine (named fermentable oligo-, di- and monosac-
Correspondence
J. Muir, Department of Medicine, Eastern
charides and polyols; FODMAPs) and may have important implications for the
Health Clinical School, Monash University, health of the gut.
Box Hill Hospital, Level 2, 5 Arnold Street, Methods: In the present study, FODMAPs, including fructose in excess of
Box Hill, Victoria 3128, Australia. glucose, FOS (nystose, kestose), GOS (raffinose, stachyose) and sugar polyols
Tel.: +61 3 9094 9532 (sorbitol, mannitol), were quantified using high-performance liquid chromatog-
Fax: +61 3 9899 2518 raphy with an evaporative light scattering detector. Total fructan was quantified
E-mail: jane.muir@monash.edu
using an enzymic hydrolysis method.
Results: Fifty-five commonly consumed grains, breakfast cereals, breads, pulses
doi:10.1111/j.1365-277X.2010.01139.x
and biscuits were analysed. Total fructan were the most common short-chain
carbohydrate present in cereal grain products and ranged (g per portion as
eaten) from 1.12 g in couscous to 0 g in rice; 0.6 g in dark rye bread to 0.07 g
in spelt bread; 0.96 g in wheat-free muesli to 0.11 g in oats; and 0.81 g in
muesli fruit bar to 0.05 g in potato chips. Raffinose and stachyose were most
common in pulses.
Conclusions: Composition tables including FODMAPs and prebiotics (FOS
and GOS) that are naturally present in food will greatly assist research aimed
at understanding their physiological role in the gut.
There is now evidence for an important role for SCC (fructose, GLUT2, GLUT5) (Gibson, 2007). The preva-
in the health of the gastrointestinal (GI) tract. Some lence of fructose malabsorption can be as high as 34–61%
short-chain carbohydrates selectively stimulate the growth of the population, whether healthy or with GI disorders,
and activity of beneficial colonic bacteria, in particular (Barrett et al., 2009), but will depend on the dose of fruc-
bifidobacteria and lactobacillus (Gibson et al., 2004). These tose given (Ravich et al., 1983; Rumessen & Gudmand-
dietary short-chain carbohydrates are called ‘prebiotics’ Hoyer, 1986).
and include fructans [fructo-oligosaccharides (FOS) and Fructose is a major FODMAP present in the Western
inulin] and galacto-oligosaccharides (GOS) (Gibson et al., diet (Gibson, 2007) and is absorbed across the villous
2004). Fructans (FOS and inulin) and GOS satisfy the epithelium via low capacity and carrier-mediated facilitated
strict criteria for being prebiotics, being a nondigestible diffusion involving GLUT-5 transporters (Gibson, 2007).
food ingredient that selectively stimulates the growth and The absorption of free fructose is markedly enhanced in the
or activity of desirable bacteria in the gut (Gibson et al., presence of glucose via GLUT-2 (Gibson, 2007). Conse-
2004). A wide range of benefits have now been attributed quently, the balance of fructose to glucose in a food has
to these carbohydrate prebiotics (Gibson et al., 2004, the potential for influencing malabsorption. If fructose is
2005; Macfarlane et al., 2008; Rafter et al., 2007; present in excess of glucose, then the risk of fructose malab-
Szajewska et al., 2006), ranging from acting as adhesion sorption is greater (Gibson, 2007).
particles for pathogenic bacteria, and thus reducing the Malabsorbed FODMAPs are very rapidly fermented by
risk of GI infection (Gibson et al., 2005), improving intestinal bacteria producing carbon dioxide, hydrogen
laxation (Szajewska et al., 2006), increasing calcium and/or methane gas (Ong et al., 2010). In addition, we
absorption (Cashman, 2003), maintaining a functional have recent evidence that malabsorbed SCC are osmoti-
gut mucosal barrier (Kleessen & Blaut, 2005) and stimu- cally active and increase the volume of fluid entering
lating the GI-immune system (Gibson et al., 2004). There the bowel (Barrett et al., 2010). In healthy people, this
is also some evidence in animal models that the immune- may provide a natural laxative effect. In IBS sufferers,
enhancing effects of prebiotics may reduce the risk of this action may contribute to diarrhoea; additionally,
colon cancer (Rafter et al., 2007). Other benefits include the fermentation of these carbohydrates and associated
lowering blood glucose levels (Rumessen et al., 1990) and gas production can lead to luminal distension and
decreasing levels of serum cholesterol, triacylglycerols and symptoms of abdominal pain, bloating and flatulence
phospholipids (Williams, 1999; Yamashita et al., 1984). (Fernández-Bañares et al., 2006; Gibson & Shepherd,
Nevertheless, despite the clear evidence of health bene- 2005; Shepherd et al., 2008; Shepherd & Gibson, 2006;
fits for some SCC, there is a proportion of the general Ong et al., 2010).
population who are ‘intolerant’ to the malabsorption of There is now high quality evidence that restriction of
SCC in the small intestine. Irritable bowel syndrome dietary FODMAPs leads to symptomatic improvement of
(IBS) is known to affect 5–12% of the general population overall gut symptoms, gut pain, bloating and wind in the
(Hillila & Farkkila, 2004; Hungin et al., 2003) and is majority of patients with IBS (Shepherd et al., 2008;
characterised by functional gut symptoms, including Shepherd & Gibson, 2006; Ong et al., 2010). This dietary
abdominal pain, bloating, flatus and altered bowel habits approach, however, requires knowledge of comprehensive
(Drossman et al., 1997). We have grouped these FODMAP food composition data. Our earlier studies
potentially problematic SCC together and named them have described methodologies to quantify the major
FODMAPs (fermentable oligosaccharides, disaccharides, FODMAPs present in fruits and vegetables commonly
monosaccharides and polyols) (Gibson & Shepherd, consumed in Australia (Muir et al., 2007, 2009). Total
2005). FODMAPs are found in a wide variety of foods fructans were quantified using a commercially available
and include lactose (in milk), fructose in excess of glucose kit that utilises an enzymic hydrolysis method (Muir
(in pears, apples and honey), fructans and FOS (in arti- et al., 2007). The other major FODMAPs of interest,
choke, garlic, onions, rye, wheat), GOS (stachyose and including fructose, lactose, sorbitol, mannitol, GOS-
raffinose in pulses) and sugar polyols (mannitol and sorbi- stachyose and raffinose and FOS- nystose and kestose,
tol in stone fruits and artificial sweeteners) (Gibson & were measured using high-performance liquid chromatog-
Shepherd, 2005). raphy (HPLC) with evaporative light scattering detection
Malabsorption of FODMAPs can occur for a number of (ELSD) (Muir et al., 2009).
reasons, including the absence of the luminal enzymes There is a paucity of comprehensive food composition
capable of hydrolyzing the glycosidic bonds contained in data that list the content of FODMAPs and naturally
the carbohydrates (e.g. fructans, FOS and GOS), the found prebiotics in processed grain and cereal products.
absence or low activity of brush border enzymes (e.g. lac- Accordingly, the present study aimed to quantify the
tase) or the presence of low-capacity epithelial transporters major FODMAPs, including the prebiotics (fructans and
GOS) present in a wide range of processed grain, cereal separate columns were used for clear and accurate separa-
and pulse products that are commonly consumed. tion of the short-chain carbohydrates of interest. The first
was the Waters Sugar Pak column with water as the mobile
phase to separate glucose, galactose, fructose, mannitol
Materials and methods
and sorbitol. Free fructose (the fructose fraction present
Food sample processing and extraction in excess of glucose) was calculated because it is well
The methods were consistent with those described previ- documented that fructose co-ingested with glucose
ously (Muir et al., 2007, 2009). Food sampling complied enhances absorption (Riby et al., 1993; Shepherd & Gibson,
with Food Standards Australia New Zealand (FSANZ, 2006). The second column (Waters High-Performance
Canberra, Australia). The food items chosen were a vari- Carbohydrate Column), with an acetonitrile : water mix
ety of breakfast cereals, grains, pasta, breads, commonly mobile phase, was used to separate lactose, longer-chain
purchased biscuits and pulses. Brands chosen included FOS (nystose and kestose) and GOS (raffinose and stachy-
the most popular brand, a generic home-brand and one ose). The elution profile of the standards used, relative
other. From 2007 to 2009, purchases were made in standard deviations and also the detection and quantifica-
metropolitan Melbourne, Australia, from a range of retail tion limits have been detailed previously (Muir et al.,
outlets that included supermarkets, markets and health 2009).
stores. The description of food products and sampling Total fructan content was determined by the commer-
details are given in Table 1. cially available enzymatic kits (Megazyme Fructan HK
Approximately 500 g (‘as eaten’ weight) of each food Assay kit; Megazyme International Ireland Ltd, Wicklow,
product was purchased. For grains, pasta and dried Ireland; AOAC Method 999.03 and AACC Method 32.32)
legumes, samples were prepared (e.g. soaking, boiling) as in accordance with the manufacturer’s instructions. The
eaten and as directed on the packet label. These prepara- measurement methods were consistent with those
tion methods are detailed in Table 1. Samples were then described previously (Muir et al., 2007, 2009). Full details
pooled (i.e. 3 · 500 g = 3 kg) and thoroughly mixed. about the assay are provided in the kit instructions. Briefly,
From this 3-kg pooled sample, 500 g was taken and the assay is based on the established enzymic hydrolysis
blended in a food processor to a homogeneous consistency method measuring total fructan (McCleary & Blakeney,
and approximately 100 g was taken for freeze-drying 1999). This approach utilises highly purified and specific
(Operon Freeze-drier; Thermoline Scientific, Smithfield, enzymes to hydrolyze sucrose, starch and fructans.
NSW, Australia). Extraction procedures were completed Average portion sizes were obtained using the nutrition
in triplicate as described in previous studies (Muir et al., software Foodworks, Version 6 (Xyris Software Australia
2009). The dried sample was finely ground with a mortar Pty Ltd, Highgate Hill, QLD, Australia) and used the
and pestle. Approximately 1 g of sample was added to household measures of one cup = 250 mL and one table-
100 mL of distilled water (80 !C) and stirred with heat spoon = 15 mL.
(80 !C) for 15 min. The samples were filtered via
Whatman filter paper (no. 1; Whatman, Maidstone, UK).
Results
If the samples remained turbid, they were then filtered
through 0.22 lm sterile Millex GP syringe driven filter Elution profile of standards, wholegrain bread and
units (Millipore, Carrigtwohill, Co., Cork, Ireland) and muesli
through an OASIS HLB Cartridge (Waters, Milford, MA, Examples of chromatogram profiles for sugar standards
USA). New filter paper was used for samples that con- are shown for both columns in Fig. 1. Examples of chro-
tained a high starch content. If immediate analysis was matogram profiles via both columns are shown for
not possible, samples were stored frozen at )20 !C. If wholegrain bread (Fig. 2) and muesli (Fig. 3).
samples remained turbid, they were refiltered (after thaw-
ing if appropriate) before analysis.
Content of short-chain carbohydrates in cereal
grain products
Measurement of short-chain carbohydrates
Quantities of short-chain carbohydrates measured via
The analytical technique was based on HPLC with an HPLC with ELSD, as well as total fructans (measured
ELSD. The reagents and standards, HPLC apparatus (con- enzymatically) in common grain and cereal products, are
sisting of a ELSD Waters 2424, HPLC Pump Waters 515, given in Tables 2–6. Fructans were the major short-chain
Waters Autosampler 717 Plus, and a Waters Column carbohydrates present in eight common Australian grains
Heater) and chromatographic procedure were kept and pastas (Table 2). The grains and pastas with the high-
consistent with previous studies (Muir et al., 2009). Two est amount of fructans (g per portion as eaten) included
Table 1 (Continued)
Food Description Sampling details
Wheat, Multigrain Commercially prepared bread made from white Composite sample of purchases – Noble Rise Multigrain (Noble
flour with kibbled grains added to the mix Rise, Enfield, NSW, Australia), Coles Bread Multigrain Sliced
(Coles, Tooronga, Vic., Australia), Coles Smart Buy Multigrain
Bread (Coles, Tooronga, Vic., Australia), Flinders Cobb
Multigrain (Flinders Bread, Mornington, Vic., Australia),
Helga’s Continental Bakehouse Mixed Grain Bread (Helga’s
Continental Bakehouse – Quality Bakers Australia Pty Ltd,
North Ryde, NSW, Australia), Mighty Soft Bread Sandwich
Multigrain (Mighty Soft, Enfield, NSW, Australia), Tip Top
Sunblest Bread Multigrain Sandwich
(Tip Top, Enfield, NSW, Australia)
Wheat, White Commercially prepared bread made from white, Composite sample of purchases – Coles White 6 Vitamins &
wheaten bread-making flour and other permitted Minerals (Coles, Tooronga, Vic., Australia), Buttercup Country
ingredients Split White (Country Split – Quality Bakers, North Ryde, NSW,
Australia), Noble Rise White (Noble Rise, Enfield, NSW,
Australia), Buttercup Country Split White Bread (Country
Split – Quality Bakers, North Ryde, NSW, Australia), Coles
Smart Buy White Toast Bread (Coles, Tooronga, Vic.,
Australia), Helga’s Bread Traditional White (Helga’s
Continental Bakehouse - Quality Bakers Australia Pty Ltd,
North Ryde, NSW, Australia), Mighty Soft Bread Sandwich
White (Mighty Soft, Enfield, NSW, Australia), Tip Top
Sunblest Bread White Thick (Tip Top, Enfield, NSW,
Australia), Wonder White Bread +7 Vitamins & Minerals
Sandwich (Wonder White – Quality Bakers, North
Ryde, NSW, Australia)
Wheat, Wholegrain Commercially prepared bread made from Composite sample of purchases – Helga’s Wholemeal Grain
wholemeal and rye flour with kibbled grains (Helga’s Continental Bakehouse - Quality Bakers Australia Pty
added to the mix Ltd, North Ryde, NSW, Australia), Noble Rise Wholegrain
(Noble Rise, Enfield, NSW, Australia), Tip Top 9 Grain
Wholegrain (Tip Top, Enfield, NSW, Australia)
Wheat, Wholemeal Commercially prepared bread made from flour Composite sample of purchases – Sunblest Wholemeal
containing all the milled constituents of the (Tip Top, Enfield, NSW, Australia), Coles Smart Buy
wheat grain Wholemeal Bread (Coles, Tooronga, Vic., Australia), Noble
Rise Wholemeal (Noble Rise, Enfield, NSW, Australia), Coles
Bread Wholemeal Sliced (Coles, Toorak, Vic., Australia),
Helga’s Bread Traditional Wholemeal (Helga’s Continental
Bakehouse - Quality Bakers Australia Pty Ltd, North Ryde,
NSW, Australia), Mighty Soft Bread Sandwich Wholemeal
(Mighty Soft, Enfield, NSW, Australia), Tip Top Sunblest Bread
Wholemeal Sandwich (Tip Top, Enfield, NSW, Australia),
Wonder Wholemeal + Iron Bread, Buttercup Country Split
Wholemeal Bread (Wonder Wholemeal – Quality Bakers,
North Ryde, NSW, Australia)
Breakfast cereals
All-Bran" Wheat bran pellets made from wheat bran Composite sample of purchases – Kellogg’s All Bran
(Kellogg’s, Pagewood, NSW, Australia)
Corn flakes Breakfast cereal made from flakes of corn Composite sample of purchases – Coles Smart Buy Corn flakes
(Coles, Tooronga, Vic., Australia), Kellogg’s Corn flakes
(Kellogg’s, Pagewood, NSW, Australia)
Muesli Breakfast cereal made from rolled oats, dried fruit Composite sample of purchases – Lowan Whole Foods
and other ingredients including wheat bran, Original Harvest Muesli (Lowan Whole Food, Glendenning,
wheat germ, sugar, nuts and/or seeds NSW, Australia), Carman’s Classic Fruit Muesli (Carman’s
Fine Food, Cheltenham, Vic., Australia)
Table 1 (Continued)
Food Description Sampling details
Muesli, gluten free Breakfast cereal formulated using puffed rolled rice, Composite sample of purchases – Freedom Foods Gluten
nuts and seeds (linseed, sunflower and almonds), Free Muesli (Freedom Foods, Stanbridge, NSW, Australia)
dried fruits, coconut and psyllium
Muesli, yeast free Breakfast cereal formulated using wheat Composite sample of purchases – Freedom Foods Yeast
free wholegrain cereals, coconut, seeds and nuts Free Muesli (Freedom Foods, Stanbridge, NSW, Australia)
(sunflower, linseed, sesame and almonds)
Oats, dry Crushed grain produced by steaming and flattening Composite sample of purchases – Uncle Toby’s Quick Oats
the oats with rollers. No further cooking. Includes (Uncle Toby’s Rhodes, NSW, Australia), Coles Quick Oats
traditional and quick cooking styles (Coles, Tooronga, Vic., Australia), Lowan Whole Foods Quick
Oats (Lowan Whole Food, Glendenning, NSW, Australia)
Ready-to-eat Breakfast cereal consisting of flakes of wheat, Composite sample of purchases – Kellogg’s Sustain
mixed grain corn, rice and oats with added dried fruit (Kellogg’s, Pagewood, NSW, Australia)
flakes with fruit and nuts
Rice Bubbles" Breakfast cereal made from toasted puffed Composite sample of purchases – Coles Rice Puffs
or popped rice grains (Coles, Tooronga, Vic., Australia), Kellogg’s Rice Bubbles
(Kellogg’s, Pagewood, NSW, Australia)
Wholegrain wheat Breakfast cereal prepared from whole wheat, Composite sample of purchases – Sanitarium Weetbix
biscuit (Weetbix") with added sugar and formed into a biscuit shape (Sanitarium Health Food Company, Berkeley Vale,
NSW, Australia)
Biscuits and snacks
Biscuit, chocolate Commercially prepared sweet biscuits Composite sample of purchases – Paradise Cottage Cookies
chip embedded with chocolate chips Chocolate Indulgence (Paradise Food Industries, Carole Park,
QLD, Australia) Coles Choc Chip Cookies Premium Quality
(Coles, Tooronga, Vic., Australia), Arnott’s Premier Chocolate
Chip Cookies (Arnott’s Biscuits, North Strathfield, NSW,
Australia), Coles Smart Buy Chocolate Chip Cookies
(Coles, Tooronga, Vic., Australia)
Biscuit, cream filled, Commercially prepared sweet biscuit, generally Composite sample of purchases – Arnotts Tim Tam (Arnott’s
chocolate coating chocolate flavoured, sandwiched with sweetened Biscuits, North Strathfield, NSW, Australia), Coles Chocolate
creamy filling and coated in chocolate Surrenders (Coles, Tooronga, Vic., Australia), Coles Chocolate
Mint Supremes (Coles, Tooronga, Vic., Australia), Arnotts
Mint Slice (Arnott’s Biscuits, North Strathfield, NSW, Australia)
Biscuit, fruit filled Commercially prepared biscuit filled with dried vine Composite sample of purchases – Arnotts Snack Right Fruit
fruit mix Pillows Wildberry (Arnott’s Biscuits, North Strathfield, NSW,
Australia), Arnotts Snack Right Fruit Pillows Apple & Sultana
(Arnott’s Biscuits, North Strathfield, NSW, Australia), Arnotts
Full O’ Fruit (Arnott’s Biscuits, North Strathfield, NSW,
Australia)
Biscuit, savoury, Commercially prepared, small, savoury biscuits Composite sample of purchases – Arnott’s Salada (Arnott’s
plain made from white wheat flour and added fat Biscuits, North Strathfield, NSW, Australia), Kraft Premium
sprinkled with salt Original Crispbread (Kraft Foods, South Wharf, Vic., Australia)
Biscuit, savoury, Square biscuits made from wholemeal wheat flour, Composite sample of purchases – Arnott’s Wholemeal Salada
wholemeal with added fat, sprinkled with salt, commercially (Arnott’s Biscuits, North Strathfield, NSW, Australia), Kraft
prepared Premium Wholemeal Crispbread (Kraft Foods, South
Wharf, Vic., Australia)
Biscuit, savoury, A thin, flat rectangle of dry bread made Composite sample of purchases – Ryvita Wholegrain Rye
rye crispbread predominantly from rye flour, including lite Crispbread (Ryvita – Manassen Foods, Wetherill Park, NSW,
varieties commercially prepared; some brands Australia), Arnotts Rye Cruskits (Arnott’s Biscuits, North
may include a proportion of wheat flour Strathfield, NSW, Australia)
Biscuit, shortbread Shortbread-style biscuits, commercially prepared, Composite sample of purchases – Coles Smartbuy Scotch
made using butter. Other ingredients may include Finger (Coles, Tooronga, Vic., Australia), Arnotts Scotch
wheat flour, sugar and rice flour Finger (Arnott’s Biscuits, North Strathfield, NSW, Australia),
Paradise Butterscotch Shortbread, Walker’s Shortbread
(Paradise Food Industries, Carole Park, Qld, Australia)
Table 1 (Continued)
Food Description Sampling details
Biscuit, sweet, plain Commercially prepared, plain sweet biscuits made Composite sample of purchases - Arnotts Milk Arrowroot
without added flavourings, chocolate, fruit or nuts (Arnott’s Biscuits, North Strathfield, NSW, Australia), Arnotts
Milk Coffee (Arnott’s Biscuits, North Strathfield, NSW,
Australia), Arnotts Nice (Arnott’s Biscuits, North Strathfield,
NSW, Australia), Arnotts Teddy Bear (Arnott’s Biscuits,
North Strathfield, NSW Australia), Coles Smartbuy Milk
Coffee (Coles, Tooronga, Vic., Australia), Coles Smartbuy
Nice (Coles, Tooronga, Vic., Australia), Coles Smartbuy
Milk Arrowroot (Coles, Tooronga, Vic., Australia)
Chips, potato, plain Snack product that consists of thinly sliced potato, Composite sample of purchases - Smiths Thinly Cut
deep fried in vegetable oil, salted & packaged (Smith’s Snackfood Company, Chatswood, NSW, Australia),
Original, Smiths Crinkle Cut Original (Smith’s Snackfood
Company, Chatswood, NSW, Australia), Arnotts Thins
Original (Arnott’s Biscuits, North Strathfield, NSW, Australia),
Coles Thin Sliced Original (Coles, Tooronga, Vic., Australia),
Coles Crinkle Cut Plain (Coles, Tooronga, Vic., Australia)
Corn thins, plain Commercially prepared, round savoury dry cake, Composite sample of purchases - Real Foods Original
approximately 1 cm thick, made from puffed Corn Thins (Real Foods, St Peters, NSW, Australia)
corn. Unsalted
Corn thins, Commercially prepared, round savoury dry cake, Composite sample of purchases - Real Foods Sour Cream
flavoured approximately 1 cm thick, made from puffed and Chives Flavoured Corn Thins (Real Foods, St Peters, NSW,
(sour cream corn, flavoured Australia)
& chives)
Muesli bar, Snack style product whose major ingredients Composite sample of purchases - Uncle Toby’s Body Wise
plain with include rolled oats, sugars and vegetable oils, Berry Fusion (Uncle Toby’s Rhodes, NSW, Australia), You’ll
dried fruit and generally have added dried fruits (typically Love Coles Oven Baked Fruit bars (Coles, Tooronga, Vic.,
apricot, sultana and apple) Australia), Carman’s Classic Fruit Muesli Bars (Carman’s Fine
Food, Cheltenham, Vic., Australia), Be Natural Trail Bars 5
Wholegrain Cranberry (Be Natural Snacks, Charmhaven,
NSW, Australia)
Rice cakes, plain Commercially prepared, round savoury dry cake, Composite sample of purchases - SunRice Thin Rice Cake
approximately 1 cm thick, made from brown (SunRice, Leeton, NSW, Australia)
puffed rice Unsalted
Rice cakes, Commercially prepared, round savoury dry Composite sample of purchases - SunRice Thin Flavoured
flavoured cake, approximately 1 cm thick, made from Rice Cake Sour Cream and Chives (SunRice, Leeton, NSW,
(sour cream brown puffed rice, flavoured Australia)
& chives)
Pretzels A baked snack, usually made from wheat flour Composite sample of purchases - Parkers Lightly Baked Mini
with yeast. Lightly salted before baking. Includes Pretzels (Parker’s, Thornleigh, NSW, Australia), Parkers Baked
flavoured varieties. Sold packaged Wheat Pretzel Twists (Parker’s, Thornleigh, NSW, Australia)
Pulses
Beans, mixed, Three or four bean mix comprising red kidney, Composite sample of purchases - You’ll Love Coles Four Bean
canned lima and butter beans and chickpeas. Canned in Mix (Coles, Tooronga, Vic., Australia), Edgell Four Bean Mix
sweetened brine (Edgell, Mentone, Vic., Australia)
Borlotti beans, Borlotti beans (also known as roman beans Composite sample of purchases – You’ll Love Coles Borlotti
canned or romano beans) boiled and canned in brine beans (Coles, Tooronga, Vic., Australia), Annalisa Borlotti
beans (Annalisa, Castel San Giorgio, SA, Italy), BioNature
Borlotti beans (BioNature, Campbellfield, Vic., Australia)
Butter beans, Boiled and canned butter beans in brine Composite sample of purchases – You’ll Love Coles Butter
canned beans (Coles, Tooronga, VIC, Australia), Edgell Butter beans
(Edgell, Mentone, Vic., Australia)
Chickpeas, Boiled and canned chickpea in brine Composite sample of purchases – Woolworths Select
canned Chickpeas (Woolworths Ltd, Bella Vista, NSW, Australia),
BioNature Organic Chickpeas (BioNature, Campbellfield, Vic.,
Australia), Annalisa Chickpeas (Annalisa, Castel San
Giorgio SA Italy)
Table 1 (Continued)
Food Description Sampling details
Haricot beans, Dried haricot beans soaked overnight, boiled in Composite sample of purchases – Goldfish Haricot beans
boiled unsalted water, and drained (Goldfish – Wah Lien Trading Pty Ltd, Kensington, Vic.,
Australia), McKenzies Haricot beans (McKenzies, Altona, Vic.,
Australia)
Red kidney Dried kidney beans, soaked overnight, boiled in Composite sample of purchases – McKenzie’s Red kidney
beans, boiled unsalted water, and drained beans (McKenzies, Altona VIC Australia), Woolworths Select
Red kidney beans (Woolworths Ltd, Bella Vista, NSW,
Australia)
Lentils, Dried green lentils soaked, boiled in unsalted Composite sample of purchases – Colonial Fruit Co Green
green, boiled water and drained lentils (Colonial Fruit Co, Forest Hill, Vic., Australia),
McKenzies Green lentils (McKenzies, Altona, Vic., Australia)
Lentils, red, boiled Dried red lentils soaked, boiled in unsalted Composite sample of purchases – McKenzies Red lentils
water and drained (McKenzies, Altona, Vic., Australia)
Lentils, canned Boiled and canned lentils in brine Composite sample of purchases – Annalisa Lentils (Annalisa,
Castel San Giorgio, SA, Italy), La Nova Lentils (La Nova,
Pooraka, SA, Australia), Edgell Lentils (Edgell, Mentone,
Vic., Australia)
Lima beans, Dried lima beans soaked, boiled in unsalted Composite sample of purchases – McKenzies Lima beans
boiled water and drained (McKenzies, Altona, Vic., Australia), Woolworths Select Lima
beans (Woolworths Ltd, Bella Vista, NSW, Australia), Just Deli
Lima beans (Just Deli, Blackburn, Vic., Australia)
LSA (Linseed Linseed-Sunflower-Almond mix is a formulated Composite sample of purchases – Nu-Vit LSA Mix
Sunflower seed-meal supplement (Nu-Vit – Harvests Food Products, Thomastown, Vic.,
Almond mix) Australia), Healthy Life LSA Blend (Healthy Life, Milperra,
NSW, Australia)
Soya beans, boiled Dried soya beans soaked, boiled in unsalted Composite sample of purchases – Goldfish Soya beans
water, drained (Goldfish – Wah Lien Trading Pty Ltd, Kensington, Vic.,
Australia), Woolworths Select Soya beans (Woolworths Ltd,
Bella Vista, NSW, Australia)
Split peas, boiled Dried split peas (yellow and green) soaked, Composite sample of purchases – McKenzies Yellow Split Peas
boiled in unsalted water, drained (McKenzies, Altona, Vic., Australia), Maharajah’s Choice
Yellow Split Peas (Maharajah’s Choice, Hallam, Vic.,
Australia), McKenzies Green Split Peas (McKenzies,
Altona, Vic., Australia)
gnocchi 1.19 g > couscous 1.12 g > wheat pasta 0.50 g > (g per portion as eaten) were in dark rye 0.60 g > rye
gluten-free pasta 0.24 g > quinoa pasta 0.22 g. Traces of sourdough bread 0.54 g > rye 0.44 g > wheat multigrain
fructose were detected in all samples, except for gluten-free 0.38 g > wheat wholegrain 0.36 g > white wheat bread
pasta, and was found in quantifiable amounts (g per 0.33 g > wheat wholemeal 0.23 g. Fructose occurred in
portion as eaten) only in gnocchi (0.28 g), quinoa pasta excess of glucose (g per 100 g as eaten) in all breads,
(0.05 g) and couscous (0.02 g). No sample contained except multigrain and sourdough; the highest levels
fructose in excess of glucose. Rice (brown rice, white rice, (g per portion as eaten) were in gluten-free (0.12 g) and
rice noodles) did not contain any quantifiable levels of rye breads (0.11 g). Mannitol was detected in six varieties
short-chain carbohydrates. but was quantified only in sourdough bread. Wheat, rye,
spelt-based breads all contained raffinose. The highest
quantifiable amounts of raffinose were found in multi-
Content of short-chain carbohydrates in bread products
grain (0.26 g) and light rye sourdough (0.17 g). Stachyose
Quantities of short-chain carbohydrates contained in 10 was only found in wholegrain (0.19 g) and wholemeal
common Australian breads are presented in Table 3. All bread (0.15 g). The results for separate brands of spelt
breads contained fructose and glucose. The most com- breads are also presented in Table 3. One bread contain-
mon short-chain carbohydrates present was fructans but ing 25% spelt flour contained raffinose (0.14 g per por-
other FODMAPs included excess fructose, sorbitol, man- tion) and the lowest total fructan content (0.07 g per
nitol and raffinose. The highest amount of total fructans portion) of any of the breads tested.
(a)
(b) 5
1 3
4
6
7 10
8 9
11
Figure 1 (a) High-performance liquid chromatography (HPLC) with evaporative light scattering detection (ELSD) chromatogram profile illustrating
the location of standard sugars using a Waters High-Performance Carbohydrate Column with acetonitrile : water (75 : 25, v/v) as the mobile
phase. Peaks: 1, fructose; 2, glucose; 3, sorbitol; 4, mannitol; 5, galactose; 6, sucrose; 7, maltose; 8, lactose; 9, nystose; 10, raffinose; 11,
kestose; 12, stachyose. (b) HPLC with ELSD chromatogram profile illustrating the location of standard sugars using the Sugar-Pak column with
water as the mobile phase. Peaks: 1, nystose; 2, stachyose; 3, kestose; 4, raffinose; 5, sucrose; 6, lactose; 7, glucose; 8, galactose; 9, fructose;
10, mannitol; 11, sorbitol.
(a)
(b)
Figure 2 High-performance liquid chromatography with evaporative light scattering detection chromatogram profile of wholegrain bread using
(a) Waters High-Performance Carbohydrate Column (peaks: 1, unretained compound; 2, fructose; 3, glucose; 4, unknown sugar; 5, sucrose; 6,
raffinose; 7, unknown sugar; 8, stachyose) and (b) Sugar-Pak column (peaks: 1, raffinose and stachyose; 2, unknown sugar; 3, sucrose; 4,
glucose; 5, fructose).
(a)
(b)
Figure 3 High-performance liquid chromatography with evaporative light scattering detection chromatogram profile of muesli using (a) Waters
High-Performance Carbohydrate Column (peaks: 1, unretained compound; 2, fructose; 3, glucose/mannitol/sorbitol; 4, sucrose; 5, raffinose; 6,
stachyose) and (b) Sugar-Pak column (peaks: 1, unretained compound; 2, unknown sugar; 3, sucrose; 4, glucose; 5, fructose; 6, unknown sugar;
7, sorbitol.
Table 2 Short-chain carbohydrates separated via high-performance liquid chromatography (HPLC) with evaporative light scattering detection
(ELSD) and total fructans as measured enzymatically in common Australian grains and pasta (g per 100 g fresh weight sample and g per average
portion*)
Total fructans
Short-chain carbohydrates via HPLC with ELSD (via enzymic assay)
Excess
Food Fructose Glucose fructose§ Lactose Sorbitol Mannitol Raffinose Stachyose Nystose Kestose Total fructan
Couscous, cooked
g per 100 g as eaten weight 0.01 0.03 0 ND ND TR ND ND ND ND 0.73
g per 154 g (one cup) 0.02 0.05 0 ND ND TR ND ND ND ND 1.12
Noodles, rice stick
g per 100 g as eaten weight TR TR 0 ND ND ND ND ND ND TR ND
g per 220 g (one cup) TR TR 0 ND ND ND ND ND ND TR ND
Pasta, gluten free
g per 100 g as eaten weight ND 0.22 0 ND ND ND ND ND ND ND 0.19
g per 127 g (one cup) ND 0.28 0 ND ND ND ND ND ND ND 0.24
Pasta, gnocchi
g per 100 g as eaten weight 0.14 0.21 0 ND ND ND ND ND ND ND 0.60
g per 199 g (one cup) 0.28 0.42 0 ND ND ND ND ND ND ND 1.19
Pasta, wheat
g per 100 g as eaten weight TR TR 0 ND ND ND ND ND ND ND 0.34
g per 148 g (one cup) TR TR 0 ND ND ND ND ND ND ND 0.50
Pasta, quinoa
g per 100 g as eaten weight 0.03 0.54 0 ND ND ND ND ND ND ND 0.14
g per 154 g (one cup) 0.05 0.83 0 ND ND ND ND ND ND ND 0.22
Rice, brown
g per 100 g as eaten weight TR TR 0 ND ND ND ND ND ND ND TR
g per 180 g (one cup) TR TR 0 ND ND ND ND ND ND ND TR
Rice, white
g per 100 g as eaten weight TR TR 0 ND ND ND ND ND ND ND ND
g per 190 g (one cup) TR TR 0 ND ND ND ND ND ND ND ND
*Average portion sizes were obtained from Foodworks, Version 6; ND, not detected.
!
Fructose, glucose, sorbitol and mannitol data were obtained from the Sugar Pak Column (column 1).
"
Data for lactose, galactooligosaccharides (GOS) (raffinose and stachyose) and fructooligosaccharides (FOS) (nystose and kestose) were obtained
using the High-Performance column (column 2).
§
Excess fructose = fructose – glucose; TR, trace amounts detected only.
166
in common Australian breads (g per 100 g fresh weight sample and g per average portion*)
Total fructans
Short-chain carbohydrates via HPLC with ELSD (via enzymic assay)
Food Fructose Glucose Excess fructose§ Lactose Sorbitol Mannitol Raffinose Stachyose Nystose Kestose Total fructan
Gluten free
g per 100 g as eaten weight 0.46 0.22 0.24 ND TR TR 0.14 ND 0.09 0.07 0.19
g per 52 g (two slices) 0.24 0.11 0.12 ND TR TR 0.07 ND 0.05 0.04 0.10
Rye
g per 100 g as eaten weight 0.38 0.11 0.27 TR ND ND 0.24 ND ND ND 1.05
g per 42 g (one slice) 0.16 0.05 0.11 TR ND ND 0.10 ND ND ND 0.44
Rye, dark
Short-chain carbohydrates in grains and cereals
*Average portion sizes were obtained from Foodworks, Version 6; ND, not detected.
!
Fructose, glucose, sorbitol and mannitol data were obtained from the Sugar Pak Column (column 1).
"
Data for lactose, galactooligosaccharides (GOS) (raffinose and stachyose) and fructooligosaccharides (FOS) (nystose and kestose) were obtained using the High-Performance column (column 2).
§
Excess fructose = fructose – glucose; TR, trace amounts detected only.
J. R. Biesiekierski et al.
Food Fructose Glucose Excess fructose§ Lactose Sorbitol Mannitol Raffinose Stachyose Nystose Kestose Total fructan
All-Bran"
g per 100 g as eaten weight 1.07 0.57 0.56 ND ND ND 1.32 ND 0.66 TR 2.35
g per 32.5 g (0.5 cup) 0.35 0.19 0.18 ND ND ND 0.43 ND 0.21 TR 0.76
Corn flakes
The British Dietetic Association Ltd. 2011 J Hum Nutr Diet, 24, pp. 154–176
g per 55 g (0.5 cup) 9.25 10.44 0 ND 0.49 ND 0.18 TR 0.21 ND 0.96
Muesli, wheat free
g per 100 g as eaten weight 0.32 ND 0.32 ND ND ND 0.52 TR ND 0.13 1.08
g per 55 g (0.5 cup) 0.18 ND 0.18 ND ND ND 0.29 TR ND 0.07 0.59
Oats, dry
g per 100 g as eaten weight ND ND 0 ND ND ND 0.34 TR ND ND 0.32
g per 34 g (0.5 cup) ND ND 0 ND ND ND 0.12 TR ND ND 0.11
Ready-to-eat mixed grain flakes with fruit and nuts (SustainTM)
g per 100 g as eaten weight 5.27 5.67 0 ND ND ND 0.28 TR ND ND 2.04
g per 30 g (one cup) 1.58 1.70 0 ND ND ND 0.08 TR ND ND 0.61
Rice Bubbles"
g per 100 g as eaten weight 0.29 0.17 0.12 ND ND ND ND ND ND ND 1.04
g per 30 g (one cup) 0.09 0.05 0.04 ND ND ND ND ND ND ND 0.31
Wholegrain wheat biscuit (Weetbix")
g per 100 g as eaten weight 0.56 0.56 0 ND ND ND 0.31 TR ND ND 2.05
g per 30 g (two biscuits) 0.17 0.17 0 ND ND ND 0.09 TR ND ND 0.62
167
Table 5 Short-chain carbohydrates separated via high-performance liquid chromatography (HPLC) with evaporative light scattering detection (ELSD) and total fructans as measured enzymatically
168
in common Australian biscuits and snacks– (g per 100 g fresh weight sample and g per average portion*)
Total fructans
Short-chain carbohydrates via HPLC with ELSD (via enzymic assay)
Food Fructose Glucose Excess fructose§ Lactose Sorbitol Mannitol Raffinose Stachyose Nystose Kestose Total fructan
Data for lactose, galactooligosaccharides (GOS) (raffinose and stachyose) and fructooligosaccharides (FOS) (nystose and kestose) were obtained using the High-Performance column (column 2).
and glucose, where the highest amounts of excess fructose
Total fructans
Total fructan
0.78
0.09
1.60
0.19
detected in five samples; flavoured corn thins had the
highest (0.06 g). GOS (raffinose or stachyose) was not
found in quantifiable levels. Rye crispbread was the only
Kestose
ND
ND
ND
ND
0.17 g kestose). Kestose was also found in pretzels
(0.10 g).
Nystose
FOS"
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
kidney beans 0.51 g > lima beans 0.27 g > soya beans
ND
ND
ND
ND
ND
ND
canned lentils (0.01 g) and split peas (0.01 g). Both sugar
ND
ND
ND
ND
Sugar polyols!
0.37
0.04
ND
ND
lentils.
Excess fructose = fructose – glucose; TR, trace amounts detected only.
0.23
0.03
TR
TR
TR
TR
0.23
0.03
et al., 1995) (Table 7). The foods chosen were wheat pasta,
TR
TR
Discussion
Pretzels
–
!
"
Table 6 Short-chain carbohydrates separated via high-performance liquid chromatography (HPLC) with evaporative light scattering detection
(ELSD) and total fructans as measured enzymatically in common Australian pulses* and linseed sunflower almond mix (g per 100 g fresh weight
sample and g per average portion!)
Total fructans
(via enzymic
Short-chain carbohydrates via HPLC with ELSD assay)
Excess Total
Food Fructose Glucose fructose– Lactose Sorbitol Mannitol Raffinose Stachyose Nystose Kestose fructan
Food Fructose Glucose Excess fructose Lactose Sorbitol Mannitol Raffinose Stachyose Nystose Kestose Total fructan
J. R. Biesiekierski et al.
The British Dietetic Association Ltd. 2011 J Hum Nutr Diet, 24, pp. 154–176
Current* 0.26 0.10 0.16 TR TR TR 0.23 ND 0.11 ND 0.68
Others! 0.20 0.20 0 0 – – – – – – –
Others" 0.73 0.37 0.36 – – – – – – – –
Others§ 1.50 1.80 0 ND – – ND ND – – –
Rye
Current* 0.38 0.11 0.27 TR ND ND 0.24 ND ND ND 1.05
Others! 0.40 0.40 0 0 – – – – – – –
Others" 0 0 0 – – – – – – – –
Others** – – – – – – – – – – 0.96
Breakfast cereals""
All-Bran"
Current* 1.07 0.57 0.56 ND ND ND 1.22 ND 0.66 TR 2.35
Others! 1.70 1.20 0.50 0 – – – – – – –
Others!! 0.70 0.90 0 0 – – – – – – –
Corn flakes
Current* 1.13 1.33 0 ND ND ND TR ND ND ND 1.07
Others! 2.40 2.40 0 0 – – – – – – –
Others§ 2.40 1.40 1.00 0 – – ND ND – – –
Others!! 2.90 1.60 1.30 0 – – – – – – –
Oats, dry
Current* ND ND ND ND ND ND 0.34 TR ND ND 0.32
Others! 0 0 0 0 – – – – – – –
Others§ ND 0 0 0 – – ND ND – – –
Short-chain carbohydrates in grains and cereals
171
Table 7 (Continued)
172
Total fructans
Short-chain carbohydrates via high-performance liquid chromatography (HPLC) with evaporative light scattering detection (ELSD) (via enzymic assay)
Food Fructose Glucose Excess fructose Lactose Sorbitol Mannitol Raffinose Stachyose Nystose Kestose Total fructan
Rice Bubbles"
Current* 0.29 0.17 0.12 ND ND ND ND ND ND ND 1.04
Others! 1.30 1.00 0.30 0 – – – – – – –
Others§ 0 0 0 0 – – ND ND – – –
Others!! 0.40 0.90 0 0 – – – – – – –
Biscuits and snacks""
Biscuit, chocolate chip
Current* 0.17 0.12 0.05 0.28 0.08 ND ND ND ND ND 1.82
Short-chain carbohydrates in grains and cereals
*Present study using HPLC with ELSD and fructan enzymic assay.
!
Data obtained from NUTTAB database (FSANZ, 2006) using gas chromatography (GC) and HPLC.
"
Results (Li et al., 2002) obtained using HPLC according to AOAC Method 982.14.
§
Data (Matthews et al., 1987) based on analysis via HPLC or GC.
–
Fructans DP2, DP3 and DP4 measured only (Campbell et al., 1997).
**Total fructan content measured using AOAC Method 999.03 (Van Loo et al., 1995); excess fructose = fructose – glucose.
!!
Data (Southgate et al., 1978) obtained using enzymic, GC, HPLC.
""
Not freeze-dried; TR, trace amounts detected only; ND, analysed but not detected; –, not analysed.
GOS, galactooligosaccharides; FOS, fructooligosaccharides.
J. R. Biesiekierski et al.
prebiotics (fructans and GOS) and other SCC in common may be the consequence of the different types of flours
processed grains, cereals and pulses. The results show used in the baking; for example, the addition of soy flour
clearly that fructans are the major short-chain carbohy- to a bread ingredient will boost the GOS content. It is
drates present in wheat-based grains, pasta, breads and well known that soy products including soy flour will be
breakfast cereals, whereas GOS and total fructan predomi- high in GOS (Messina, 1999). In addition, the use of
nate in pulses. To our knowledge, there are no other varying sourdough cultures in bread making may alter
composition tables that record quantitative information the total FODMAP content. During the sourdough bread
regarding mono- and disaccharides, sugar polyols, GOS, making process, the sourdough culture fermentation can
FOS and total fructan in the same food samples. produce mannitol as a by-product (Van Der Meulen
Quantifying this number of SCC in foods requires a et al., 2007) as well as significantly degrade the rye fruc-
number of analytical approaches. We have used HPLC tan (Andersson et al., 2009).
with ELSD to quantify most short-chain carbohydrates as Other types of food processing may also affect quantities
described in detail previously (Muir et al., 2009). Because of SCC measured in food. There were differences between
of the problem of ‘co-elution’ of some carbohydrates boiled and canned lentils in the levels of raffinose and fruc-
using this approach, two separate columns with two dif- tan, possibly as a result of the effects of cooking. Cooking
ferent mobile phases were used to ensure that sugars of can reduce or increase GOS contents depending on the
interest were well separated (see Muir et al., 2009 for full extent of ‘leaching’ of the water-soluble GOS into the sur-
discussion). Use of HPLC methodology alone, however, rounding cooking solution or possibly release bound GOS
does not provide accurate quantitative information about within the food matrix (Han & Baik, 2006).
the large fructan family, where another approach involv- With the increasing evidence supporting the benefits of
ing enzymic hydrolysis is required. dietary SCC, the information provided in the present
Foods contain a complex mixture of fructans of differ- study may be used as a guide for people wanting to
ent chain lengths including short-chains of degree of increase their natural dietary sources of these prebiotic-
polymerisation (DP) 2–9 units or FOS (including nystose carbohydrates (Gibson et al., 2005; Macfarlane et al.,
GF3 and kestose GF2) as well as longer-chain DP ‡ 10 or 2008; Roberfroid, 2005). The majority of inulin and FOS
‘inulins’ (Van Loo et al., 1995). The HPLC method research focuses on the plant species suitable for indus-
described in the present study is only suitable for quanti- trial functional food and nonfood application. This cur-
fication of FOS- nystose and kestose and does not pro- rent data indicate that fructans (FOS and inulin) are also
vide information about other longer-chain fructans naturally present in significant amounts in other dietary
DP ‡ 4. For this reason, the total fructans were measured sources. The benefits derived from these carbohydrates
using highly purified and specific enzymes to hydrolyse rely upon the rapid fermentation and the subsequent
and remove sucrose, starch, free fructose and glucose expansion of bacterial populations, especially of bifidobac-
followed by fructanase to hydrolyse all fructans present in teria and lactobacilli in the gut (Gibson et al., 2004). A
the sample (Muir et al., 2007). The present study showed dose range of 3.5–7 g per day of these fructans as pure
clearly that total fructans in cereal grains products were powders has been shown to produce these types of physi-
highest in couscous (1.12 g per portion), muesli (0.96 g ological benefits (Silk et al., 2009). The present study
per portion) and dark rye bread (0.6 g per portion) clearly shows that the foods naturally high in prebiotic
and lowest in rice and rice products (0-trace levels per fructans and GOS include dark rye, couscous and pulses.
portion). Although no studies exist to support the bifidogenic
The results obtained in the present study show clearly effects of unfortified foods, a dose of 3.5 g per day could
that cereal grain products can contain a number of differ- be reached easily by one average portion of couscous
ent types of short-chain carbohydrates. The quantity and (1.12 g), borlotti beans (1.03 g), pasta (0.50 g) and two
type of SCC present will in turn depend on the nature of slices of dark rye bread (1.2 g).
the grain-ingredient used in the manufacture of these Conversely, the data derived from this present study
products. For example, products made from rice tend to may also be used in conjunction with our previous work
be very low in FODMAP or prebiotic carbohydrates, describing the FODMAP content of fruits and vegetables
whereas products made using durum wheat (e.g. cous- (Muir et al., 2007, 2009) to provide a more complete die-
cous, wheat pasta) and rye (sourdough bread, savoury rye tary strategy aiming to reduce functional gut symptoms
crispbread) tend to be high. This clearly demonstrates in patients with IBS (Shepherd & Gibson, 2006). IBS is a
that levels can be manipulated in cereal grain products common disorder in our community and affects one in
through choice of grain ingredient. seven adults (Drossman et al., 1997). Short-chain carbo-
Indeed, the differences between the breads analysed in hydrates provide unabsorbed substrates to be fermented
the present study and other studies (Henry & Saini, 1989) by colonic microflora producing gases (H2, CO2, CH4)
and greatly contributing to GI symptoms such as wind, Conflict of interests, sources of funding and
bloating and pain in IBS (Gibson, 2007; Gibson & authorship
Shepherd, 2005; Robayo-Torres et al., 2006; Shepherd
et al., 2008). The present study followed previous obser- S.J.S. has published cookbooks directed towards issues of
vations (Muir et al., 2009) that some foods contain a dietary fructan restrictions, fructose malabsorption and
number of FODMAPs of which the load may be particu- coeliac disease. She has also published shopping guides
larly problematic for IBS patients. For example, the mue- for low FODMAPs and low fructose and fructan foods.
sli samples contained excess fructose, sorbitol and GOS, No funding is declared.
as well as total fructans. Other grains and cereal products JRB, OR, RR, JGM, PGR, JSB and SJS designed the study.
that contained more than one type of FODMAP included JRB, OR, RR, KL conducted the study and analysed the
breads, all breakfast cereals, all biscuits and snacks and all samples. JGM, JRB, JSB collected, analysed and inter-
pulses. High FODMAP-containing foods that should be preted the data. JGM, PRG, JSB, JRB drafted the manu-
avoided for individuals with IBS include couscous, wheat script. OR, RR, KL, JSB, JRB, SS, PRG and JGM have
pasta, rye-products, All-Bran and pulses. critically reviewed the manuscript and approved the final
Interestingly, of the breads tested in the present study, version submitted for publication.
spelt bread had the lowest levels of fructans. Spelt bread
made from 100% Australian spelt flour (with no addition
of soy flour) had the lowest levels of total FODMAPs and References
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