Evidence mapPaperPMID 35565656Full record

Trial reportNutrients2022

A Starch- and Sucrose-Reduced Diet in Irritable Bowel Syndrome Leads to Lower Circulating Levels of PAI-1 and Visfatin: A Randomized Controlled Study.

Bodil Roth, Julia Myllyvainio, Mauro D'Amato, Ewa Larsson, Bodil Ohlsson

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 3 countries.

Bodil RothDepartment of Internal Medicine, Skåne University Hospital, SE-20502 Malmö, Sweden.
Julia MyllyvainioDepartment of Clinical Sciences, Lund University, SE-22100 Lund, Sweden.
Mauro D'AmatoGastrointestinal Genetics Lab, CIC bioGUNE-BRTA, 48160 Derio, Spain.
Ewa LarssonDepartment of Clinical Sciences, Lund University, SE-22100 Lund, Sweden.
Bodil OhlssonDepartment of Internal Medicine, Skåne University Hospital, SE-20502 Malmö, Sweden.ORCID 0000-0002-9142-5244
Lund University · SEIkerbasque · ES

Funding

Development Foundation of Region Skåne REGSKANE-818781 and 2018- Projekt0024Dir Albert Påhlsson´s Foundation 2019Foundation of Skåne University Hospital 2019
6 · The paper itself

Abstract

Irritable bowel syndrome (IBS) is characterized by gastrointestinal symptoms. Overweight and increased risk of metabolic syndromes/diabetes are observed in IBS, conditions associated with plasminogen activator inhibitor-1 (PAI-1) and visfatin. The aim of this study was to measure blood levels of AXIN1, cholecystokinin (CCK), enkephalin, ghrelin, neuropeptide Y (NPY), PAI-1, and visfatin before and after a 4-week intervention with a starch- and sucrose-reduced diet (SSRD). A total of 105 IBS patients were randomized to either SSRD (n = 80) or ordinary diet (n = 25). Questionnaires were completed, and blood was analyzed for AXIN1 and hormones. AXIN1 (p = 0.001) and active ghrelin levels (p = 0.025) were lower in IBS than in healthy volunteers at baseline, whereas CCK and enkephalin levels were higher (p < 0.001). In the intervention group, total IBS-symptom severity score (IBS-SSS), specific gastrointestinal symptoms, psychological well-being, and the influence of intestinal symptoms on daily life were improved during the study, and weight decreased (p < 0.001 for all), whereas only constipation (p = 0.045) and bloating (p = 0.001) were improved in the control group. PAI-1 levels tended to be decreased in the intervention group (p = 0.066), with a difference in the decrease between groups (p = 0.022). Visfatin levels were decreased in the intervention group (p = 0.007). There were few correlations between hormonal levels and symptoms. Thus, this diet not only improves IBS symptoms but also seems to have a general health-promoting effect.

Indexed as

Gastrointestinal DiseasesIrritable Bowel SyndromeCholecystokininDietEnkephalinsGhrelinHumansNicotinamide PhosphoribosyltransferasePlasminogen Activator Inhibitor 1StarchSucroseCholecystokininEnkephalinsGhrelinNicotinamide PhosphoribosyltransferasePlasminogen Activator Inhibitor 1StarchSucroseAXIN1cholecystokinin (CCK)enkephalinsghrelinirritable bowel syndrome (IBS)plasminogen activator inhibitor-1 (PAI-1)starch- and sucrose-reduced diet (SSRD)visfatin

Identifiers

PMID35565656
PMCPMC9101041
OpenAlexW4224286666

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.