Evidence map›Paper›PMID 40419398›Full record

ReviewAsia Pacific journal of clinical nutrition2025

Predicting response to the low FODMAP diet in irritable bowel syndrome: Current evidence and clinical considerations.

Lauren P Manning, Caroline J Tuck, Jessica R Biesiekierski

Abstract readReview
In one paragraph

Review in Asia Pacific journal of clinical nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
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  6. Review
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

3 authors.

Lauren P ManningDepartment of Food, Nutrition and Dietetics, La Trobe University, Melbourne, Australia.
Caroline J TuckDepartment of Allied Health, Swinburne University, Melbourne, Australia.
Jessica R BiesiekierskiHuman Nutrition Group, School of Agriculture, Food and Ecosystem Sciences, University of Melbourne, Parkville, Australia. Email: jessica.biesiekierski@unimelb.edu.au.

Funding

Australian National Health and Medical Research Council Emerging Leadership Fellowship APP2025943
6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe low fermentable oligo-, di-, mono-saccharides and polyols (FODMAP) diet is an effective dietary intervention for irritable bowel syndrome (IBS), yet up to 50% of patients fail to re-spond adequately. Identifying reliable predictors of response could optimize treatment selection and improve treatment outcomes while avoiding unnecessary dietary restrictions. This narrative review examines current evidence for predictors of response to the low FODMAP diet and highlights gaps in knowledge that must be addressed to develop clinically useful indicators for routine practice. METHODS AND STUDY

designWe re-viewed the literature on the low FODMAP diet, and studies investigating factors that may predict treatment response, including clinical, diagnostic, biological, biochemical, and microbial markers.

resultsSeveral po-tential predictors to the low FODMAP diet have emerged, including baseline symptom severity, psychological factors (particularly depression), hydrogen breath test results, volatile organic compounds in fecal samples, and specific gut microbiota profiles. Clinical and psychological measures show the most immediate potential for implementation due to accessibility and established measurement tools. Biological markers, including breath testing, metabolomics, and microbiome analysis, show promise but require further validation in larger, diverse populations and standardization of methodologies.

conclusionsDespite promising research, signifi-cant gaps remain in developing reliable, accessible predictors of response to the low FODMAP diet. Future research should focus on validating simple clinical tools that combine symptom profiles with psychological assessment to guide treatment decisions. A personalized approach to dietary management of IBS based on reliable response predictors would optimize clinical outcomes while minimizing unnecessary dietary restriction and healthcare resource utilization.

Indexed as

Diet, Carbohydrate-RestrictedIrritable Bowel SyndromeFermentationFODMAP DietGastrointestinal MicrobiomeHumansMonosaccharidesPolymersMonosaccharidesPolymerspolyoldiet therapyFODMAPirritable bowel syndromepredictive markerstreatment response

Identifiers

PMID40419398
PMCPMC12126294

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.