Evidence map›Paper›PMID 16477493›Full record

Trial reportClinical autonomic research : official journal of the Clinical Autonomic Research Society2006

Subtle involvement of the parasympathetic nervous system in patients with irritable bowel syndrome.

Narender P van Orshoven, Gunnar I Andriesse, Leonard J van Schelven, André J Smout, Louis M A Akkermans, P Liam Oey

Registry-linked trialAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Clinical autonomic research : official journal of the Clinical Autonomic Research Society, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02874495 (Anticipation Effect on Painful Phenomenons Linked to Rectal Distension for Patients With a Crohn's Disease in Remission), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.8field-weighted citation impact, top 9% 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.

NCT02874495 unknown statusnot on this mapstarted 2012, after this paper: background citation

Anticipation Effect on Painful Phenomenons Linked to Rectal Distension for Patients With a Crohn's Disease in Remission: Functional MRI Study

TypeobservationalSponsorUniversity Hospital, GrenobleRan2012 to 2017Enrolled44ConditionsCrohn's DiseaseArmsPsychological tests, Magnetic Resonance Imaging, Heart Rate Variability
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
  2. Article
  3. Association between vasomotor rhinitis and irritable bowel syndrome.Allergy & rhinology (Providence, R.I.) · 2016
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. The effect of intraduodenal glucose on muscle sympathetic nerve activity in healthy young and older subjects.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2008
    Article
  14. Functional findings in irritable bowel syndrome.World journal of gastroenterology · 2006
    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

6 authors at 1 institution in 1 country.

Narender P van OrshovenRudolf Magnus Institute of Neuroscience, Dept. of Clinical Neurophysiology, University Medical Centre Utrecht, 3508 GA Utrecht, The Netherlands.
Gunnar I Andriesse
Leonard J van Schelven
André J Smout
Louis M A Akkermans
P Liam Oey
University Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study comprises assessment of autonomic function in irritable bowel syndrome (IBS) patients, focusing on meal-related changes. In 18 IBS patients (4 males, mean age 45+/-3.0 [SEM] years) and 19 healthy volunteers (6 males, mean age 41+/-3.5 years) blood pressure, heart rate, heart rate variability and muscle sympathetic nerve activity (MSNA) were assessed before, during and after consumption of a standardized meal. In pre- and postprandial phase Valsalva maneuver, cold pressor test (CPT) and deep breathing test were carried out and Visual Analog Scale (VAS) scores for nausea, bloating and pain were obtained. In the IBS group, the meal induced significantly higher VAS scores for pain (P=0.002) and bloating (P=0.02). During food intake, the increase in blood pressure, heart rate and MSNA was equal in patients and controls, but the increase of LF/HF ratio of heart rate variability was significantly higher in the IBS group (median [quartiles] 2.29 [1.14-3.00] versus 0.77 [0.25-1.81]; P=0.03). IBS patients scored lower on pre- and postprandial RRmax/RRmin ratio during deep breathing (DB ratio, P=0.03). The increase in MSNA (burst frequency) in response to CPT tended to be higher in the IBS patients (P=0.07). We conclude that reactivity to food intake, measured as muscle sympathetic nerve activity, is normal in IBS patients. The lower DB ratio and higher LF/HF ratio during food intake in IBS patients is an indication of a reduced parasympathetic reactivity. These results suggest that reduced baseline activity as well as responsiveness of the parasympathetic system could play a role in the pathogenesis of IBS.

Indexed as

EatingAdultAutonomic Nervous SystemBlood PressureCase-Control StudiesElectrocardiographyFemaleHeart RateHumansIrritable Bowel SyndromeMaleMiddle AgedMusclesParasympathetic Nervous SystemRespirationTime Factors

Identifiers

PMID16477493
OpenAlexW2025937914

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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 OpenQuestion graph.