Evidence map›Paper›PMID 29291610›Full record

ArticleJournal of neurogastroenterology and motility2018

Increased Postprandial Colonic Motility and Autonomic Nervous System Activity in Patients With Irritable Bowel Syndrome: A Prospective Study.

Yukari Tanaka, Motoyori Kanazawa, Olafur S Palsson, Miranda A Van Tilburg, Lisa M Gangarosa, Shin Fukudo, Douglas A Drossman, William E Whitehead

Open access · diamondAbstract read
In one paragraph

Article in Journal of neurogastroenterology and motility, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 18% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

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  12. Association between laryngopharyngeal reflux disease and autonomic nerve dysfunction.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2019
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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

8 authors at 2 institutions in 2 countries.

Yukari TanakaTohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.
Motoyori KanazawaDepartment of Behavioral Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
Olafur S PalssonCenter for Functional GI and Motility Disorders, University of North Carolina at Chapel Hill, NC, USA.
Miranda A Van TilburgCenter for Functional GI and Motility Disorders, University of North Carolina at Chapel Hill, NC, USA.
Lisa M GangarosaCenter for Functional GI and Motility Disorders, University of North Carolina at Chapel Hill, NC, USA.
Shin FukudoDepartment of Behavioral Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
Douglas A DrossmanCenter for Functional GI and Motility Disorders, University of North Carolina at Chapel Hill, NC, USA.
William E WhiteheadCenter for Functional GI and Motility Disorders, University of North Carolina at Chapel Hill, NC, USA.
University of North Carolina at Chapel Hill · USTohoku University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsThe prevalence and severity of irritable bowel syndrome (IBS) declines with age, but the cause of this is unknown. This study tested 2 hypotheses: (1) autonomic nervous system responses to eating and bowel distention, measured by heart rate variability (HRV), differs by age in IBS patients and (2) HRV is correlated with colonic motility and IBS symptoms.

methodsOne hundred and fifty-six Rome III positive IBS patients and 31 healthy controls underwent colonic manometry with bag distention in the descending colon, followed by ingestion of an 810-kcal meal. HRV, evaluated by low frequency (%LF; 0.04-0.15 Hz) component, high frequency (%HF; 0.15-0.40 Hz) component, and the LF/HF ratio, was measured during colonic distention and after the meal. Motility index and subjective symptom scores were simultaneously quantified.

resultsBoth colonic distention and eating decreased %HF and increased the LF/HF ratio, and both indices of autonomic nervous system correlated with age. In IBS patients, %HF negatively correlated with the postprandial motility index after adjusting for age. The %HF and LF/HF ratios also correlated with psychological symptoms but not bowel symptoms in IBS patients.

conclusionDecreased vagal activity is associated with increase in age and greater postprandial colonic motility in patients with IBS, which may contribute to postprandial symptoms.

Indexed as

Autonomic nervous systemGastrointestinal MotilityIrritable bowel syndromePostprandial period

Identifiers

PMID29291610
PMCPMC5753907
OpenAlexW2781738943

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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 OpenQuestion graph.