Evidence map›Paper›PMID 34049371›Full record

ArticleJournal of clinical gastroenterology2022

Gluten-induced Neurocognitive Impairment: Results of a Nationwide Study.

Jessica B Edwards George, Babatunde Aideyan, Kayla Yates, Kristin N Voorhees, Jennifer O'Flynn, Kristen Sweet, Kate Avery, Alan Ehrlich, Alice Bast, Daniel A Leffler

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical gastroenterology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Viruses and celiac disease: what do we know ?Clinical and experimental medicine · 2023
    Pooled it
  2. Review
  3. Observational
  4. Review
  5. Review
  6. Review
  7. Extra-digestive manifestations of celiac disease.Medicine and pharmacy reports · 2024
    Article
  8. Review
  9. Article
  10. Brain fog in central disorders of hypersomnolence: a review.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Review
  11. Article
  12. Brain Fog in Hypothyroidism: What Is It, How Is It Measured, and What Can Be Done About It.Thyroid : official journal of the American Thyroid Association · 2022
    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

10 authors at 4 institutions in 2 countries.

Jessica B Edwards GeorgeDepartment of Applied Psychology, Bouvé College of Health Sciences, Northeastern University, Boston, MA.
Babatunde AideyanDepartment of Applied Psychology, Bouvé College of Health Sciences, Northeastern University, Boston, MA.
Kayla YatesDepartment of Applied Psychology, Bouvé College of Health Sciences, Northeastern University, Boston, MA.
Kristin N VoorheesBeyond Celiac, Ambler, PA.
Jennifer O'FlynnDepartment of Applied Psychology, Bouvé College of Health Sciences, Northeastern University, Boston, MA.
Kristen SweetBeyond Celiac, Ambler, PA.
Kate AveryBeyond Celiac, Ambler, PA.
Alan EhrlichDepartment of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester.
Alice BastBeyond Celiac, Ambler, PA.
Daniel A LefflerTakeda, Cambridge.
Northeastern University · USTemple University Ambler · USBeth Israel Deaconess Medical Center · USUniversity of Massachusetts Chan Medical School · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

goalsThis study aimed to understand the neurocognitive symptoms associated with gluten exposure in individuals with self-reported celiac disease (CD) and nonceliac gluten sensitivity (NCGS).

backgroundWhile gluten-induced neurocognitive impairment (GINI; eg, "celiac fog" or "brain fog") is commonly described by individuals with CD and NCGS, there are little data regarding the prevalence and symptoms associated with these experiences. STUDY: A 9-question online survey was accessed by 1396 individuals (1143 with CD; 253 with NCGS). Forced choice and free-response questions were asked of participants to obtain a description of neurocognitive symptoms experienced after gluten ingestion. Free-response answers were coded using a coding structure developed based on the Health-Related Quality of Life Instrument.

resultsThe majority of survey participants (89% of CD and 95% of NCGS) reported having GINI symptoms. When describing symptoms, the most common word descriptors for both groups were difficulty concentrating, forgetfulness, and grogginess. Timing of symptoms, including onset and symptom peak, were similar across the 2 groups. Coding of free responses found the most common references were to cognitive, physical, psychological, and overall quality of life impacts.

conclusionsThis survey suggests that GINI is common and may be severe in both individuals with CD and NCGS. Cognitive impairment and decline in physical functioning may be similar to that occurring in other illnesses, such as lupus. Clinical follow-up with both individuals with CD and NCGS should include assessment of GINI symptoms. Further research is warranted, including the development of a patient-reported outcome measure including neurocognitive effects of gluten exposure.

Indexed as

Celiac DiseaseFood HypersensitivityDiet, Gluten-FreeGlutensHumansQuality of LifeSurveys and QuestionnairesGlutens

Identifiers

PMID34049371
PMCPMC9256899
OpenAlexW3164646757

What OpenQuestion 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 OpenQuestion graph.