Evidence map›Paper›PMID 34353864›Full record

Trial reportGut2022

Psyllium reduces inulin-induced colonic gas production in IBS: MRI and

David Gunn, Zainab Abbas, Hannah C Harris, Giles Major, Caroline Hoad, Penny Gowland, Luca Marciani, Samantha K Gill, Fred J Warren, Megan Rossi and 3 more

6 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Gut, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.8field-weighted citation impact, top 6% 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.

NCT03265002 nacompletednot on this map

Effects of Fibre on Intestinal Volume and Gas in Irritable Bowel Syndrome

TypeinterventionalSponsorUniversity of NottinghamRan2018 to 2019Enrolled19ConditionsIrritable Bowel SyndromeArmsPlacebo, Inulin, Psyllium, Inulin and psyllium
NCT05619341 nacompletednot on this map

Effect of Rate Of Delivery on Colonic Fermentation of inuliN (EON)

TypeinterventionalSponsorUniversity of NottinghamRan2022 to 2023Enrolled17ConditionsIrritable BowelArmspsyllium, inulin
NCT05911347 nacompletednot on this mapstarted 2023, after this paper: background citation

Effect of Modified Cellulose on Colonic Fermentation of Inulin (COCOA2)

TypeinterventionalSponsorUniversity of NottinghamRan2023 to 2023Enrolled30ConditionsIrritable Bowel SyndromeArmsPsyllium, Methylcellulose, Maltodextrin
NCT06494137 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Effect of Pre-dosing With Methylcellulose or Psyllium on Colonic Fermentation of Inulin (COCOA3)

TypeinterventionalSponsorUniversity of NottinghamRan2024 to 2025Enrolled35ConditionsIrritable Bowel SyndromeArmsinulin
NCT06551961 narecruitingnot on this mapstarted 2024, after this paper: background citation

A Randomised Placebo Controlled Trial of Chronic Feeding of INuliN And Methylcellulose On Colonic fermentatioN

TypeinterventionalSponsorUniversity of NottinghamRan2024 to 2025Enrolled35ConditionsIrritable Bowel SyndromeArmsmethylcellulose, inulin, maltodextrin
NCT07790003 completednot on this mapstarted 2024, after this paper: background citation

Dietary Fibre Supplementation to Delay Disease Progression in Early Prostate Cancer

TypeobservationalSponsorUniversity of AberdeenRan2024 to 2024Enrolled10ConditionsProstate Cancer, Prostatic Neoplasm, Dietary Fibre Modification, Active SurveillanceArmsQualitative semi-structured interviews, Focus group
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 49 citations in OpenAlex.

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  15. Innovative concepts in diet therapies in disorders of gut-brain interaction.JGH open : an open access journal of gastroenterology and hepatology · 2024
    Review
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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

13 authors at 4 institutions in 2 countries.

David GunnNIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK.ORCID 0000-0003-1436-7754
Zainab AbbasNIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK.
Hannah C HarrisFood, Innovation and Health, Quadram Institute Bioscience, Norwich, UK.
Giles MajorNIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK.ORCID 0000-0001-7944-3709
Caroline HoadNIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK.
Penny GowlandNIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK.
Luca MarcianiNIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK.
Samantha K GillDepartment of Nutritional Sciences, King's College London, London, UK.
Fred J WarrenFood, Innovation and Health, Quadram Institute Bioscience, Norwich, UK.
Megan RossiDepartment of Nutritional Sciences, King's College London, London, UK.
Jose Maria Remes-TrocheMedical Biological Research Institute, Veracruzana University, Veracruz, Mexico.
Kevin WhelanDepartment of Nutritional Sciences, King's College London, London, UK.ORCID 0000-0001-5414-2950
Robin C SpillerNIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK robin.spiller@nottingham.ac.uk.ORCID 0000-0001-6371-4500
Nottingham University Hospitals NHS Trust · GBKing's College London · GBQuadram Institute · GBUniversidad Veracruzana · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHealth-promoting dietary fibre including inulin often triggers gastrointestinal symptoms in patients with IBS, limiting their intake. Our aim was to test if coadministering psyllium with inulin would reduce gas production.

designA randomised, four-period, four-treatment, placebo-controlled, crossover trial in 19 patients with IBS. Subjects ingested a 500 mL test drink containing either inulin 20 g, psyllium 20 g, inulin 20 g+ psyllium 20 g or dextrose 20 g (placebo). Breath hydrogen was measured every 30 min with MRI scans hourly for 6 hours. Faecal samples from a subset of the patients with IBS were tested using an

resultsColonic gas rose steadily from 0 to 6 hours, with inulin causing the greatest rise, median (IQR) AUC

conclusionsPsyllium reduced inulin-related gas production in patients with IBS but does not directly inhibit fermentation. Whether coadministration with psyllium increases the tolerability of prebiotics in IBS warrants further study. TRIAL REGISTRATION NUMBER: NCT03265002.

Indexed as

Irritable Bowel SyndromePsylliumBreath TestsFermentationHumansHydrogenInulinMagnetic Resonance ImagingHydrogenInulinPsylliumabdominal MRIcolonic fermentationdietary fibreirritable bowel syndrome

Identifiers

PMID34353864
PMCPMC8995815
OpenAlexW3190620870

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.