Evidence map›Paper›PMID 35334953›Full record

Trial reportNutrients2022

Efficacy of FODMAP Elimination and Subsequent Blinded Placebo-Controlled Provocations in a Randomised Controlled Study in Patients with Ulcerative Colitis in Remission and Symptoms of Irritable Bowel Syndrome: A Feasibility Study.

Dorte Melgaard, Jeanette Sørensen, Johannes Riis, Tine S Ovesen, Peter Leutscher, Suzette Sørensen, Julie K Knudsen, Caspar Bundgaard-Nielsen, Jeanette Ejstrup, Ann-Maria Jensen and 2 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2022. 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
2.5field-weighted citation impact, top 11% 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, 16 citations in OpenAlex.

  1. Pooled it
  2. Effects of a Low FODMAP Diet in Inflammatory Bowel Disease and Patient Experiences: A Mixed Methods Systematic Literature Review and Meta-Analysis.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Pooled it
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. British Dietetic Association consensus guidelines on the nutritional assessment and dietary management of patients with inflammatory bowel disease.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2023
    Article
  14. Review
  15. 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

12 authors at 3 institutions in 1 country.

Dorte MelgaardCentre for Clinical Research, North Denmark Regional Hospital, 9800 Hjoerring, Denmark.ORCID 0000-0002-5656-402X
Jeanette SørensenDepartment of Medicine, North Denmark Regional Hospital, 9800 Hjoerring, Denmark.
Johannes RiisCentre for Clinical Research, North Denmark Regional Hospital, 9800 Hjoerring, Denmark.
Tine S OvesenDepartment of Medicine, North Denmark Regional Hospital, 9800 Hjoerring, Denmark.
Peter LeutscherCentre for Clinical Research, North Denmark Regional Hospital, 9800 Hjoerring, Denmark.
Suzette SørensenCentre for Clinical Research, North Denmark Regional Hospital, 9800 Hjoerring, Denmark.ORCID 0000-0002-4201-1168
Julie K KnudsenCentre for Clinical Research, North Denmark Regional Hospital, 9800 Hjoerring, Denmark.
Caspar Bundgaard-NielsenCentre for Clinical Research, North Denmark Regional Hospital, 9800 Hjoerring, Denmark.ORCID 0000-0002-2700-2378
Jeanette EjstrupDepartment of Medicine, North Denmark Regional Hospital, 9800 Hjoerring, Denmark.
Ann-Maria JensenCentre for Clinical Research, North Denmark Regional Hospital, 9800 Hjoerring, Denmark.
Mette BorreDepartment of Hepatology and Gastroenterology, Aarhus University Hospital, 8210 Aarhus, Denmark.
Anne L KrarupDepartment of Clinical Medicine, Aalborg University, 9000 Aalborg, Denmark.ORCID 0000-0002-2228-7132
North Denmark Region · DKAalborg University Hospital · DKAarhus University Hospital · DK

Funding

The Danish Diet & Nutrition Association, Denmark xx
6 · The paper itself

Abstract

Background: Patients with inflammatory bowel disease (IBD) and symptoms of irritable bowel syndrome (IBS) may be intolerant to fermentable carbohydrates (FODMAPs). The aim of this study was to test the feasibility of eliminating and subsequently reintroducing FODMAPs in patients with IBS symptoms as part of the IBD manifestation and to compare the severity of IBS symptoms and pain, bloating and quality of life (QoL). Methods: An eight-week randomised open-label FODMAP elimination with double-blinded, crossover provocations of FODMAP and placebo. Diet patients were on a low-FODMAP diet for eight weeks with blinded two-week provocations after two and six weeks. Questionnaires, blood and stool samples were collected. Results: Patient enrolment was challenging. Nineteen participants were included in the study. Eliminating low FODMAP for two weeks resulted in significant decreases in pain and bloating scores (p < 0.003), whereas there were no statistical differences in pain scores between diet patients and controls. Pain and bloating scores increased, returning to baseline levels after two weeks of double-blinded provocations with placebo, (p > 0.05). Conclusions: The results document the possibility of performing a randomised controlled study following the gold standard for testing food intolerance with blinding of the Low FODMAP diet. Recruitment of participants was challenging.

Indexed as

Colitis, UlcerativeIrritable Bowel SyndromeDiet, Carbohydrate-RestrictedFeasibility StudiesFermentationHumansQuality of LifeFODMAPIBDIBSinflammatory bowel diseaseirritable bowel syndromelow FODMAP dietulcerative colitis

Identifiers

PMID35334953
PMCPMC8955641
OpenAlexW4221002016

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.