Evidence map›Paper›PMID 35716771›Full record

SynthesisGastroenterology2022

Risk Factors for Abdominal Pain-Related Disorders of Gut-Brain Interaction in Adults and Children: A Systematic Review.

Jasmine K Zia, Adrienne Lenhart, Pei-Lin Yang, Margaret M Heitkemper, Jason Baker, Laurie Keefer, Miguel Saps, Callie Cuff, Gregory Hungria, Elizabeth J Videlock and 1 more

Registry-linked trialOpen access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Gastroenterology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07000227 (Mechanism of FODMAP Restriction on Gut Microbiota and Gut Barrier Function in Functional Gastrointestinal Disorder Patients), which is not on this map. Cited by 73 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 2 pooled it
18.2field-weighted citation impact, top 1% 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.

NCT07000227 narecruitingnot on this mapstarted 2025, after this paper: background citation

Mechanism of FODMAP Restriction on Gut Microbiota and Gut Barrier Function in Functional Gastrointestinal Disorder Patients : A Randomised Controlled Trial

TypeinterventionalSponsorUniversiti Kebangsaan Malaysia Medical CentreRan2025 to 2026Enrolled60ConditionsFunctional Gastrointestinal Disorders (FGIDs), Irritable Bowel Syndrome (IBS), Functional DyspepsiaArmsLow FODMAP diet, Gentle FODMAP diet, Traditional Dietary Advice
3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 2 syntheses or guidelines pooled it, 118 citations in OpenAlex.

  1. Pooled it
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  7. Irritable bowel syndrome.Nature reviews. Disease primers · 2026
    Review
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  9. Observational
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  14. Review
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13 more citing papers are in PubMed but not listed here.

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

11 authors at 6 institutions in 2 countries.

Jasmine K ZiaDivision of Gastroenterology, Department of Medicine, University of Washington, Seattle, Washington.
Adrienne LenhartVatche and Tamar Manoukian Division of Digestive Diseases, Department of Medicine, David Geffen School of Medicine at University of California, Los Angeles, California.
Pei-Lin YangSchool of Nursing, National Defense Medical Center, Taipei, Taiwan.
Margaret M HeitkemperDepartment of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, Washington.
Jason BakerDivision of Gastroenterology and Hepatology, Michigan Medicine, Ann Arbor, Michigan.
Laurie KeeferDivision of Gastroenterology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Miguel SapsDivision of Pediatrics Gastroenterology, Hepatology and Nutrition, Miller School of Medicine, University of Miami, Miami, Florida.
Callie CuffVatche and Tamar Manoukian Division of Digestive Diseases, Department of Medicine, David Geffen School of Medicine at University of California, Los Angeles, California.
Gregory HungriaDivision of Pediatrics Gastroenterology, Hepatology and Nutrition, Miller School of Medicine, University of Miami, Miami, Florida.
Elizabeth J VidelockVatche and Tamar Manoukian Division of Digestive Diseases, Department of Medicine, David Geffen School of Medicine at University of California, Los Angeles, California.
Lin ChangVatche and Tamar Manoukian Division of Digestive Diseases, Department of Medicine, David Geffen School of Medicine at University of California, Los Angeles, California. Electronic address: linchang@mednet.ucla.edu.
University of California, Los Angeles · USUniversity of Miami · USUniversity of Washington · USIcahn School of Medicine at Mount Sinai · USMichigan Medicine · USNational Defense Medical Center · TW

Funding

The role of brain-gut microbiome interactions in mediating IBS and constipation symptoms during menses and menopauseU54DK123755 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Lin Chang, Elaine Hsiao · 2020 to 2026
$10.5M
NIDDK NIH HHS U54 DK123755
6 · The paper itself

Abstract

BACKGROUND &

aimsMany studies have assessed risk factors of irritable bowel syndrome (IBS) and other abdominal pain-related disorders of gut-brain interaction (AP-DGBI); however, the role of these factors is unclear due to heterogeneous study designs. The aim of this systematic review was to extensively evaluate the literature and determine clinical risk and protective factors for the presence and persistence of AP-DGBI in children and adults.

methodsA PubMed search identified studies investigating potential risk and protective factors for AP-DGBI in adults and children. Inclusion criteria included fully published studies with a control group; exclusion criteria included poor-quality studies (using a validated scale). For each factor, the proportion of studies that found the factor to be a risk factor, protective factor, or neither was summarized. The number of studies, diagnostic criteria, number of subjects, and average study quality rating provided further context. Whenever possible, a meta-analysis generated pooled odds ratios or mean difference.

resultsThe systematic review included 348 studies. Female sex, gastroenteritis, abuse, stress, psychological disorders, somatic symptoms, and poor sleep were consistent risk factors for developing AP-DGBI in adults and children. In adults, additional risk factors included obesity, smoking, and increased use of medical resources. Protective AP-DGBI factors in adults included social support and optimism; no studies for protective factors were found for children.

conclusionsThere are multiple risk factors for AP-DGBI in adults and children. These include female sex, gastroenteritis, abuse, stress, poor sleep, obesity, psychological disorders, and somatic symptoms. Additional studies are needed in children, on protective factors, and on factors associated with persistence of AP-DGBI.

Indexed as

GastroenteritisGastrointestinal DiseasesIrritable Bowel SyndromeMedically Unexplained SymptomsAbdominal PainAdultBrainChildFemaleHumansObesityRisk FactorsFunctional Gastrointestinal DisordersIrritable Bowel SyndromeRecurrent Abdominal Pain

Identifiers

PMID35716771
PMCPMC9509486
OpenAlexW4282973940

What OpenQuestion holds

Textmetadata
LicenceTDM
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.