Evidence map›Paper›PMID 40126935›Full record

SynthesisEndocrinology, diabetes & metabolism2025

The Relationship Between Irritable Bowel Syndrome and Metabolic Syndrome: A Systematic Review and Meta-Analysis of 49,662 Individuals.

Yomna E Dean, Jose J Loayza Pintado, Samah S Rouzan, Lucy L Nale, Ahmed Abbas, Abdulla Aboushaira, Farah Alkasajy, Ahmed A Ghanem, Vinayak Mahesh Patil, Yana Gordeyeva and 14 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Endocrinology, diabetes & metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Masked hypertension in irritable bowel syndrome: A cause for concern?Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025
    Article
  8. Article
  9. Article
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

24 authors.

Yomna E DeanAlexandria University, Faculty of Medicine, Alexandria, Egypt.ORCID 0000-0001-6907-0339
Jose J Loayza PintadoUniversity of Texas Rio Grande Valley, McAllen, USA.
Samah S RouzanUniversity of Texas Rio Grande Valley, McAllen, USA.
Lucy L NaleWindsor University School of Medicine, Basseterre, Saint Kitts and Nevis.
Ahmed AbbasZagazig University, Zagazig, Egypt.
Abdulla AboushairaAlexandria University, Faculty of Medicine, Alexandria, Egypt.
Farah AlkasajyHashemite University, Zarqa, Jordan.
Ahmed A GhanemMansoura University, Faculty of Medicine, Mansoura, Egypt.
Vinayak Mahesh PatilKarnataka Institute of Medical Science, Hubli, India.
Yana GordeyevaPoznan University of Medical Sciences, Ponzan, Poland.
Karam R MotaweaAlexandria University, Faculty of Medicine, Alexandria, Egypt.
Masako Lien Petty LePoznan University of Medical Sciences, Ponzan, Poland.
Adham GalalAlexandria University, Faculty of Medicine, Alexandria, Egypt.
Laura CicaniInternational University of Health Sciences, Basseterre, Saint Kitts and Nevis.
Raneem AtttaAlexandria University, Faculty of Medicine, Alexandria, Egypt.
Ahmed SolimanAin Shams University Faculty of Medicine, Cairo, Egypt.ORCID 0009-0005-8953-8548
Lamya AlzabidiFaculty of Medicine and Health Sciences Sana'a University, Sana'a, Yemen.
Anuj SubediPrithvi Narayan Community Hospital, Gorkha, Nepal.
Nikhat AnjumKhaja Banda Nawaz Institute of Medical Sciences, Gulbarga, India.
Abdullah NahedhAlexandria University, Faculty of Medicine, Alexandria, Egypt.
Tamer MadyInternational American University College of Medicine, Castries, Saint Lucia.
Yusef HazimehLebanese University, Beirut, Lebanon.ORCID 0000-0002-5090-5997
Hossam AminBen Sinai Medical Center, New York, New York, USA.
Hani AiashSUNY Upstate Medical University, Syracuse, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies have shown mixed results regarding the association between irritable bowel syndrome (IBS) and metabolic syndrome (MS); This study aimed to assess the susceptibility of IBS patients to MS and its individual components.

methodsPubMed, Scopus, Embase, and Web of Science were searched on 1/1/2023. Eligible studies were screened, and data on study characteristics, IBS diagnostic criteria, and metabolic syndrome components were extracted. Data were analysed in RevMan 5.4, with results reported as relative risk (RR) or mean difference (MD) and 95% confidence intervals. Statistical significance was set at p < 0.05.

resultsIBS was associated with an increased risk of MS (RR = 2.05, 95% CI = 1.50-2.79, p < 0.00001), with a higher risk among IBS-D patients (RR = 3.09, 95% CI = 2.41-3.97, p < 0.00001). IBS patients showed increased HOMA-IR (MD = 0.21, 95% CI = 0.15-0.26, p < 0.00001), higher obesity risk (RR = 1.46, 95% CI = 1.10-1.93, p = 0.009), elevated BMI (MD = 1.51, 95% CI = 0.98-2.03, p-value < 0.00001), waist circumference (MD = 5.01, 95% CI = 1.29-8.72, p = 0.008), and an association with systolic hypertension (MD = -0.50, 95% CI = -0.60 to -0.40, p-value < 0.00001). IBS was also linked to higher LDL (MD = 5.98, 95% CI = 0.91-11.05, p = 0.02), total cholesterol (MD = 12.21, 95% CI = 6.23-18.18, p < 0.0001), and triglycerides (MD = 11.93, 95% CI = 11.55-12.31, p < 0.00001).

conclusionsThis analysis indicates a potential association between IBS and metabolic syndrome, including its components such as obesity, hypertension, and lipid profile abnormalities. However, significant heterogeneity among studies limits the generalisability of these findings. Clinicians should remain aware of the possible link and consider individualised preventive and management strategies.

Indexed as

Irritable Bowel SyndromeMetabolic SyndromeHumansRisk Factorshypertensioninsulin resistanceirritable bowel syndromemetabolic syndromeobesity

Identifiers

PMID40126935
PMCPMC11932164

What OpenQuestion holds

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Registered trials

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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.