Evidence map›Paper›PMID 40654377›Full record

ArticleCurrent developments in nutrition2025

A 12-Week Strict Low FODMAP Diet Reduces the Severity Levels of Fatigue, Depression, Anxiety, and Inattention in Patients with Irritable Bowel Syndrome.

Sol Maja G Bjørkevoll, Eline M Randulff Hillestad, Gülen A Lied, Erica S Teige, Elisabeth K Steinsvik, Birgitte Berentsen, Astri J Lundervold

Registry-linked trialAbstract read
In one paragraph

Article in Current developments in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04296552 (Study Protocol of the Bergen Brain-gut-microbiota-axis Study), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT04296552 naunknown statusnot on this map

Study Protocol of the Bergen Brain-gut-microbiota-axis Study: a Prospective Case-report Characterization and Dietary Intervention Study to Evaluate the Effects of Microbiota Alterations on Cognition and Anatomical and Functional Brain Connectivity in Patients With Irritable Bowel Syndrome

TypeinterventionalSponsorHaukeland University HospitalRan2019 to 2023Enrolled200ConditionsIrritable Bowel Syndrome, Functional Gastrointestinal DisordersArmsDietary lowFODMAP intervention
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

7 authors.

Sol Maja G BjørkevollDepartment of Pediatric and Adolescent Medicine, Innlandet Hospital Trust, Lillehammer, Norway.
Eline M Randulff HillestadCenter for Nutrition, Department of Clinical Medicine, Faculty of Medicine, University of Bergen, Bergen, Norway.
Gülen A LiedCenter for Nutrition, Department of Clinical Medicine, Faculty of Medicine, University of Bergen, Bergen, Norway.
Erica S TeigeCenter for Nutrition, Department of Clinical Medicine, Faculty of Medicine, University of Bergen, Bergen, Norway.
Elisabeth K SteinsvikDivision of Gastroenterology, Department of Medicine, National Center for Functional Gastrointestinal Disorders, Haukeland University Hospital, Bergen, Norway.
Birgitte BerentsenDivision of Gastroenterology, Department of Medicine, National Center for Functional Gastrointestinal Disorders, Haukeland University Hospital, Bergen, Norway.
Astri J LundervoldDepartment of Biological and Medical Psychology, University of Bergen, Bergen, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The low FODMAP diet (LFD) has been shown to alleviate gastrointestinal symptoms in patients with irritable bowel syndrome (IBS). However, the impact of the LFD on coexisting symptoms of fatigue, anxiety, depression, and cognitive functions remains unclear. Objectives: This study aims to investigate the effects of a 12-wk strict LFD on symptoms of fatigue, depression, anxiety, and inattention in patients with moderate-to-severe IBS-D (diarrhea-predominant), and IBS-M (mixed diarrhea and constipation). Methods: Participants with IBS were included in an open-label, single-center, 12-wk dietary intervention conducted at Haukeland University Hospital in Bergen, Norway. They followed a strict LFD guided by a registered dietitian and completed questionnaires assessing fatigue [Chalder Fatigue Scale (CFQ-11)] and anxiety and depression [Hospital Anxiety and Depression Scale (HADS)] and performed a test of attention [the third edition of the Connors' continuous performance test (CPT-3)] at baseline and 12-wk follow-up. Data were analyzed using Wilcoxon signed-rank tests to evaluate changes from baseline to post intervention. Results: Thirty-six participants completed the intervention. Statistically significant reductions were observed in symptoms of fatigue (CFQ-11, Conclusions: A 12-wk strict LFD intervention significantly alleviated coexisting symptoms of fatigue, anxiety, and depression, and improved performance on a psychometric test of attention. These findings suggest that dietary management plays a crucial role in improving both physical and mental health in patients with IBS.This study was registered at clinical trial as NCT04296552 (https://clinicaltrials.gov/study/NCT04296552?term=NCT04296552&rank=1).

Indexed as

attentiondepressionfatigueFODMAPgut–brain axisirritable bowel syndrome

Identifiers

PMID40654377
PMCPMC12246592

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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.