The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.
Food-Related Gastrointestinal Symptoms in the Irritable Bowel Syndrome
Abstract
BACKGROUND/AIMS: Postprandial symptoms are common in patients with irritable bowel syndrome (IBS). However, existing studies have come to different conclusions about the role of food in the pathophysiology of IBS. We explored the prevalence of subjective food-related gastrointestinal (GI) symptoms and its relationship to clinical characteristics and psychological factors in IBS. METHODS: 330 patients with IBS and 80 healthy volunteers completed a food questionnaire developed for this study. The subjects graded their subjective symptoms after 35 different foods and a food score was obtained by adding the item scores. The relationship between subjective food-related GI symptoms and referral status, IBS subgroup (predominant bowel pattern), sex, anxiety, depression and body mass index (BMI) was estimated. RESULTS: In 209 (63%) of the patients the GI symptoms were related to meals. Gas problems and abdominal pain were the most frequently reported symptoms. Foods rich in carbohydrates, as well as fatty food, coffee, alcohol and hot spices were most frequently reported to cause symptoms. The food score was higher in patients than in controls (p < 0.0001). In the IBS group higher scores were observed in patients with anxiety (p = 0.005), and females (p < 0.001), but the results were unrelated to IBS subgroup, referral status or BMI. The BMI did not differ between groups. CONCLUSION: A majority of IBS patients consider their symptoms to be related to meals. Especially foods rich in carbohydrates and fat cause problems. Nevertheless, the majority of IBS patients are normal or overweight. Female sex and anxiety predict a high degree of food-related symptoms in IBS.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Over 80% of individuals with IBS report food-related symptoms, especially to fermentable carbohydrates and fats.188 189”
From British Society of Gastroenterology guidelines on the management of irritable bowel syndrome (2021) · cites this paper as [188]
Citations
Cites
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139
Basic and clinical aspects of visceral hyperalgesia
Mayer, E. A., & Gebhart, G. F. (1994) · Gastroenterology · doi:10.1016/0016-5085(94)90086-8 · Cited by 920
Psychosocial Factors in the Irritable Bowel Syndrome
Drossman, D. A., McKee, D. C., Sandler, R. S., Mitchell, C. M., Cramer, E. M., Lowman, B. C., & Burger, A. L. (1988) · Gastroenterology · doi:10.1016/s0016-5085(88)80017-9 · Cited by 757
Agréus, L., Svärdsudd, K., Nyrén, O., & Tibblin, G. (1995) · Gastroenterology · doi:10.1016/0016-5085(95)90373-9 · Cited by 686
A population study of food intolerance
YOUNG, E. (1994) · The Lancet · doi:10.1016/s0140-6736(94)90234-8 · Cited by 645
Irritable bowel syndrome in general practice: prevalence, characteristics, and referral
Thompson, W. G., Heaton, K. W., Smyth, G. T., & Smyth, C. (2000) · Gut · doi:10.1136/gut.46.1.78 · Cited by 477 · cited 1×
“The irritable bowel syndrome (IBS) is the most common gastrointestinal (GI) condition seen in primary care [”
BackgroundAbnormal colonic fermentation in irritable bowel syndrome
King, T. S., Elia, M., & Hunter, J. (1998) · The Lancet · doi:10.1016/s0140-6736(98)02146-1 · Cited by 473
FOOD INTOLERANCE: A MAJOR FACTOR IN THE PATHOGENESIS OF IRRITABLE BOWEL SYNDROME
Jones, V. A., Shorthouse, M., McLaughlan, P., Workman, E., & Hunter, J. O. (1982) · The Lancet · doi:10.1016/s0140-6736(82)92782-9 · Cited by 333
ORGANIC AND FUNCTIONAL DISORDERS IN 2000 GASTROENTEROLOGY OUTPATIENTS
Harvey, R., Salih, S., & Read, A. E. (1983) · The Lancet · doi:10.1016/s0140-6736(83)91802-0 · Cited by 328
The Role of Intestinal Gas in Functional Abdominal Pain
Lasser, R. B., Bond, J. H., & Levitt, M. D. (1975) · New England Journal of Medicine · doi:10.1056/nejm197509112931103 · Cited by 323
Bran and irritable bowel syndrome: time for reappraisal
Francis, C. Y. (1994) · The Lancet · doi:10.1016/s0140-6736(94)91055-3 · Cited by 315
Rumessen, J. J., & Gudmand-Höyer, E. (1988) · Gastroenterology · doi:10.1016/s0016-5085(88)80016-7 · Cited by 241
Sorbitol intolerance: an unappreciated cause of functional gastrointestinal complaints
Hyams, J. S. (1983) · Gastroenterology · doi:10.1016/s0016-5085(83)80163-2 · Cited by 219
Ragnarsson, G., & Bodemar, G. (1998) · European Journal of Gastroenterology & Hepatology · doi:10.1097/00042737-199805000-00011 · Cited by 201
Corney, R. H., & Stanton, R. (1990) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(90)90022-v · Cited by 166
Are adverse food reactions linked to irritable bowel syndrome?
Niec, A., Frankum, B. S., & Talley, N. J. (1998) · The American Journal of Gastroenterology · doi:10.1111/j.1572-0241.1998.00531.x · Cited by 158
WHEAT FIBRE AND IRRITABLE BOWEL SYNDROME
Manning, A. P., Harvey, R. F., Heaton, K. W., & Uglow, P. (1977) · The Lancet · doi:10.1016/s0140-6736(77)90605-5 · Cited by 144
Dainese, R., Galliani, E., Lazzari, F. D., Leo, V. D., & Naccarato, R. (1999) · The American Journal of Gastroenterology · doi:10.1111/j.1572-0241.1999.01226.x · Cited by 143
Sugar malabsorption in functional bowel disease: clinical implications.
Fernández‐Bañares, F., Esteve-Pardo, M., de Leon, R., Humbert, P., Cabré, E., Llovet, J. M., & Gassull, M. À. (1993) · PubMed · Cited by 136
Is Coffee a Colonie Stimulant?
Rao, S. S. C., Welcher, K., Zimmerman, B., & Stumbo, P. (1998) · European Journal of Gastroenterology & Hepatology · doi:10.1097/00042737-199802000-00003 · Cited by 133
Effect of dietary components on gastrocolonic response
Wright, S. H., Snape, W. J., Battle, W. M., Cohen, S., & London, R. L. (1980) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.1980.238.3.g228 · Cited by 129
Role of fructose-sorbitol malabsorption in the irritable bowel syndrome
Nelis, G. F., Vermeeren, M. A. P., & Jansen, W. (1990) · Gastroenterology · doi:10.1016/0016-5085(90)90621-7 · Cited by 123
Intestinal motility in irritable bowel syndrome: Is IBS a motility disorder?
McKee, D. P., & Quigley, E. M. M. (1993) · Digestive Diseases and Sciences · doi:10.1007/bf01296097 · Cited by 122
Rogers, J. E., Henry, M. M., & Misiewicz, J. J. (1989) · Gut · doi:10.1136/gut.30.5.634 · Cited by 119
Gonzalez, R., Dunkel, R., Koletzko, B. V., SCHUSDZIARRA, V., & Allescher, H. ‐. (1998) · Digestive Diseases and Sciences · doi:10.1023/a:1018831018566 · Cited by 108
Intestinal motility in irritable bowel syndrome: Is IBS a motility disorder?
McKee, D. P., & Quigley, E. M. M. (1993) · Digestive Diseases and Sciences · doi:10.1007/bf01296098 · Cited by 94
The clinical relevance of lactose malabsorption in irritable bowel syndrome
hmer, C. J. B., & Tuynman, H. A. R. E. (1996) · European Journal of Gastroenterology & Hepatology · doi:10.1097/00042737-199610000-00015 · Cited by 93
Addolorato, G., Marsigli, L., Capristo, E., Caputo, F., Dall'Aglio, C., & Baudanza, P. (1998) · PubMed · Cited by 89
Upper Gastrointestinal and Mental Symptoms in the Irritable Bowel Syndrome
Svedlund, J., Sjoudin, I., Dotevall, G., & Gillberg, R. (1985) · Scandinavian Journal of Gastroenterology · doi:10.3109/00365528509089702 · Cited by 70
Exclusion Diets in Irritable Bowel Syndrome
McKee, A. M., Prior, A., & Whorwell, P. J. (1987) · Journal of Clinical Gastroenterology · doi:10.1097/00004836-198710000-00007 · Cited by 65
Response to intraluminal gas in irritable bowel syndrome
Galati, J., McKee, D. P., & Quigley, E. M. M. (1995) · Digestive Diseases and Sciences · doi:10.1007/bf02065555 · Cited by 61
Diet and the Irritable Bowel Syndrome
FRIEDMAN, G. J. (1991) · Gastroenterology Clinics of North America · doi:10.1016/s0889-8553(21)00553-7 · Cited by 56
Kajs, T. M., Fitzgerald, J. A., Buckner, R. Y., Coyle, G. A., Stinson, B. S., Morel, J. G., & Levitt, M. D. (1997) · PubMed · Cited by 47
Lisker, R., Solomons, N. W., Pérez-Briceño, R., & Mata, M. R. (1989) · PubMed · Cited by 39
Hammer, J., Hammer, K., & Kletter, K. (1998) · Gut · doi:10.1136/gut.43.1.111 · Cited by 29
The Effect of Red and Black Pepper on Orocecal Transit Time
Vazquez-Olivencia, W., Shah, P., & Pitchumoni, C. S. (1992) · Journal of the American College of Nutrition · doi:10.1080/07315724.1992.12098248 · Cited by 28
Foods perceived by adults as causing adverse reactions
Parker, S. L., Krondl, M. M., & COLEMAN, P. H. (1993) · Journal of the American Dietetic Association · doi:10.1016/0002-8223(93)92128-k · Cited by 16
The Effect of Alcohol on the Human Alimentary Tract
Donowitz, M., Nazer, H., & WRIGHT, R. A. (1983) · Journal of Clinical Gastroenterology · doi:10.1097/00004836-198308000-00016 · Cited by 16
Lewis, M. J., & Whorwell, P. J. (1998) · Nutrition · doi:10.1016/s0899-9007(97)00498-x · Cited by 9
Harold Varmus, director, National Institutes of Health
Horton, R. (1994) · The Lancet · doi:10.1016/s0140-6736(94)90883-4 · Cited by 4
Flagged first, then by citations
Cited by
Sorted by citations
Bindslev‐Jensen, C., Ballmer-Weber, B. K., Bengtsson, U. J., Blanco, C., Ebner, C., Hourihane, J. O., Knulst, A. C., Moneret‐Vautrin, D. A., Nékám, K., Niggemann, B., et al. (2004) · Allergy · doi:10.1111/j.1398-9995.2004.00466.x · Cited by 682
Diet-Induced Dysbiosis of the Intestinal Microbiota and the Effects on Immunity and Disease
Brown, K., DeCoffe, D., Molcan, E., & Gibson, D. L. (2012) · Nutrients · doi:10.3390/nu4081095 · Cited by 700
Böhn, L., Störsrud, S., Törnblom, H., Bengtsson, U., & Simrén, M. (2013) · American Journal of Gastroenterology · doi:10.1038/ajg.2013.105 · Cited by 655
Ford, A. C., Moayyedi, P., Lacy, B. E., Lembo, A. J., Saito, Y. A., Schiller, L. R., Soffer, E., Spiegel, B. M. R., & Quigley, E. M. M. (2014) · The American Journal of Gastroenterology · doi:10.1038/ajg.2014.187 · Cited by 664
Böhn, L., Störsrud, S., Liljebo, T. M., Collin, L., Lindfors, P., Törnblom, H., & Simrén, M. (2015) · Gastroenterology · doi:10.1053/j.gastro.2015.07.054 · Cited by 628
Metadata
- Authors
- Simrén, M., Månsson, A., Langkilde, A. M., Svedlund, J., Abrahamsson, H., Bengtsson, U., & Björnsson, E. S.
- Affiliations
- Sahlgrenska University Hospital (SE)
- Venue
- Digestion
- Publisher
- S. Karger AG
- Published
- 2001
- Volume
- 63
- Issue
- 2
- Pages
- 108-115
- ISSN
- 0012-2823 (ISSN-L)
- 1421-9867
- OpenAlex
- W1975523098
- Cited by
- 529
- References
- 40
- Citations by year
- 2026: 6 · 2025: 21 · 2024: 19 · 2023: 31 · 2022: 37 · 2021: 36 · 2020: 31 · 2019: 35 · 2018: 32 · 2017: 33 · 2016: 31 · 2015: 29 · 2014: 26 · 2013: 25 · 2012: 22
- FWCI
- 7.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Digestion (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Health and Development
- Keywords
- irritable bowel syndrome, postprandial symptoms, food intolerance, carbohydric foods, fatty foods, anxiety, depression, sex differences, body mass index, abdominal pain, gases
- MeSH terms
- Adult, Aged, Anxiety, Colonic Diseases, Functional, Depression, Feeding Behavior, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Diet Records, Body Mass Index, Chi-Square Distribution, Statistics, Nonparametric, Postprandial Period
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review