Panacea Index Logo

Command Palette

Search for a command to run...

Intestinal microbiota fingerprint in subjects with irritable bowel syndrome responders to a low FODMAP diet.

Food & function
April 7, 2021
Fernanda Valdez-Palomares et al. (7 authors)
Journal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to identify IBS responders and non-responders to a low-FODMAP diet by analyzing baseline fecal microbial composition.

Results Summary

The study found that 68.75% of IBS patients responded positively to a low-FODMAP diet, with specific bacterial genera (Prevotella 9 and Veillonella) associated with responders. Baseline microbial composition accurately classified responsiveness with 96.87% accuracy.

Population

32 IBS patients (29 women, 3 men).

Effective Dosage

Not specified.

Duration

4 weeks.

Interactions

None mentioned.

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
low-FODMAP diet (LFD)
decrease
symptoms
IBS patients
50%-80%
improves the symptoms
#1
four-week LFD
increase
intervention response
participants with IBS
68.75%
responders
#2
four-week LFD
increase
intervention response
participants with IBS
31.25%
non-responders
#3
LFD
increase
ASVs
responder group
-
differentially abundant
#4
LDA model
increase
responder group
patients
95.45%
correctly classifying
#5
LDA model
increase
non-responder group
patients
100%
correctly classifying
#6
Abstract

Irritable Bowel Syndrome (IBS) is a functional gastrointestinal disorder characterized by abdominal pain and altered bowel habit. IBS patients report that FODMAP (Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols) diet induce or exacerbate their symptoms. It has been reported that low-FODMAP diet (LFD) improves the symptoms in 50%-80% of IBS patients. We aimed to identify IBS responders and non-responders' patients to LFD by determining baseline fecal microbial composition, sequencing the 16S rRNA gene V3-V4 region. Thirty-two participants with IBS were included, 29 women (90.62%) and three men (9.37%), and instructed to follow a four-week LFD, Visual Analogue Scale for IBS was used to assess intervention response. Twenty-two participants were responders (68.75%), and ten were non-responders (31.25%). Differential abundance analysis of Amplicon Sequence Variant (ASVs), before LFD, identified Prevotella 9 and Veillonella genus in responder group, and Barnesiella, Paraprevotella, Bifidobacterium and Ruminococcus 1 genus in non-responder group. After LFD, differentially abundant ASVs were only identified in R, belonging to Veilonella, Butyrivibrio, and 5 ASVs belonging to Ruminiclostridium 6 genus. Linear Discriminant Analysis (LDA), was used to classify patients by responsiveness, considering baseline abundance of 5 bacterial genera, LDA accuracy model was 96.87%, correctly classifying 95.45% of in responder group and 100% and non-responder group. In conclusion, bacterial biomarkers are useful to classify IBS individuals by responsiveness to LFD.

Medical Subject Headings (MeSH)
AdultBacteriaDietDietary CarbohydratesDisaccharidesFecesFemaleFermentationGastrointestinal MicrobiomeHumansIrritable Bowel SyndromeMaleMexicoMiddle AgedMonosaccharidesOligosaccharidesPolymers
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations13
Citations/Year3.3
Relative Citation Ratio1.25
NIH Percentile58.5%
Research Impact Scores
APT Score0.75
Weight Score1.21
Normalized Score0.69
Related Supplements