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ORIGINAL RESEARCH article

Front. Nutr.

Sec. Clinical Nutrition

Volume 12 - 2025 | doi: 10.3389/fnut.2025.1615671

This article is part of the Research TopicFODMAPs: Advances in Research and Clinical PracticeView all 3 articles

Increase in circulating GLP-1 following low FODMAP diet in irritable bowel syndrome patients

Provisionally accepted
Umael  KhanUmael Khan1*Ingeborg  BrønstadIngeborg Brønstad1Eline  Margrete Randulff HillestadEline Margrete Randulff Hillestad1,2Elisabeth  Kjelsvik SteinsvikElisabeth Kjelsvik Steinsvik1Trygve  HauskenTrygve Hausken1,2Birgitte  BerentsenBirgitte Berentsen1,2Gülen  Arslan LiedGülen Arslan Lied1,2*
  • 1Haukeland University Hospital, Bergen, Norway
  • 2University of Bergen, Bergen, Hordaland, Norway

The final, formatted version of the article will be published soon.

Background: Fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) as well as glucagon-like peptide-1 (GLP-1) have independently been implicated in irritable bowel syndrome (IBS) pathophysiology. However, there is a lack of studies that assess how low FODMAP diet affects circulating GLP-1 levels in IBS patients.Methods: Thirty patients with either diarrhea or mixed type IBS were recruited and undertook low FODMAP diet for 12 weeks. Plasma GLP-1 levels, IBS Severity Scoring System (IBS-SSS), body weight and FODMAP intake were assessed before and after the 12-week dietary intervention.Key results: Following a low FODMAP diet, average IBS-SSS and body weight were reduced (p <0.01) and plasma GLP-1 level was increased (p=0.027).Our study indicates that a 12-week low FODMAP diet may increase plasma glucagon-like peptide-1 levels in IBS patients. The underlying mechanism for this increase remains to be understood.

Keywords: FODMAP, IBS, GLP-1, Incretins, Gut Microbiota, brain-gut

Received: 21 Apr 2025; Accepted: 29 Jul 2025.

Copyright: © 2025 Khan, Brønstad, Hillestad, Steinsvik, Hausken, Berentsen and Lied. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Umael Khan, Haukeland University Hospital, Bergen, Norway
Gülen Arslan Lied, University of Bergen, Bergen, 5020, Hordaland, Norway

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