Does a Physically Active Lifestyle Improve Symptoms in Women With Irritable Bowel Syndrome?

Abstract

The ethics of dealing with the provision of nutritional therapies has been complicated by technological advances that have affected all of medical science. As a result, nurses are increasingly confronted with decisions regarding the provision of invasive treatments. Indeed, enormous faith is invested in the ability and wisdom of healthcare professionals to alleviate suffering and accomplish cure through the application of invasive therapeutic interventions such as percutaneous endoscopic gastrostomy (PEG) placement. Such decisions are often complex, present a moral dilemma, and are further complicated by prevailing politico-economic, social, and cultural influences. The insertion of tubes for artificial nutritional support in those patients who can be defined as "vulnerable" is no exception. This article explores both the clinical and ethical realities of PEG tube placement and use thereafter in vulnerable patients. The ethical principles of autonomy, beneficence, and justice are discussed within the context of PEG placement and feeding and recommendations are given for nurses practicing in the area of gastroenterology.

Lifestyle and psychological factors related to irritable bowel syndrome in nursing and medical school students

“…Lustyk et al [24] reported that the IBS group had less exercise than the non-IBS group in the general population in America (p = 0.05). Kim and Ban [25] also reported that the IBS group tended to have less exercise time a week than the non-IBS group in Korean college students.…”

Mental, Physical, Dietary, and Nutritional Effects on Irritable Bowel Syndrome in Young Japanese Women

“…Daily exercise can maintain a good bowel function and help to prevent constipation (7). Lustyk et al reported that physically active women were less likely to report a feeling of incomplete evacuation following a bowel movement than inactive women (25). Okami et al reported that an IBS group exercised less than a non-IBS group among Japanese nursing and medical school students (11).…”

Untitled

“…16 groups of investigators [5,6,11,16,27,36,42,43,50,53,59,60,67,70,72,74] have evaluated habitual physical activity in patients from various age groups and with variously defined CIBD, using subjective and objective measures of physical activity that have included occupational categorization, completion of interviews or questionnaires, accelerometry and use of other objective sensors ( • ▶ Table 1). 12 of the 16 studies found levels of physical activity that were significantly lower in patients with CIBD than in controls, the difference generally being more marked for those classed as CD than for those with UC ( [27,43,53] but not [16]).…”