Effect of Walking Exercise and Intestinal Cleansing Interval on Bowel Preparation Quality, a Single-Blind, Randomized Controlled Trial

Gao, Xin; Bian, Qiugui; Ding, Wenqin; Qian, Haisheng; Li, Wenjie; Zhang, Guoxin; Li, Xuan

doi:10.1007/s10620-022-07526-4

Cited by 6 publications

(17 citation statements)

References 22 publications

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“…Another study byZhang et al showed that patients who walk longer (regarding walking time) have better bowel preparation[68]. Another study by Gao et al on three groups of patients (0 steps, 5000 steps and 10000 steps before the colonoscopy procedure) revealed that walking more than 10000 steps can signi cantly increase BBPS compared to the other groups[22].In our study, younger individuals had better bowel preparation. Some other studies also identi ed age as a risk factor for poor preparation of the bowel [69-71].…”

supporting

confidence: 53%

“…Previous animal studies have shown that exercising can ease gastrointestinal (GI) system motility and better defecation [19,20]; hence it can be hypothesized that mild walking exercise for outpatients can enhance their colonoscopy e ciency by increasing bowel cleanliness. However, limited clinical trial studies with controversial results have been performed on the effects of planned walking exercise on colon cleansing in colonoscopy [21,22]; therefore, we performed this single-blind randomized study to identify exercise's effect on bowel preparation before the colonoscopy.…”

Section: Introductionmentioning

confidence: 99%

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The effectiveness of walking exercise on the bowel preparation before colonoscopy: A single blind randomized clinical trial study

Rezamand

Joukar

Amini-Salehi

et al. 2023

Preprint

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Background and aim: Bowel preparation is a crucial factor affecting the diagnostic accuracy of colonoscopy, and few randomized control trials evaluated enhancement in bowel preparation. In this study, we aimed to evaluate the effectiveness of walking exercises on bowel preparation before colonoscopy procedure. Methods: The present study is a single-blind randomized control trial, including 262 patients undergoing colonoscopy procedure. Patients were randomly divided into two groups of intervention (n=131) and control (n=131). Individuals in the intervention group were supposed to consume certain liquids and foods, bisacodyl pills, poly ethylene glycol powder and walk before their colonoscopy day based on a predefined plan. Individuals in the control group were supposed to consume the same regimen as the intervention group but were not told to do walking exercises. On the colonoscopy day, both groups were estimated regarding the number of footsteps taken by a foot counter. An experienced gastroenterologist compared the two groups regarding the Boston Bowel Preparation Scale (BBPS). Results: The number of taken footsteps in the two groups was significantly different (P<0.001). Although there was no significant difference between the intervention and control groups regarding mean BBPS (6.26±1.9 vs 6.29±1.9, P =0.416), individuals with more than 6900 steps had significantly higher BBPS compared to individuals with less than 6900 footsteps (6.62±1.8 vs 5.92±1.9, P = 0.003). In univariate analysis, BBPS was significantly associated with age below 50 (OR: 2.45, 95%CI: 1.30-4.61, P=0.006) and smoking (OR: 0.41, 95%CI: 0.17-0.94, P=0.043). In multivariate analysis, the relationship between BBPS with age below 50 and smoking remained significant (OR: 2.50, 95%CI: 1.30-4.70, P=0.005 and OR: 0.38, 95%CI: 0.16-0.93, P=0.034, respectively). Conclusion: Although walking exercise as an intervention before colonoscopy was not significantly associated with BBPS, the higher number of footsteps taken was found to enhance bowel preparation. Also, older people and smokers seem to have fewer benefits from walking exercises for bowel preparation before the colonoscopy procedure. Trial registration: ISRCTN32724024 (Registration date:22/08/2018).

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supporting

confidence: 53%

Section: Introductionmentioning

confidence: 99%

The effectiveness of walking exercise on the bowel preparation before colonoscopy: A single blind randomized clinical trial study

Rezamand

Joukar

Amini-Salehi

et al. 2023

Preprint

View full text Add to dashboard Cite

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“…Scores on the Downs and Black scale ranged from 19 to 26. Specifically, two studies of excellent quality (26 points) (Arya, Gupta, Valluri, Arya, & Lesser, 2013; Gao et al, 2022), two studies of good quality (24 or 25 points) (Kim et al, 2005; Noh et al, 2020), and one study of fair quality (19 points) (Qin, Liu, Lin, & Li, 2016). Four of the five studies used randomization for allocation, whereas one used a quasi-experimental design (Noh et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

“…In terms of measurement tools, four studies used well-validated and reliable scales (Boston Bowel Preparation Scale [BBPS]; Arya Bowel Preparation Scale [ABPS]), with only one study that used an unvalidated scale (4-point scale) (Kim et al, 2005). All included studies reported on bowel cleansing scores, with three studies (60%) showing that exercise therapy was effective in improving the quality of bowel preparation (Gao et al, 2022; Kim et al, 2005; Noh et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

“…“Exercise therapy” is defined as a regimen or plan of physical activities designed and prescribed for specific therapeutic goals (Hoogeboom et al, 2021). Several studies have shown that exercise therapy is an ideal, safe, and nonpharmacological method to optimize the bowel preparation process (Gao et al, 2022; Noh et al, 2020). Nevertheless, there are conflicting views as to whether exercise therapy significantly affects the quality of bowel preparation, procedure-related indicators, adverse events, and willingness to repeat preparation.…”

Section: Introductionmentioning

confidence: 99%

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A Systematic Review of Exercise Therapy for Bowel Preparation

Zhang

Chui

Hilmi

2023

Gastroenterology Nursing

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This systematic review aims to evaluate (1) the effectiveness of exercise therapy in bowel preparation for colonoscopy, and (2) the characteristics of exercise programs for bowel preparation. Systematic searches were done in PubMed, EMBASE, the Cochrane Library, Web of Science, and CINAHL from inception to November 2022. Randomized controlled trials and quasi-experimental studies assessing the efficacy of exercise during bowel preparation were included in this review. Two reviewers independently assessed the methodological quality using a modified Downs and Black checklist. A narrative synthesis was conducted. A total of five studies (1,109 participants) were included in this review. In all eligible studies, the characteristics of the exercise programs varied and included mainly two types of exercise (walking and yoga), various amount of exercise (3,000–10,000 steps or 0.5–1.9 hours), and two exercise timing (during and 1 hour after taking the laxative). Available evidence indicated that exercise therapy is effective in improving the quality of bowel preparation. However, there was insufficient high-quality evidence to conclude the effects on procedure-related indicators, adverse events, and willingness to repeat preparation. Exercise should be recommended as an important part of routine bowel preparation for patients undergoing colonoscopy to improve the quality of bowel preparation. More rigorous studies focusing on the effects on procedure-related indicators, adverse events, and willingness to repeat preparation are needed. To ensure the effectiveness and safety of the intervention, it is critical to establish a standard, well-structured exercise program for bowel preparation.

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Effectiveness and safety of Shankhaprakshalana—a yogic technique—in bowel preparation for colonoscopy: A retrospective study

Panigrahi,

Prakash,

Chouhan

et al. 2023

Indian J Gastroenterol

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Effect of Walking Exercise and Intestinal Cleansing Interval on Bowel Preparation Quality, a Single-Blind, Randomized Controlled Trial

Cited by 6 publications

References 22 publications

The effectiveness of walking exercise on the bowel preparation before colonoscopy: A single blind randomized clinical trial study

The effectiveness of walking exercise on the bowel preparation before colonoscopy: A single blind randomized clinical trial study

A Systematic Review of Exercise Therapy for Bowel Preparation

Effectiveness and safety of Shankhaprakshalana—a yogic technique—in bowel preparation for colonoscopy: A retrospective study

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