The Experiences of Female IBS Patients Concerning Physical Activity as Treatment Modality: A Qualitative Study

Groenendijk, Daan W; Witteman, Ben J.M.; Mulder, Bob C.

doi:10.1177/10497323221110109

Cited by 7 publications

(9 citation statements)

References 33 publications

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“…Previous research have indicated that IBS is related to physical factors [20][21][22][23][24] . Patients with IBS who engage in more physical activity see a reduction in GI symptoms, most likely as a result of an increase in intestinal transit and the absorptive capacity of the gut 25 .…”

Section: Discussionmentioning

confidence: 99%

The causal effects of leisure screen time on irritable bowel syndrome risk: result from a Mendelian randomization study

Liu

et al. 2023

Preprint

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Associations between leisure sedentary behavior (especially leisure screen time, LST) and irritable bowel syndrome (IBS) have been reported, but causality is unclear. Here, the two-sample Mendelian randomization was performed to investigate the causal association between LST and IBS. Two recently published genome-wide association studies (GWASs) including a total of 1,190,502 people from Europe were used as our data source. Inverse variance weighting (OR = 1.120, 95% CI 1.029–1.219) and weighted median (OR = 1.112, 95% CI 1.000–1.236) analyses revealed an association between the genetically predicted risk of IBS and LST. There was no evidence of pleiotropy in the sensitive analysis (MR-Egger, p = 0.139). After removing potentially confounding single nucleotide polymorphisms, similar results were found using inverse variance weighting (OR = 1.131, 95% CI 1.025–1.248) and weighted median (OR = 1.151, 95% CI 1.020–1.299), as well as in the validation analyses using inverse variance weighting (OR = 1.287, 95% CI 0.996–1.662). This study provided support for a possible causal relationship between leisure screen time and IBS. This information can be used to gain insight into the prevention and treatment of disease.

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Section: Discussionmentioning

confidence: 99%

The causal effects of leisure screen time on irritable bowel syndrome risk: result from a Mendelian randomization study

Liu

et al. 2023

Preprint

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“…At the end of the treatment, the total score changed from moderate to mild, representing a 38.9% reduction. It is worth noting that GI symptoms may hinder IBS patients, despite their motivation to engage in PA [ 42 , 43 ], underscoring the importance of selecting patients with mild to moderate symptoms to ensure better adherence to the activity.…”

Section: Discussionmentioning

confidence: 99%

The Impact of a Twelve-Week Moderate Aerobic Exercise Program on Gastrointestinal Symptom Profile and Psychological Well-Being of Irritable Bowel Syndrome Patients: Preliminary Data from a Southern Italy Cohort

Riezzo,

Prospero,

D’Attoma

et al. 2023

JCM

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Walking is popular moderate-intensity aerobic exercise that improves mental and gastrointestinal (GI) health. It can relieve symptoms associated with irritable bowel syndrome (IBS), e.g., intestinal gas, abdominal distension, and bowel disturbances. This study examined the impact of a moderate-intensity aerobic exercise program on the clinical and psychological parameters of IBS patients. In total, 40 IBS patients (11 males and 29 females; mean age 51.9 ± 7.8 years) participated in a 12-week aerobic exercise program. Participants completed questionnaires assessing GI symptoms, psychological profiles, and quality of life (QoL) before and after the intervention. Field tests, anthropometric measurements, and bioimpedance assessments were also conducted. The present findings confirmed a significant improvement in IBS symptoms after the aerobic exercise program. Bloating was the most common symptom and, together with abdominal pain, was significantly reduced after treatment. Psychological and QoL questionnaires indicated decreased anxiety, depression, somatization, and stress levels. Correlations were found between anxiety/depression and the severity of abdominal pain as well as between stress and the severity of abdominal distension. Moderate-intensity aerobic exercise positively impacted GI symptoms and psychological well-being, complementing dietary and psychological support as a non-pharmacological therapy for the management of IBS. These findings emphasize the importance of alternative approaches for IBS treatment.

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“…Patients with IBS are three times more likely to experience anxiety or depression than normal individuals [40], with a higher prevalence of these conditions in patients with IBS-constipation than the other IBS subtypes [17,18]. Besides, anxiety or depression can aggravate IBS GI and extra-GI symptoms by modulating visceral sensation and gut microenvironment and impacting the microbiome-gut-brain axis, ultimately reducing the QoL [40][41][42]. These findings posit the prime role of IBS psychological therapies, such as mindfulness behavioral therapy, hypnotherapy, multicomponent psychotherapy, relaxation therapy, and psychodynamic therapy [43][44][45].…”

Section: Psychological Interactions Between Exercise and Irritable Bo...mentioning

confidence: 99%

“…Physically inactive persons are 3.5 times more likely to suffer from IBS symptoms compared to physically active persons [49]. Increasing physical activity is viewed as one of the initial management strategies for preventing chronic morbidities, enhancing GI and psychological health, and improving overall IBS symptoms, including GI and extra-GI symptoms, such as fatigue, depression, anxiety, and stress [16][17][18]25,47], especially in IBS-C patients [17,18,42,50]. Even though physical activity positively affects physiological, physical, and psychological factors in IBS patients, the exact mechanisms until now are not well understood, and the evidence is still insufficient and inconclusive [12-Health, sport, rehabilitation Health, sport, rehabilitation Здоров'я, спорт, реабілітація Здоров'я, спорт, реабілітація Здоровье, спорт, реабилитация Здоровье, спорт, реабилитация 2023 9(4) 99 20,26,42].…”

Section: Do Physical Exercises Impact Irritable Bowel Syndrome and How?mentioning

confidence: 99%

“…Many IBS patients avoid running due to the belief that the abdominal bouncing up and down during running may be responsible for inducing abdominal complaints and delaying defecation onset. Abdominal mechanical bouncing can increase intra-abdominal pressure and organ movement and interfere with prostaglandin release, which affects intestinal motility and causes exercise-induced abdominal complaints such as runner's diarrhea [42].…”

Section: How Substantial Is the Evidence Linking Exercise And Irritab...mentioning

confidence: 99%

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Can physical exercise help people with irritable bowel syndrome? How substantial is the evidence?

Ahmad,

Thnaibat

2023

HSR

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Purpose: Irritable bowel syndrome is one of the most common gastrointestinal disorders worldwide that negatively affect health and quality of life and imposes high costs. Increasing attention is being paid to non-pharmacological therapies, like physical exercise, to manage and alleviate irritable bowel syndrome symptoms, but the underlying mechanism is unclear, and the evidence is inconclusive. This article aims to provide an overview analysis of the recent evidence that links physical exercise with irritable bowel symptoms. Material and methods. For the last five years of research (2018-2023), we searched several international scientific databases, including Web of Science, Scopus, Science Direct, ADI, the Cochrane Central Register of Controlled Trials, PubMed, Medline, Clinical trials.gov, Google Scholar, and the WHO database. Results. Generally, exercise exerts variable effects on gut physiology, integrity, and health. Much research recommended adopting regular light-to-moderate aerobic exercise and relaxation anaerobic exercise to enhance the patient’s psychological well-being and alleviate global irritable bowel syndrome symptoms. These types of exercise are purported to improve bowel function, motility, tone, habits, immunity, microbial diversity, and quality of life due to a decrease in psychological stress, depression, anxiety index, irritable bowel syndrome symptom severity score, intestinal hypersensitivity, and gut permeability. In contrast, more studies reported several disruptive effects of vigorous aerobic exercise on gut integrity and physiology that can compromise irritable bowel syndrome symptoms by inducing splanchnic hypoperfusion, gastrointestinal epithelial wall damage, malabsorption, dysbiosis, and bacterial translocation, thus calling into question the positive outcomes of the exercise. Conclusions. There is overwhelming evidence recommending regular light-to-moderate aerobic exercise and anaerobic relaxation exercises for patients with IBS. However, this evidence seems low-quality, making it challenging to confirm the actual impacts of exercise. Ethnicity, study design, type and intensity of exercise, and methodological issues are among the reasons that are put forward to account for this low-quality evidence. Thus, well-designed plausible studies, particularly randomized controlled trials and research on individualized exercise intervention settings that consider exercise frequency, intensity, time, type, volume, and progression, are highly demanded to enable drawing specific exercise recommendations for irritable bowel syndrome patients without adverse effects.

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The Experiences of Female IBS Patients Concerning Physical Activity as Treatment Modality: A Qualitative Study

Cited by 7 publications

References 33 publications

The causal effects of leisure screen time on irritable bowel syndrome risk: result from a Mendelian randomization study

The causal effects of leisure screen time on irritable bowel syndrome risk: result from a Mendelian randomization study

The Impact of a Twelve-Week Moderate Aerobic Exercise Program on Gastrointestinal Symptom Profile and Psychological Well-Being of Irritable Bowel Syndrome Patients: Preliminary Data from a Southern Italy Cohort

Can physical exercise help people with irritable bowel syndrome? How substantial is the evidence?

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