The effects of locomotor activity on gastrointestinal symptoms of irritable bowel syndrome among younger people: An observational study

Irritable bowel syndrome (IBS) is a common bowel disorder that manifests as unexplained abdominal pain or discomfort and bowel habit changes in the form of diarrhea, constipation, or alternating patterns of the two. Some evidences demonstrate that increased physical activity improves IBS symptoms. H...

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Veröffentlicht in:PloS one 2020-05, Vol.15 (5), p.e0234089-e0234089
Hauptverfasser: Hamaguchi, Toyohiro, Tayama, Jun, Suzuki, Makoto, Nakaya, Naoki, Takizawa, Hirokazu, Koizumi, Kohei, Amano, Yoshifumi, Kanazawa, Motoyori, Fukudo, Shin
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creator Hamaguchi, Toyohiro
Tayama, Jun
Suzuki, Makoto
Nakaya, Naoki
Takizawa, Hirokazu
Koizumi, Kohei
Amano, Yoshifumi
Kanazawa, Motoyori
Fukudo, Shin
description Irritable bowel syndrome (IBS) is a common bowel disorder that manifests as unexplained abdominal pain or discomfort and bowel habit changes in the form of diarrhea, constipation, or alternating patterns of the two. Some evidences demonstrate that increased physical activity improves IBS symptoms. Hence, daily exercise is recommended in these patients. In this study, we aimed to investigate the relationship between physical activity and gastrointestinal symptoms in 101 university students (female = 78) with IBS. Participants were examined by Gastrointestinal Symptoms Rating Scale (GSRS), and gait steps were measured for 1 week using a pedometer. The association between the GSRS score and pedometer counts was determined by ordinal logistic modeling analysis. The ordinal logistic regression model for GSRS and locomotor activity showed a significant stepwise fit (z = -3.05, p = 0.002). The logistic curve separated GSRS score of 5 points (moderately severe discomfort) from 2 points (minor discomfort) by locomotor activity. The probability for daily locomotor activity to discriminate between 5 and 4 points of GSRS (i.e., likely to have reverse symptoms) decreased in accordance with increment of steps per day: 78% probability for 4000 steps, 70% probability for 6000 steps, 59% probability for 8000 steps, and 48% probability for 10000 steps. This study demonstrated that the severity of GSRS is associated with the amount of walking in younger people with IBS. These results may be used as a measure to determine the daily step count to reduce the severity of gastrointestinal symptoms in individuals with IBS.
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effects of locomotor activity on gastrointestinal symptoms of irritable bowel syndrome among younger people: An observational study</title><author>Hamaguchi, Toyohiro ; Tayama, Jun ; Suzuki, Makoto ; Nakaya, Naoki ; Takizawa, Hirokazu ; Koizumi, Kohei ; Amano, Yoshifumi ; Kanazawa, Motoyori ; Fukudo, Shin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c758t-fc8c5ff36c1967dea0b130cb3dcf18be7ec6bd05c71ddb3a295aee695a6a27b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abdomen</topic><topic>Biology and Life Sciences</topic><topic>Care and treatment</topic><topic>Constipation</topic><topic>Data collection</topic><topic>Development and progression</topic><topic>Diarrhea</topic><topic>Discomfort</topic><topic>Exercise</topic><topic>Female</topic><topic>Gait</topic><topic>Gastrointestinal symptoms</topic><topic>Gastrointestinal Tract - 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Some evidences demonstrate that increased physical activity improves IBS symptoms. Hence, daily exercise is recommended in these patients. In this study, we aimed to investigate the relationship between physical activity and gastrointestinal symptoms in 101 university students (female = 78) with IBS. Participants were examined by Gastrointestinal Symptoms Rating Scale (GSRS), and gait steps were measured for 1 week using a pedometer. The association between the GSRS score and pedometer counts was determined by ordinal logistic modeling analysis. The ordinal logistic regression model for GSRS and locomotor activity showed a significant stepwise fit (z = -3.05, p = 0.002). The logistic curve separated GSRS score of 5 points (moderately severe discomfort) from 2 points (minor discomfort) by locomotor activity. The probability for daily locomotor activity to discriminate between 5 and 4 points of GSRS (i.e., likely to have reverse symptoms) decreased in accordance with increment of steps per day: 78% probability for 4000 steps, 70% probability for 6000 steps, 59% probability for 8000 steps, and 48% probability for 10000 steps. This study demonstrated that the severity of GSRS is associated with the amount of walking in younger people with IBS. These results may be used as a measure to determine the daily step count to reduce the severity of gastrointestinal symptoms in individuals with IBS.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32470098</pmid><doi>10.1371/journal.pone.0234089</doi><tpages>e0234089</tpages><orcidid>https://orcid.org/0000-0002-4689-6880</orcidid><orcidid>https://orcid.org/0000-0001-5645-0439</orcidid><orcidid>https://orcid.org/0000-0003-2265-0349</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry
subjects Abdomen
Biology and Life Sciences
Care and treatment
Constipation
Data collection
Development and progression
Diarrhea
Discomfort
Exercise
Female
Gait
Gastrointestinal symptoms
Gastrointestinal Tract - pathology
Gastrointestinal Tract - physiopathology
Health aspects
Health psychology
Humans
Intestine
Irritable bowel syndrome
Irritable Bowel Syndrome - pathology
Irritable Bowel Syndrome - physiopathology
Locomotion - physiology
Locomotor activity
Logistic Models
Male
Medical research
Medicine
Medicine and Health Sciences
Observational studies
Pain
People and Places
Physical activity
Physical fitness
Regression analysis
Regression models
Rehabilitation
Statistical analysis
Studies
University students
Walking
Young Adult
title The effects of locomotor activity on gastrointestinal symptoms of irritable bowel syndrome among younger people: An observational study
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