Gut Liver.
2011 Dec;5(4):472-477.
The Effects of Lifestyle Modification on Symptoms and Quality of Life in Patients with Irritable Bowel Syndrome: A Prospective Observational Study
- Affiliations
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- 1Department of Internal Medicine, Armed Forces Daejeon Hospital, Daejeon, Korea.
- 2Office of the Surgeon General, Republic of Korea Navy, Daegu, Korea.
- 3Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea.
- 4Korea Advanced Institute of Science and Technology, Daejeon, Korea.
- 5Armed Forces Nursing Academy, Daejeon, Korea.
- 6School of Military Medicine, Daejeon, Korea.
- 7Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Korea. jeonghy@cnu.ac.kr
Abstract
- BACKGROUND/AIMS
Although notably common, irritable bowel syndrome (IBS) has no specific cure. Lifestyle modification may be as important as medication; however, few studies support the effectiveness of such modifications. We performed this observational study of IBS patients to explore further the role of lifestyle changes in treatment.
METHODS
This study included 831 men who enlisted in 2010 as armed surgeon cadets and 85 women who concurrently entered the Armed Forces Nursing Academy. Of these 916 participants, 89 were diagnosed with IBS using the Rome III criteria. Subjective changes in bowel habits, quality of life, pain, stress, stool frequency and stool consistency were surveyed before and after 9 weeks of army training. We evaluated the lifestyle risk factors that impacted improvement in IBS symptoms by comparing those who responded to lifestyle modification (the responding group) to those who did not respond (the nonresponding group).
RESULTS
More than half of the participants (63%) reported that their symptoms improved after training. The quality of life and levels of pain and stress significantly improved after military training. Initial stress levels before military training and smoking history affected IBS symptom improvement.
CONCLUSIONS
Lifestyle modification may be effective in managing IBS patients.
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