Randomised clinical trial: yoga vs a low-FODMAP diet in patients with irritable bowel syndrome

Schumann, D; Langhorst, J; Dobos, G; Cramer, H

Randomised clinical trial: yoga vs a low-FODMAP diet in patients with irritable bowel syndrome

Schumann, D Langhorst, J Dobos, G Cramer, H

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Publication Type:: Journal Article
Citation:: Alimentary Pharmacology and Therapeutics, 2018, 47 (2), pp. 203 - 211
Issue Date:: 2018-01-01

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Field	Value	Language
dc.contributor.author	Schumann, D	en_US
dc.contributor.author	Langhorst, J	en_US
dc.contributor.author	Dobos, G	en_US
dc.contributor.author	Cramer, H https://orcid.org/0000-0002-3640-8046	en_US
dc.date.available	2017-10-04	en_US
dc.date.issued	2018-01-01	en_US
dc.identifier.citation	Alimentary Pharmacology and Therapeutics, 2018, 47 (2), pp. 203 - 211	en_US
dc.identifier.issn	0269-2813	en_US
dc.identifier.uri	http://hdl.handle.net/10453/123565
dc.description.abstract	© 2017 John Wiley & Sons Ltd Background: Irritable bowel syndrome is the most frequent gastrointestinal disorder. It is assumed that lifestyle interventions might be a rational treatment approach. Aim: To examine the effect of a yoga-based intervention vs a low-FODMAP diet on patients with irritable bowel syndrome. Methods: Fifty-nine patients with irritable bowel syndrome undertook a single-blind, randomised controlled trial involving yoga or a low-FODMAP diet for 12 weeks. Patients in the yoga group received two sessions weekly, while patients in the low-FODMAP group received a total of three sessions of nutritional counselling. The primary outcome was a change in gastrointestinal symptoms (IBS-SSS). Secondary outcomes explored changes in quality of life (IBS-QOL), health (SF-36), perceived stress (CPSS, PSQ), body awareness (BAQ), body responsiveness (BRS) and safety of the interventions. Outcomes were examined in weeks 12 and 24 by assessors “blinded” to patients’ group allocation. Results: No statistically significant difference was found between the intervention groups, with regard to IBS-SSS score, at either 12 (Δ = 31.80; 95%CI = −11.90, 75.50; P =.151) or 24 weeks (Δ = 33.41; 95%CI = −4.21, 71.04; P =.081). Within-group comparisons showed statistically significant effects for yoga and low-FODMAP diet at both 12 and 24 weeks (all P <.001). Comparable within-group effects occurred for the other outcomes. One patient in each intervention group experienced serious adverse events (P = 1.00) and another, also in each group, experienced nonserious adverse events (P = 1.00). Conclusions: Patients with irritable bowel syndrome might benefit from yoga and a low-FODMAP diet, as both groups showed a reduction in gastrointestinal symptoms. More research on the underlying mechanisms of both interventions is warranted, as well as exploration of potential benefits from their combined use.	en_US
dc.relation.ispartof	Alimentary Pharmacology and Therapeutics	en_US
dc.relation.isbasedon	10.1111/apt.14400	en_US
dc.subject.classification	Gastroenterology & Hepatology	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Irritable Bowel Syndrome	en_US
dc.subject.mesh	Polymers	en_US
dc.subject.mesh	Yoga	en_US
dc.subject.mesh	Single-Blind Method	en_US
dc.subject.mesh	Fermentation	en_US
dc.subject.mesh	Quality of Life	en_US
dc.subject.mesh	Food, Formulated	en_US
dc.subject.mesh	Adolescent	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Diet, Carbohydrate-Restricted	en_US
dc.subject.mesh	Young Adult	en_US
dc.title	Randomised clinical trial: yoga vs a low-FODMAP diet in patients with irritable bowel syndrome	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	47	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1115 Pharmacology and Pharmaceutical Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	47	en_US

Abstract:

© 2017 John Wiley & Sons Ltd Background: Irritable bowel syndrome is the most frequent gastrointestinal disorder. It is assumed that lifestyle interventions might be a rational treatment approach. Aim: To examine the effect of a yoga-based intervention vs a low-FODMAP diet on patients with irritable bowel syndrome. Methods: Fifty-nine patients with irritable bowel syndrome undertook a single-blind, randomised controlled trial involving yoga or a low-FODMAP diet for 12 weeks. Patients in the yoga group received two sessions weekly, while patients in the low-FODMAP group received a total of three sessions of nutritional counselling. The primary outcome was a change in gastrointestinal symptoms (IBS-SSS). Secondary outcomes explored changes in quality of life (IBS-QOL), health (SF-36), perceived stress (CPSS, PSQ), body awareness (BAQ), body responsiveness (BRS) and safety of the interventions. Outcomes were examined in weeks 12 and 24 by assessors “blinded” to patients’ group allocation. Results: No statistically significant difference was found between the intervention groups, with regard to IBS-SSS score, at either 12 (Δ = 31.80; 95%CI = −11.90, 75.50; P =.151) or 24 weeks (Δ = 33.41; 95%CI = −4.21, 71.04; P =.081). Within-group comparisons showed statistically significant effects for yoga and low-FODMAP diet at both 12 and 24 weeks (all P <.001). Comparable within-group effects occurred for the other outcomes. One patient in each intervention group experienced serious adverse events (P = 1.00) and another, also in each group, experienced nonserious adverse events (P = 1.00). Conclusions: Patients with irritable bowel syndrome might benefit from yoga and a low-FODMAP diet, as both groups showed a reduction in gastrointestinal symptoms. More research on the underlying mechanisms of both interventions is warranted, as well as exploration of potential benefits from their combined use.

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http://hdl.handle.net/10453/123565