Effect of Yoga in the Therapy of Irritable Bowel Syndrome: A Systematic Review

Schumann, D; Anheyer, D; Lauche, R; Dobos, G; Langhorst, J; Cramer, H

Effect of Yoga in the Therapy of Irritable Bowel Syndrome: A Systematic Review

Schumann, D Anheyer, D Lauche, R

Dobos, G Langhorst, J Cramer, H

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Publication Type:: Journal Article
Citation:: Clinical Gastroenterology and Hepatology, 2016, 14 (12), pp. 1720 - 1731
Issue Date:: 2016-12-01

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Field	Value	Language
dc.contributor.author	Schumann, D	en_US
dc.contributor.author	Anheyer, D	en_US
dc.contributor.author	Lauche, R https://orcid.org/0000-0002-4171-7935	en_US
dc.contributor.author	Dobos, G	en_US
dc.contributor.author	Langhorst, J	en_US
dc.contributor.author	Cramer, H	en_US
dc.date.available	2020-05-25T19:24:24Z
dc.date.issued	2016-12-01	en_US
dc.identifier.citation	Clinical Gastroenterology and Hepatology, 2016, 14 (12), pp. 1720 - 1731	en_US
dc.identifier.issn	1542-3565	en_US
dc.identifier.uri	http://hdl.handle.net/10453/43717
dc.description.abstract	© 2016 AGA Institute Background & Aims This review aims to systematically survey the effects of yoga on symptoms of irritable bowel syndrome (IBS), pain, quality of life, mood, stress, and safety in patients with IBS. Methods MEDLINE/Pubmed, Scopus, the Cochrane Library, CAM-QUEST, CAMbase, and IndMED were screened through November 2015. Randomized controlled trials comparing yoga with usual care, nonpharmacologic, or pharmacologic interventions were analyzed for patients with IBS. Primary outcomes included gastrointestinal symptoms, quality of life, and pain. Anxiety, mood, and safety were defined as secondary outcomes. Risk of bias was assessed according to the Cochrane Collaboration recommendations. Results Six randomized controlled trials with a total of 273 patients were included in the qualitative analysis. There was evidence for a beneficial effect of a yogic intervention over conventional treatment in IBS, with significantly decreased bowel symptoms, IBS severity, and anxiety. Furthermore, there were significant improvements in quality of life, global improvement, and physical functioning after yoga compared with no treatment. Two randomized controlled trials reported safety data stating that no adverse events occurred. Overall, risk of bias of the included studies was unclear. Conclusions The findings of this systematic review suggest that yoga might be a feasible and safe adjunctive treatment for people with IBS. Nevertheless, no recommendation can be made regarding yoga as a routine intervention for patients with IBS because of major flaws in study methods. More research is needed with respect to a high-quality study design and consensus in clinical outcome measurements in IBS. ClinicalTrials.gov number, NCT02721836.	en_US
dc.relation.ispartof	Clinical Gastroenterology and Hepatology	en_US
dc.relation.isbasedon	10.1016/j.cgh.2016.04.026	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	Treatment Outcome	en_US
dc.subject.mesh	Yoga	en_US
dc.subject.mesh	Quality of Life	en_US
dc.subject.mesh	Randomized Controlled Trials as Topic	en_US
dc.title	Effect of Yoga in the Therapy of Irritable Bowel Syndrome: A Systematic Review	en_US
dc.type	Journal Article
utslib.citation.volume	12	en_US
utslib.citation.volume	14	en_US
utslib.for	1103 Clinical 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
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	open_access
pubs.issue	12	en_US
pubs.publication-status	Published	en_US
pubs.volume	14	en_US

Abstract:

© 2016 AGA Institute Background & Aims This review aims to systematically survey the effects of yoga on symptoms of irritable bowel syndrome (IBS), pain, quality of life, mood, stress, and safety in patients with IBS. Methods MEDLINE/Pubmed, Scopus, the Cochrane Library, CAM-QUEST, CAMbase, and IndMED were screened through November 2015. Randomized controlled trials comparing yoga with usual care, nonpharmacologic, or pharmacologic interventions were analyzed for patients with IBS. Primary outcomes included gastrointestinal symptoms, quality of life, and pain. Anxiety, mood, and safety were defined as secondary outcomes. Risk of bias was assessed according to the Cochrane Collaboration recommendations. Results Six randomized controlled trials with a total of 273 patients were included in the qualitative analysis. There was evidence for a beneficial effect of a yogic intervention over conventional treatment in IBS, with significantly decreased bowel symptoms, IBS severity, and anxiety. Furthermore, there were significant improvements in quality of life, global improvement, and physical functioning after yoga compared with no treatment. Two randomized controlled trials reported safety data stating that no adverse events occurred. Overall, risk of bias of the included studies was unclear. Conclusions The findings of this systematic review suggest that yoga might be a feasible and safe adjunctive treatment for people with IBS. Nevertheless, no recommendation can be made regarding yoga as a routine intervention for patients with IBS because of major flaws in study methods. More research is needed with respect to a high-quality study design and consensus in clinical outcome measurements in IBS. ClinicalTrials.gov number, NCT02721836.

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http://hdl.handle.net/10453/43717