scholarly journals Effect of Moderate Physical Exercise on Autonomic Balance in Irritable Bowel Syndrome

2015 ◽  
Vol 10 (1) ◽  
pp. 6-10
Author(s):  
Karma Tenzin ◽  
Noorzahan Begum ◽  
Sultana Ferdousi
Keyword(s):  
Irritable Bowel Syndrome ◽  
Physical Exercise ◽  
T Test ◽  
Brisk Walking ◽  
Autonomic Balance ◽  
Post Exercise ◽  
Mean Values ◽  
Irritable Bowel ◽  
Medical University ◽  
Regular Physical Exercise

Background: Altered autonomic balance has been noted in Irritable bowel syndrome Regular physical exercise may cause restoration of autonomic balance in health and disease.Objective: To assess the effect of brisk walking on the autonomic balance by analysis of heart rate variability in patients with Irritable bowel syndrome (IBS).Methods: This prospective study was conducted in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University (BSMMU) in 2013.Seventy seven male IBS patients aged 20-50 years, were enrolled from Gastroenterology OPD, BSMMU, Dhaka. Twenty eight healthy sedentary male with similar age were control. HRV measures were recorded once prior to exercise and then after 3 months of brisk walking. For assessing autonomic balance, LF/HF ratio and Max/Min RR was evaluated by Polyrite D machine and software. ANOVA, Independent sample t-test and paired t-test were used for statistical analysis.Results: The pre-exercise mean values of LF/HF ratio were significantly higher (p<0.001) in all IBS patients compared to those of control. The post exercise LF/HF ratio were significantly lower (p<0.05) in all IBS patients compared to their pre-exercise values.Conclusion: This study concluded that the sympathovagal balance was towards sympathetic predominance in IBS and regular moderate physical exercise may shift the balance towards parasympathetic predominance in them.Bangladesh Soc Physiol. 2015, June; 10(1): 6-10

scholarly journals Exercise induced changes in autonomic nerve function in patients with irritable bowel syndrome by power spectral analysis

2016 ◽  
Vol 8 (1) ◽  
pp. 14
Author(s):  
Karma Tenzin ◽  
Noorzahan Begum ◽  
Sultana Ferdousi
Keyword(s):  
Irritable Bowel Syndrome ◽  
Physical Exercise ◽  
Frequency Domain ◽  
Power Spectral Analysis ◽  
Autonomic Nerve ◽  
Total Power ◽  
Nerve Function ◽  
Brisk Walking ◽  
Autonomic Nerve Function ◽  
Irritable Bowel

<p><strong>Background:</strong> Altered autonomic nerve function has been reported by various investigators in IBS and moderate to vigor­ous physical exercise causes autonomic nerve function improvement both in healthy and various clinical conditions.<strong> </strong></p><p><strong>Objective:</strong> To observe the effect of brisk walking on the autonomic nerve function by analysis of heart rate in patients with Irritable bowel syndrome.</p><p><strong>Methods:</strong> This prospective interventional study was conducted in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University (BSMMU) between January to December 2013. For this purpose 77 male patients aged 20-50 years with IBS were included in this study, they were enrolled from OPD, Gastroen­terology, BSMMU, Dhaka. For comparison, 28 apparently healthy male were also included as control. HRV measures were recorded once before exercise and also after 3 months of brisk walking. For assessing HRV, frequency domain measures such as total power, LF power, HF power, LF norm and HF norm were recorded by Polyrite D machine. ANOVA, Independent sample t-test and paired t-tests were performed for statistical analysis.</p><p><strong>Results:</strong> The pre-exercise values of HF power, HF norm and total power were significantly lower (p&lt;0.05) whereas values of LF power and LF norm were higher (p&lt;0.05) in all IBS patient compared to those of control. The post exercise data demonstrated signifi­cantly higher (p&lt;0.05) HF power, HF nu and total power in all IBS patients compared to their pre-exercise values.</p><p><strong>Conclu­sion:</strong> This study concluded that the frequency domain measures of HRV were decreased in IBS patients but all these parameters can be improved by regular moderate physical exercise.</p>

scholarly journals Effect of Physical Exercise on Autonomic Nerve Function in Irritable Bowel Syndrome

2015 ◽  
Vol 9 (1) ◽  
pp. 17-21
Author(s):  
Karma Tenzina ◽  
Noorzahan Begum ◽  
Sultana Ferdousi
Keyword(s):  
Irritable Bowel Syndrome ◽  
Physical Exercise ◽  
Autonomic Nerve ◽  
Nerve Function ◽  
Autonomic Nerve Function ◽  
Autonomic Nerve Activity ◽  
Nerve Dysfunction ◽  
Male Patients ◽  
Irritable Bowel ◽  
Medical University

Background: Irritable bowel syndrome (IBS) may be associated with autonomic nerve dysfunction. However, moderate to vigorous physical exercise cause improvement of this nerve function. Objective: To observe the effect of moderate physical exercise on the autonomic nerve activity by analysis of HRV in patients with Irritable bowel syndrome. Methods: This prospective study was carried out in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka in 2013. For this purpose, 77 male patients aged 20-50 years with IBS were included in the study. They were subdivided into IBS-D (24 patients), IBS-C (26 patients) and IBS-A (27 patients) and were selected from the OPD, Gastroenterology, BSMMU. 28 apparently healthy male were studied as control. HRV parameters were recorded prior to onset of physical exercise and after completion of 3 months of brisk walking. For assessing autonomic nerve function, some time domain measures of HRV were recorded by Polyrite D. ANOVA, Independent sample t-test and paired t-tests were used for statistical analysis. Results: The pre-exercise values of mean R-R interval, Max/Min ratio, SDNN,RMSSD, NN50%, PNN50% were significantly(p<0.05) lower and mean heart rate was significantly (p<0.05) higher in all IBS patients compared to control. The post exercise data showed mean HR was significantly decreased in IBS-A and SDNN & RMSSD were significantly increased in IBS-C and IBS-A. Conclusion: This study concluded that parasympathetic activity decreased in patients with IBS, which was improved after regular moderate physical exercise of 3 months. DOI: http://dx.doi.org/10.3329/jbsp.v9i1.22790 Bangladesh Soc Physiol. 2014, June; 9(1): 17-21

scholarly journals Rational Use of Fecal Calprotectin in Irritable Bowel Syndrome and Inflammatory Bowel Disease

2021 ◽  
Author(s):  
Roberto Catanzaro ◽  
Alfio Maugeri ◽  
Morena Sciuto ◽  
Fang He ◽  
Baskar Balakrishnan ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Irritable Bowel Syndrome ◽  
Differential Diagnosis ◽  
Bowel Disease ◽  
Intestinal Inflammation ◽  
Gastrointestinal Disorder ◽  
Fecal Calprotectin ◽  
Mean Values ◽  
Inflammatory Bowel ◽  
Irritable Bowel

The gastrointestinal pathologies have increased over the last years. The clinical pictures of inflammatory and irritable bowel disease might overlap, leading to expensive and invasive tests. Our study aims to investigate fecal calprotectin as an effective tool for differential diagnosis of gastrointestinal disorders. Two hundred fifty-six patients with the diagnosis of the gastrointestinal disorder and subjected to colonoscopy were collected for the statistical analysis of fecal calprotectin. The differential diagnosis of intestinal inflammation or non-inflammation was performed according to the Receiver Operating Characteristic (ROC) curve that outlines the Area Under Curve (AUC), Sensitivity (Se), Specificity (Sp). Fecal calprotectin was significantly elevated in patients with inflammatory bowel disease compared with patients with irritable bowel syndrome. Especially, the mean values of fecal calprotectin were 522 g/g (IQR=215-975) and 21 g/g (IQR=14-34.5) in patients with and without inflammation, respectively (P<0.0001). AUC value of fecal calprotectin was 0.958 (Se=88.9%, Sp=91.1%, with a cut-off value of 50 g/g) for differentiating between inflammatory bowel disease and irritable bowel syndrome. Fecal calprotectin seems to be a non-invasive and inexpensive biomarker useful for the purpose of a differential diagnosis between inflammatory bowel disease and irritable bowel syndrome.

scholarly journals Symptomatic overlap in patients with diarrhea predominant irritable bowel syndrome and microscopic colitis in a sub group of Bangladeshi population

2012 ◽  
Vol 38 (1) ◽  
pp. 33-38 ◽  
Author(s):  
MA Rahman ◽  
ASMA Raihan ◽  
DS Ahamed ◽  
H Masud ◽  
ABM Safiullah ◽  
...  
Keyword(s):  
Irritable Bowel Syndrome ◽  
Proximal Colon ◽  
Microscopic Colitis ◽  
Clinical Feature ◽  
Normal Colonic Mucosa ◽  
Colon And Rectum ◽  
Bangladeshi Population ◽  
Irritable Bowel ◽  
Medical University ◽  
Rule Out

Microscopic Colitis (MC) and diarrhea predominant irritable bowel syndrome (IBS-D) has almost similar clinical feature but MC is diagnosed by histologic criteria and IBS is diagnosed by symptombased criteria. There is ongoing debate about the importance of biopsies from endoscopically normal colonic mucosa in the investigation of patients with IBS-D. Aim of this study was to assess the prevalence of MC in patient with IBS-D and to determine the distribution of MC in the colon. This observational study was conducted in department of Gastroenterology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from January 2008 to December 2009. Patients were evaluated thoroughly & who meet Rome–II criteria with normal routine laboratory tests, were included in the study. Colonoscopy was done and biopsies were taken from the caecum, transverse colon, descending colon, and rectum. Out of total 60 patients, 22 had Lymphocytic Colitis (LC), 28 had nonspecific microscopic colitis (NSMC) and 10 had irritable bowel syndrome noninflamed (IBSNI). The distribution of LC was restricted to proximal colon in 15 patients, in the left colon in 2 patients and diffuses throughout the colon in 5 patients. There is considerable symptom overlap between the patients of IBS-D and patients with microscopic colitis. Without colonoscopic biopsy from multiple sites, possibility of MC cannot be excluded in patients with IBS-D and it can be said that clinical symptom based criteria for irritable bowel syndrome are not sufficient enough to rule out the diagnosis of microscopic colitis. DOI: http://dx.doi.org/10.3329/bmrcb.v38i1.10450 Bangladesh Med Res Counc Bull 2012; 38: 33-38

scholarly journals Effects of Propolis Supplementation on The Severity of Disease In Irritable Bowel Syndrome Subjects: A Randomized, Double-Blind Clinical Trial

2021 ◽  
Author(s):  
Mahsa Miryan ◽  
Pejman Alavinejad ◽  
Mohammadreza Abbaspour ◽  
Davood Soleimani ◽  
Alireza Ostadrahimi
Keyword(s):  
Quality Of Life ◽  
Irritable Bowel Syndrome ◽  
Abdominal Pain ◽  
Repeated Measures ◽  
Study Groups ◽  
T Test ◽  
Anxiety State ◽  
Anthropometric Indices ◽  
Irritable Bowel

Abstract The effects of propolis, a well-known functional food, on irritable bowel syndrome (IBS), a chronic gastrointestinal disorder, in humans have yet to be investigated. This study evaluated propolis effects in IBS subjects. In this clinical study, 56 patients with IBS diagnosed by Rome IV criteria were assigned for 6 weeks randomly to the study groups. At the baseline and endpoint phase, patients’ gastrointestinal symptoms, quality of life (QOL), anxiety state, dietary intakes, and anthropometric indices were assessed. Independent t-test, paired t-test, Mann-Whitney U test, Wilcoxon, Fisher's exact test, repeated measures analysis of variance and logistic regression test were used for analyzing the data. To adjust the effect of confounders, covariance analysis was used. The results of this study showed that after modulating the effect of potential confounders, propolis supplementation increased the chance of improving IBS severity by 6.22 (with a confidence interval of: 1.33 - 1.14 and P = 0.035). A significant abdominal pain improvement, anxiety state, and bowel habits dissatisfaction reduction was observed within- and between-group differences in propolis group compared to the placebo group (P = 0.040, P = 0.035, P = 0.029, retrospectively). The overall score of quality of life and its domains in the propolis group was statistically significant, but in comparison between the two groups, this difference was not significant. Also, regards to the food intakes and anthropometric indices, there were no significant differences between and within the two study groups. This study illustrated that propolis supplementation could be used as adjunctive therapy in IBS disease to reduce abdominal pain and anxiety state.

scholarly journals Effect of physical exercise on cortisol concentration and neutrophil oxygen metabolism in peripheral blood of horses

2018 ◽  
Vol 18 (1) ◽  
pp. 53-68 ◽  
Author(s):  
Wiesław Krumrych ◽  
Ryszard Gołda ◽  
Marcin Gołyński ◽  
Hanna Markiewicz ◽  
Mateusz Buzała
Keyword(s):  
Physical Exercise ◽  
Peripheral Blood ◽  
Jugular Vein ◽  
Oxygen Metabolism ◽  
External Jugular Vein ◽  
Cortisol Concentration ◽  
Chemiluminescence Method ◽  
Post Exercise ◽  
Blood Samples ◽  
Regular Physical Exercise

Abstract The aim of the study was to evaluate the effect of regular physical exercise on cortisol concentration and oxygen-dependent bactericidal activity of neutrophils in peripheral blood in recreational and competitive sport horses (racehorses - Ra, trotters - T, jumping horses - J, driving horses - D). The study was conducted on 55 clinically healthy horses. Blood samples were collected from the external jugular vein three times: before exercise, immediately after exercise, and after 30-min rest. Blood samples were subjected to haematological examination, cortisol concentration was determined by radioimmunoassay (RIA) and neutrophil oxygen metabolism of neutrophils was determined using a chemiluminescence method. The analysis showed that cortisol concentration was significantly higher (P<0.05) post-exercise only in the blood of sport horses. This finding, along with a significant correlation (P<0.00005) with the heart and respiratory rates, suggests that the magnitude of cortisol secretion is associated with the intensity and duration of exercise. The relatively small post-exercise increase in cortisol concentration during different exercises of horses resulted in a transient increase of chemiluminescence activity of neutrophils, mainly in D (P<0.00001) and J horses (P<0.01). In the studied groups analysis of the correlation between cortisol concentration and other parameters showed significant correlation only in the case of the CL total in T (P<0.02) and D horses (P<0.004). It is therefore apparent that in a limited concentration, this hormone may stimulate the activity of these cells, although the effect of other neurohormonal factors cannot be excluded. This result confirms that regular and moderate training loads have a beneficial effect on the immunological status of horses.

scholarly journals QT dispersion in irritable bowel syndrome

2019 ◽  
Vol 7 (7) ◽  
pp. 2728
Author(s):  
Perihan Varim ◽  
Cengiz Karacaer ◽  
Ceyhun Varim ◽  
Selcuk Yaylaci ◽  
Mehmet Bulent Vatan
Keyword(s):  
Nervous System ◽  
Irritable Bowel Syndrome ◽  
Qt Dispersion ◽  
Newly Diagnosed ◽  
Mean Values ◽  
Control Subjects ◽  
Well Differentiated ◽  
Irritable Bowel ◽  
And Control ◽  
Electrocardiogram Ecg

Background: The pathogenesis of irritable bowel syndrome (IBS) has not been fully elucidated. The gastrointestinal tract have a well-differentiated intrinsic nervous system and also this system is connected with nervous system. The symptoms of IBS are related with autonomic nervous system (ANS). It was also possible to see cardiovascular symptoms due to this link. This link can influence QT dispersion (QTd). The aim of this case control study is to show the cardiac effects of IBS by changes in QTd.Methods: There were 56 newly diagnosed patients with IBS and 60 control subjects were included in this study. IBS was diagnosed using the new Roma IV Criterias. Standard 12-lead electrocardiogram (ECG) were taken in both two groups. QTd and corrected QTd (QTcd), QT max, QT min, QT avarage, Corrected QT (QTc) min, QTc max, QTc avarage values were calculated with Bazzet Formula from rest ECGs.Results: There were 56 newly diagnosed patients with IBS and 60 control subjects were included in the study (p:0.94). The mean age of the patients and control patients were 51.75±10.41 years and 48.41±9.72 (p: 0.53) years, respectively. QTd and corrected QTd (QTcd), QT max, QT min, QT mean, Corrected QT (QTc) min, QTc max, QTc mean values were calculated. QTd and QTcd values were found to be significantly higher in the patients with IBS (40.2±7.18; 34.1±6.18 / 52±9.8; 50.6±7.61 Msec, respectively). It is concluded that, QTd (p: 0.022) and QTcd (p: 0.032) were significantly incresased in the IBS.Conclusions: Activation of ANS in the patients with IBS can affect QT period in ECG.

scholarly journals A Review of the Complex Relationship between Irritable Bowel Syndrome and Infertility

Medicina ◽  
2020 ◽  
Vol 56 (11) ◽  
pp. 592
Author(s):  
Carmen Anton ◽  
Alin Ciobica ◽  
Bogdan Doroftei ◽  
Radu Maftei ◽  
Ciprian Ilea ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Irritable Bowel Syndrome ◽  
Direct Evidence ◽  
Gastrointestinal Disease ◽  
Normal Body Mass Index ◽  
Complex Relationship ◽  
Unprotected Sexual Intercourse ◽  
Balanced Diet ◽  
Irritable Bowel ◽  
Regular Physical Exercise

Irritable bowel syndrome (IBS) is a gastrointestinal disease that negatively affects up to 20% of the population. Infertility is defined as a disorder of the reproductive system described by lack of success in achieving pregnancy after more than a year of regular unprotected sexual intercourse. The main purpose of our review was to analyze the available literature regarding the IBS-infertility connection. Another secondary purpose of the present paper was to find out if oxidative stress may be the missing puzzle that may explain this possible correlation. After analyzing the available literature we concluded that oxidative stress is a plausible mediator of the connection between both female and male fertility and IBS. However, the data lacks in direct evidence to confirm this hypothesis. Nevertheless, it is recommended that certain levels of oxidative stress should not be exceeded in order to decrease IBS symptoms and increase the odds of conception given that generation of reactive oxygen species (ROS) is an aftermath of metabolically active cells. Therefore, reducing the oxidative stress by living a healthier lifestyle with a balanced diet, rich in micronutrients, limited in caffeine and alcohol, avoiding smoking and maintaining a normal body mass index with regular physical exercise may promote fertility and help diminishing IBS symptomatology. Studies with measurements of biological samples are needed in order to assess the complex relationship between oxidative stress, IBS and infertility.

scholarly journals A Single Bout of Moderate Intensity Exercise Improves Concentration Level on Teenagers

2020 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Maharani Ayuputeri Wijaya ◽  
Nuniek Nugraheni Sulistiawaty ◽  
Kristanti Wanito Wigati ◽  
Lilik Herawati
Keyword(s):  
Reaction Time ◽  
Cognitive Function ◽  
Physical Exercise ◽  
Concentration Level ◽  
T Test ◽  
Moderate Intensity ◽  
Sound Stimulation ◽  
Moderate Intensity Exercise ◽  
Post Exercise ◽  
Single Bout

ABSTRACTBackground: Physical exercise has a lot of benefit for health. However, the effect of cognitive function such as concentration in teenagers has yet been known.Aims: The objective of this study was to analyze the effect of a single bout or acute moderate intensity physical exercise on the level of concentration in teenagers.Methods: The subjects of this study were 32 16-18 years old teenagers, divided into two groups, control (C) and exercise (E) groups. Each group consisted of 8 boys and 8 girls. The E group did a single bout of moderate exercise using ergocycle. Physical exercise duration was 15 minutes, preceded by 5 minutes of warming up and then followed by 5 minutes of cooling down exercise. The concentration level was measured using the response period to sound stimulation (in second), measured with reaction time machine pre- and post-treatment. Faster response showed better concentration level and vice versa. Data were analyzed using paired T test, Wilcoxon Signed Ranks Test, independent T test, and Mann-Whitney test. The significance level was 5%.Result: There were significant differences of concentration level between pre- and post-exercise in E group (p= 0.004) and post-exercise concentration level between groups (p = 0.01). Exercise group had faster reaction time than C group (0.555±0.2 vs. 0.793±0.3, respectively).Conclusion: A single bout of moderate intensity exercise can improve the cognitive function showed by increased concentration level in teenagers. 

scholarly journals A Single Bout of Moderate Intensity Exercise Improves Concentration Level on Teenagers

2020 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Maharani Ayuputeri Wijaya ◽  
Nuniek Nugraheni Sulistiawaty ◽  
Kristanti Wanito Wigati ◽  
Lilik Herawati
Keyword(s):  
Reaction Time ◽  
Cognitive Function ◽  
Physical Exercise ◽  
Concentration Level ◽  
T Test ◽  
Moderate Intensity ◽  
Sound Stimulation ◽  
Moderate Intensity Exercise ◽  
Post Exercise ◽  
Single Bout

ABSTRACTBackground: Physical exercise has a lot of benefit for health. However, the effect of cognitive function such as concentration in teenagers has yet been known.Aims: The objective of this study was to analyze the effect of a single bout or acute moderate intensity physical exercise on the level of concentration in teenagers.Methods: The subjects of this study were 32 16-18 years old teenagers, divided into two groups, control (C) and exercise (E) groups. Each group consisted of 8 boys and 8 girls. The E group did a single bout of moderate exercise using ergocycle. Physical exercise duration was 15 minutes, preceded by 5 minutes of warming up and then followed by 5 minutes of cooling down exercise. The concentration level was measured using the response period to sound stimulation (in second), measured with reaction time machine pre- and post-treatment. Faster response showed better concentration level and vice versa. Data were analyzed using paired T test, Wilcoxon Signed Ranks Test, independent T test, and Mann-Whitney test. The significance level was 5%.Result: There were significant differences of concentration level between pre- and post-exercise in E group (p= 0.004) and post-exercise concentration level between groups (p = 0.01). Exercise group had faster reaction time than C group (0.555±0.2 vs. 0.793±0.3, respectively).Conclusion: A single bout of moderate intensity exercise can improve the cognitive function showed by increased concentration level in teenagers. 

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