Abstract
This study was conducted to evaluate the comparative effect of yogic and conventional treatment in diarrhea-predominant irritable bowel syndrome (IBS) in a randomized control design. The patients were 22 males, aged 20–50 years, with confirmed diagnosis of diarrhea-predominant IBS. The conventional group (n=12, 1 dropout) was given symptomatic treatment with loperamide 2–6 mg/day for 2 months, and the yogic intervention group (n=9) consisted of a set of 12 asanas (yogic poses, i.e., Vajrasana, Shashankasana, Ushtrasana, Marjariasana, Padhastasana, Dhanurasana, Trikonasana in two variations, Pawanmuktasana, and Paschimottanasana) along with Surya Nadi pranayama (right-nostril breathing) two times a day for 2 months. All participants were tested at three regular intervals, at the start of study—0 month, 1 month, and 2 months of receiving the intervention—and were investigated for bowel symptoms, autonomic symptoms, autonomic reactivity (battery of five standard tests), surface electrogastrography, anxiety profile by Spielberger's Self Evaluation Questionnaire, which evaluated trait and state anxiety. Two months of both conventional and yogic intervention showed a significant decrease of bowel symptoms and state anxiety. This was accompanied by an increase in electrophysiologically recorded gastric activity in the conventional intervention group and enhanced parasympathetic reactivity, as measured by heart rate parameters, in yogic intervention group. The study indicates a beneficial effect of yogic intervention over conventional treatment in diarrhea-predominant IBS.
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REFERENCES
Adeyemi, E. O. A. (1999). Autonomic dysfunction in patients with IBS by means of HRV studies. American Journal of Gastroenterology, 94, 816-822.
Aggarwal, A., Cutts, T. F., Abel, T. L., Cardoso, S., Familioni, B., Bremer, J., et al. (1994). Predominant symptoms in irritable bowel syndrome correlate with specific autonomic nervous system abnormalities. Gastroenterology, 106, 945-950.
Bhole, M. V. (1983). Gastric tone as influenced by mental states and meditation. Yoga Mimansa, XX11 (1/2), 54-58.
Chen, J. D. Z., & McCallum, R. W. (1993). Clinical applications of electrogastrography. American Journal of Gastroenterology, 1324-1336.
Deepak, K. K., Godbole, S. A., Kochhar, K. P., Shah, P., & Kochupillai, N. (1996). Autonomic dysfunction and peripheral vasodilatory response in diabetes. Indian Journal of Physiology and Pharmacology, 40, 325-329.
Dossey, B. M., Keegan, L., Kalkiemer, L. G., & G.-Uzzetta, C. E. (Eds). (1989). Psychophysiology of bodymind healing. In Holistic health promotion: A guide to practice (pp. 53-67). MD: Aspen.
Drossman, D. A., Whitehead, W. E., & Camillery, M. (1997). Irritable bowel syndrome: A technical review for Practice Guideline Development. Gastroenterology, 112, 2120-2137.
Ewing, D. J. (1992). Analyses of heart rate variability and other non-invasive tests with special reference to diabetes mellitus. In R. Bannister, & C. J. Mathias (Eds.), Autonomic failure: A textbook of clinical disorders of autonomic nervous system (pp. 312-313). London: Oxford University Press.
Guthrie, E., Creed, F., Dawson, D., & Tomensen, B. (1991). A controlled trial of psychosocial treatment for irritable bowel syndrome. Gastroenterology, 100, 450-457.
Iyengar, B. K. S. (1968). Light on yoga. London: Unwin Hyman.
Jebbink, H. J., Van. Berge., Hengeouwen, G. P., Bruijs, P. P. M., Akkermans, L. M. A., & Smout, A. J. P. M. (1995). Gastric myoelectrical activity and gastrointestinal motility in patients with functional dyspepsia. European Journal of Clinical Investigation, 25, 429-437.
Joseph, S., Sridharan, K., Patil, S. K. B., Kumaria, M. L., Selvamurthy, W., Joseph, N. T., et al. (1981). Study have some physiological and biochemical parameters in subjects undergoing yogic training. Indian Journal of Medical Research, 74, 120-124.
Kamm, M. A. (2000). Why the enteric nervous system is important to clinicians. Gut, 47, iv8-iv9.
Lee, C. T, Chuang, T. Y., Lu, C. T., Chen, C. Y., Chan, F. Y., & Lee, S. D. (1998). Abnormal vagal cholinergic and psychological behavior in irritable bowel syndrome: A hospital based oriental study. Digestive Disease Sciences, 43, 1794-1799.
Nagendra, H. R. (1997). Pranamaya body: Structure and balance. In Pranayama: The art and science. Bangalore, India: Vivekananda Kendra Yoga Prakashana.
Punyabati, O., Deepak, K. K., Sharma, M. P., & Dwivedi, S. N. (2000). Autonomic nervous system reactivity in irritable bowel syndrome. Indian Journal of Gastroenterology, 19, 122-125.
Ray, U. S., Hegde, K. S., & Selvamurthy, W. (1986). Effect of yogic asanas and physical exercises on body flexibility in middle-aged men. Indian Journal of Medical Research, 83, 343-348.
Reddy, M. V. (1992). Yogic practices. Secunderabad, India: Vemana Yoga Research Institute.
Richelson, E. (1982). Pharmacology of antidepressants in use in the United States. Journal of Clinical Psychiatry, 43, 4-11.
Satyananda Saraswati. (1989). In Asanas, Pranayama, Mudra, Bandha (7th ed.). Monghyr, Bihar, India: Bihar School of Yoga.
Selvamurthy, W. (1994). Yoga and stress management: Physiological perspective. Indian Journal of Physiology and Pharmacology, 38, 46-47.
Shaw, G., Srivastava, E. D., & Sadlier, M. (1991). Stress management for irritable bowel syndrome: A controlled trial. Digestion, 50, 36-42.
Smart, H. L., Mayberry, J. F., & Atkinson, M. (1986, July). Alternative medical consultations and remedies in patients with irritable bowel syndrome before and after treatment. Gut, 27, 826-828.
Smith, R. C., Greenbaum, D. S., Vancouver, J. B., Henry, R. C., Reinhart, M. A., Greenbaum, R. B., et al. (1990). Psychosocial factors are associated with health care seeking rather than diagnosis in irritable bowel syndrome. Gastroenterology, 98, 293-301.
Spielberger, C. D., Gorusch, R. L., & Lushene, R. E. (1970). STAI manual for state-trait anxiety inventory. Palo Alto, CA: Consulting Psychologists Press.
Talley, N. J., Boyce, P. M., & Jones, M. (1997). Predictors of health care seeking for irritable bowel syndrome: A population based study. Gut, 47, 394-398.
Talley, N. J., Phillips, S. F., Wiltgen, C. M., Zinsmiester, A. R., & Melton, L. J. (1990). Assessment of functional gastrointestinal disease: The bowel disease questionnaire. Mayo Clinical Proceedings, 65, 1456-1479.
Telles, S., Nagarathna, R., & Nagendra, H. R. (1994, April). Breathing through a particular nostril can alter metabolism and autonomic activities. Indian Journal of Physiology and Pharmacology, 38 (2), 133-137.
Telles, S., Nagarathna, R., & Nagendra, H. R. (1996, Winter). Physiological measures of right nostril breathing. Journal of Alternative Complementary Medicine, 2, 479-484.
Tougas, G. (2000). The autonomic nervous system in functional bowel diseases. Gut 47, iv78-iv78.
Udupa, K. N. (1978). Disorders of stress and their management by Yoga. PhD Thesis, Banaras Hindu University, Varanasi, India.
Whitehead, W. E. (1988). Symptoms of psychological distress associated with irritable bowel syndrome. Gastroenterology, 95, 709-714.
Whitehead, W. E., Engel, B. T., & Schuster, M. M. (1980). Irritable bowel syndrome physiological and psychological differences between diarrhea-predominant irritable bowel syndrome and constipation predominant irritable bowel syndrome. Digestive Disease Sciences, 25, 404-413.
Wu, C. L., Denq, J. C., Harper, M., Brien, P. C. O., & Low, P. A. (1998). Clinical and electrophysiological attributes as predictors of results of autonomic function tests. Clinical Autonomic Research, 8, 347-351.
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Taneja, I., Deepak, K.K., Poojary, G. et al. Yogic Versus Conventional Treatment in Diarrhea-Predominant Irritable Bowel Syndrome: A Randomized Control Study. Appl Psychophysiol Biofeedback 29, 19–33 (2004). https://doi.org/10.1023/B:APBI.0000017861.60439.95
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DOI: https://doi.org/10.1023/B:APBI.0000017861.60439.95