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Physical Activity Improves Symptoms in Irritable Bowel Syndrome: A Randomized Controlled Trial

Johannesson, Elisabet1; Simrén, Magnus1; Strid, Hans, MD, PhD1; Bajor, Antal, MD, PhD1; Sadik, Riadh, MD, PhD1

American Journal of Gastroenterology: May 2011 - Volume 106 - Issue 5 - p 915–922
doi: 10.1038/ajg.2010.480

OBJECTIVES: Physical activity has been shown to be effective in the treatment of conditions, such as fibromyalgia and depression. Although these conditions are associated with irritable bowel syndrome (IBS), no study has assessed the effect of physical activity on gastrointestinal (GI) symptoms in IBS. The aim was to study the effect of physical activity on symptoms in IBS.

METHODS: We randomized 102 patients to a physical activity group and a control group. Patients of the physical activity group were instructed by a physiotherapist to increase their physical activity, and those of the control group were instructed to maintain their lifestyle. The primary end point was to assess the change in the IBS Severity Scoring System (IBS-SSS).

RESULTS: A total of 38 (73.7% women, median age 38.5 (19–65) years) patients in the control group and 37 (75.7% women, median age 36 (18–65) years) patients in the physical activity group completed the study. There was a significant difference in the improvement in the IBS-SSS score between the physical activity group and the control group (−51 (−130 and 49) vs. −5 (−101 and 118),P=0.003). The proportion of patients with increased IBS symptom severity during the study was significantly larger in the control group than in the physical activity group.

CONCLUSIONS: Increased physical activity improves GI symptoms in IBS. Physically active patients with IBS will face less symptom deterioration compared with physically inactive patients. Physical activity should be used as a primary treatment modality in IBS.

1Department of Internal Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden

Correspondence: Riadh Sadik, MD, PhD, Department of Internal Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SE 413 45, Sweden. E-mail:

published online 4 January 2011

Received 3 August 2010; accepted 18 November 2010

© The American College of Gastroenterology 2011. All Rights Reserved.
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