Yamamoto Yasunori, Furukawa Shinya, Miyake Teruki, Watanabe Junichi, Kato Aki, Kusumoto Katsunori, Takeshita Eiji, Ikeda Yoshio, Yamamoto Naofumi, Saeki Yuka, Hiasa Yoichi
Endoscopy Center, Ehime University Hospital, Toon.
Health Services Center, Ehime University, Matsuyama.
Eur J Gastroenterol Hepatol. 2023 Jun 1;35(6):641-645. doi: 10.1097/MEG.0000000000002561. Epub 2023 Apr 15.
Evidence regarding the association between exercise habits and irritable bowel syndrome (IBS) remains scarce in a young population. It is also unknown whether the existence of an exercise partner affects this issue. The purpose of this study was to explore the association between exercise habits that include an exercise partner and IBS in a young Japanese population.
This study enrolled 8923 Japanese university students and examined exercise frequency and intensity, and exercise partners using self-administered questionnaires. IBS and functional dyspepsia were defined according to the Rome III criteria.
The prevalence of IBS in this survey was 6.5%. Moderate frequency exercise was inversely related with IBS [adjusted odds ratio (aOR): 0.65 (95% confidence interval, CI: 0.51-0.83), P for trend = 0.005]. Moderate and high exercise intensities were independently and inversely related with IBS, respectively [aORs were moderate: 0.76 (95% CI: 0.61-0.95) and high: 0.62 (95% CI: 0.48-0.78), P for trend = 0.001]. Exercising with a group or with friends instead of alone was independently inversely related with IBS [aOR with groups: 0.53 (95% CI: 0.40-0.70) and with friends: aOR 0.71 (95% CI: 0.54-0.93)]. After excluding subjects with overlapping IBS and functional dyspepsia, an inverse association between high intensity of exercise or exercise in a group and IBS remained significant.
The frequency and intensity of exercise may be independently inversely related with IBS in a young Japanese population. Also, exercise with others may be important for preventing IBS.
关于运动习惯与肠易激综合征(IBS)之间关联的证据在年轻人群中仍然稀缺。运动伙伴的存在是否会影响这一问题也尚不清楚。本研究的目的是探讨在年轻日本人群中,包括有运动伙伴的运动习惯与IBS之间的关联。
本研究招募了8923名日本大学生,通过自填问卷来调查运动频率、强度以及是否有运动伙伴。IBS和功能性消化不良根据罗马III标准进行定义。
本次调查中IBS的患病率为6.5%。适度运动频率与IBS呈负相关[调整后的优势比(aOR):0.65(95%置信区间,CI:0.51 - 0.83),趋势P值 = 0.005]。适度和高强度运动分别独立地与IBS呈负相关[aOR适度:0.76(95% CI:0.61 - 0.95),高强度:0.62(95% CI:0.48 - 0.78),趋势P值 = 0.001]。与团体或朋友一起运动而非独自运动独立地与IBS呈负相关[与团体一起运动的aOR:0.53(95% CI:0.40 - 0.70),与朋友一起运动的aOR:0.71(95% CI:0.54 - 0.93)]。在排除IBS和功能性消化不良重叠的受试者后,高强度运动或团体运动与IBS之间的负相关仍然显著。
在年轻日本人群中,运动的频率和强度可能分别独立地与IBS呈负相关。此外,与他人一起运动对于预防IBS可能很重要。