Iyengar yoga for adolescents and young adults with irritable bowel syndrome

Evans, Subhadra, Lung, Kirsten C., Seidman, Laura C., Sternlieb, Beth, Zeltzer, Lonnie K. and Tsao, Jennie C.I. 2014, Iyengar yoga for adolescents and young adults with irritable bowel syndrome, Journal of pediatric gastroenterology and nutrition, vol. 59, no. 2, pp. 244-253, doi: 10.1097/MPG.0000000000000366.

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Title Iyengar yoga for adolescents and young adults with irritable bowel syndrome
Author(s) Evans, SubhadraORCID iD for Evans, Subhadra orcid.org/0000-0002-1898-0030
Lung, Kirsten C.
Seidman, Laura C.
Sternlieb, Beth
Zeltzer, Lonnie K.
Tsao, Jennie C.I.
Journal name Journal of pediatric gastroenterology and nutrition
Volume number 59
Issue number 2
Start page 244
End page 253
Total pages 10
Publisher Lippincott Williams & Wilkins
Place of publication Philadelphia, Pa.
Publication date 2014-08
ISSN 0277-2116
1536-4801
Keyword(s) adolescents
irritable bowel syndrome
yoga
young adults
Summary OBJECTIVES: Irritable bowel syndrome (IBS) is a chronic, disabling condition that greatly compromises patient functioning. The aim of this study was to assess the impact of a 6-week twice per week Iyengar yoga (IY) program on IBS symptoms in adolescents and young adults (YA) with IBS compared with a usual-care waitlist control group.

METHODS: Assessments of symptoms, global improvement, pain, health-related quality of life, psychological distress, functional disability, fatigue, and sleep were collected pre- and posttreatment. Weekly ratings of pain, IBS symptoms, and global improvement were also recorded until 2-month follow-up. A total of 51 participants completed the intervention (yoga = 29; usual-care waitlist = 22).

RESULTS: Baseline attrition was 24%. On average, the yoga group attended 75% of classes. Analyses were divided by age group. Relative to controls, adolescents (14-17 years) assigned to yoga reported significantly improved physical functioning, whereas YA (18-26 years) assigned to yoga reported significantly improved IBS symptoms, global improvement, disability, psychological distress, sleep quality, and fatigue. Although abdominal pain intensity was statistically unchanged, 44% of adolescents and 46% of YA reported a minimally clinically significant reduction in pain following yoga, and one-third of YA reported clinically significant levels of global symptom improvement. Analysis of the uncontrolled effects and maintenance of treatment effects for adolescents revealed global improvement immediately post-yoga that was not maintained at follow-up. For YA, global improvement, worst pain, constipation, and nausea were significantly improved postyoga, but only global improvement, worst pain, and nausea maintained at the 2-month follow-up.

CONCLUSIONS: The findings suggest that a brief IY intervention is a feasible and safe adjunctive treatment for young people with IBS, leading to benefits in a number of IBS-specific and general functioning domains for YA. The age-specific results suggest that yoga interventions may be most fruitful when developmentally tailored.
Language eng
DOI 10.1097/MPG.0000000000000366
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2014, European Society for Pediatric Gastroentereology, Hepatology, and Nutrtion & North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition
Persistent URL http://hdl.handle.net/10536/DRO/DU:30086907

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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