Effect of Yoga in the Therapy of Irritable Bowel Syndrome: A Systematic Review

Dania Schumann; Dennis Anheyer; Romy Lauche; Gustav Dobos; Jost Langhorst; Holger Cramer

doi:10.1016/j.cgh.2016.04.026

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Effect of Yoga in the Therapy of Irritable Bowel Syndrome: A Systematic Review

Journal article

Peer reviewed

Effect of Yoga in the Therapy of Irritable Bowel Syndrome: A Systematic Review

Dania Schumann, Dennis Anheyer, Romy Lauche, Gustav Dobos, Jost Langhorst and Holger Cramer

Clinical Gastroenterology and Hepatology, Vol.14(12), pp.1720-1731

12/2016

DOI: https://doi.org/10.1016/j.cgh.2016.04.026

PMID: 27112106

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Abstract

Humans

Irritable Bowel Syndrome - pathology

Irritable Bowel Syndrome - psychology

Irritable Bowel Syndrome - therapy

Quality of Life - psychology

Randomized Controlled Trials as Topic

Treatment Outcome

Yoga

Background & Aims: This review aims to systematically survey the effects of yoga on symptoms of irritable bowel syndrome (IBS), pain, quality of life, mood, stress, and safety in patients with IBS. Methods: MEDLINE/Pubmed, Scopus, the Cochrane Library, CAM-QUEST, CAMbase, and IndMED were screened through November 2015. Randomized controlled trials comparing yoga with usual care, nonpharmacologic, or pharmacologic interventions were analyzed for patients with IBS. Primary outcomes included gastrointestinal symptoms, quality of life, and pain. Anxiety, mood, and safety were defined as secondary outcomes. Risk of bias was assessed according to the Cochrane Collaboration recommendations. Results: Six randomized controlled trials with a total of 273 patients were included in the qualitative analysis. There was evidence for a beneficial effect of a yogic intervention over conventional treatment in IBS, with significantly decreased bowel symptoms, IBS severity, and anxiety. Furthermore, there were significant improvements in quality of life, global improvement, and physical functioning after yoga compared with no treatment. Two randomized controlled trials reported safety data stating that no adverse events occurred. Overall, risk of bias of the included studies was unclear. Conclusions: The findings of this systematic review suggest that yoga might be a feasible and safe adjunctive treatment for people with IBS. Nevertheless, no recommendation can be made regarding yoga as a routine intervention for patients with IBS because of major flaws in study methods. More research is needed with respect to a high-quality study design and consensus in clinical outcome measurements in IBS. ClinicalTrials.gov number, NCT02721836.

Details

Title: Effect of Yoga in the Therapy of Irritable Bowel Syndrome: A Systematic Review
Creators: Dania Schumann - University of Duisburg-Essen
Dennis Anheyer - University of Duisburg-Essen
Romy Lauche - University of Duisburg-Essen
Gustav Dobos - University of Duisburg-Essen
Jost Langhorst - University of Duisburg-Essen
Holger Cramer - University of Duisburg-Essen
Publication Details: Clinical Gastroenterology and Hepatology, Vol.14(12), pp.1720-1731
Identifiers: 991013035749602368
Academic Unit: Faculty of Health; National Centre for Naturopathic Medicine
Language: English
Resource Type: Journal article