Dance and yoga reduced functional abdominal pain in young girls: A randomized controlled trial

Högström, Sofie; Philipson, Anna; Ekstav, Lars; Eriksson, Mats; Fagerberg, Ulrika L.; Falk, E.; Möller, Margareta; Sandberg, Elin; Särnblad, Stefan; Duberg, Anna

doi:10.1002/ejp.1862

Cited by 9 publications

(19 citation statements)

References 58 publications

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“…The aim of this study was to investigate the effect of a dance and yoga intervention for girls with FAPDs (IBS and FAP) regarding cortisol in saliva. Even though this intervention showed positive effects with regards to abdominal pain ( 26 ), no conclusive differences in cortisol were observed in this study after 8 months. However, improved cortisol levels were observed in the intervention group at 4 months, with significantly lower evening values and reduced evening/morning quotients in the intervention group than in the control group.…”

Section: Discussioncontrasting

confidence: 77%

“…In this article, we study the effects of an 8-month long randomized controlled trial with a combined dance and yoga intervention for girls with FAPDs, the Just In TIME study. Previous results of the same intervention, showed reduction of abdominal pain during and after the intervention ( 26 ), and thereby holds promise for being a future alternative treatment for FAPDs among girls.…”

Section: Introductionmentioning

confidence: 76%

“…Clinical trial registration number: NCT02920268. This trial has been previously described in a study protocol ( 27 ) and also regarding effects on abdominal pain ( 26 ).…”

Section: Methodsmentioning

confidence: 99%

“…Recruitment of participants was made from the local registry of diagnoses at the Department of Pediatrics in Örebro and Västerås, from primary and school health care in the Region of Örebro and Västerås and through advertisements in Västmanland and Örebro County. The recruitment process is further described in earlier publications ( 26 , 27 ). After written consent was received from the legal guardians, the diagnosis according to the inclusion criteria was verified in the medical records and/or by examination by a pediatrician.…”

Section: Methodsmentioning

confidence: 99%

“…Differences between the groups in regards of stress and pain were measured with Mann–Whitney U test. A power calculation was performed for the primary outcome abdominal pain ( 26 , 27 ). The methodology followed the consort checklist.…”

Section: Methodsmentioning

confidence: 99%

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Saliva Cortisol in Girls With Functional Abdominal Pain Disorders: A Randomized Controlled Dance and Yoga Intervention

et al. 2022

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IntroductionFunctional abdominal pain disorders (FAPDs) are common among girls and has been associated with stress. Cortisol is one of the major stress hormones. Dance and yoga have been shown to reduce abdominal pain among girls with FAPDs.AimTo investigate the effect of an 8-month intervention with dance and yoga on cortisol levels in saliva among girls with FAPDs.MethodsA total of 121 girls aged 9–13 years with irritable bowel syndrome (IBS) or functional abdominal pain were included in the study. Participants were randomized into an intervention group and a control group. The intervention group attended a combined dance and yoga session twice a week for 8 months. Saliva samples were collected during 1 day, in the morning and evening, at baseline, and at 4 and 8 months. Subjective pain and stress were assessed as well.ResultsNo significant effects on saliva cortisol levels between groups were observed after completion of the intervention at 8 months. However, evening cortisol and evening/morning quotient were significantly reduced at 4 months in the intervention group compared to the control group (p = 0.01, p = 0.004). There was no association between cortisol quota and pain or stress.ConclusionImprovements in cortisol levels were seen in the intervention group at 4 months but did not persist until the end of the study. This indicates that dance and yoga could have a stress-reducing effect during the ongoing intervention.

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Section: Discussioncontrasting

confidence: 77%

Section: Introductionmentioning

confidence: 76%

“…Clinical trial registration number: NCT02920268. This trial has been previously described in a study protocol ( 27 ) and also regarding effects on abdominal pain ( 26 ).…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Saliva Cortisol in Girls With Functional Abdominal Pain Disorders: A Randomized Controlled Dance and Yoga Intervention

et al. 2022

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Cognitive Behavioral Therapy for Disorder of Brain-Gut Interaction

Tilburg

2022

Pediatric Neurogastroenterology

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The Cost-Effectiveness of a Dance and Yoga Intervention for Girls with Functional Abdominal Pain Disorders

Philipson

Duberg

Hagberg

et al. 2023

PharmacoEconomics Open

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Background Functional abdominal pain disorders (FAPDs) affect children worldwide, being more prevalent among girls. The individual and societal burdens of the disease are substantial, and evidence-based interventions are needed. Nonpharmacological treatments have generally produced promising results, with dance and yoga specifically having potential as an effective treatment option. Beside efficacy, the cost-effectiveness of interventions is important when prioritizing and allocating public resources. Objective This study evaluated the cost-effectiveness of an 8-month dance and yoga intervention for girls with functional abdominal pain or irritable bowel syndrome, based on a randomized control trial called 'Just in TIME'. Methods The intervention, performed in Sweden, was studied using a decision analysis tool, i.e., a decision tree within the trial followed by a Markov model with a time horizon of 10 years. The base case considered healthcare costs as well as productivity losses, measuring the effects in gained quality-adjusted life-years (QALYs) and presenting an incremental cost-effectiveness ratio (ICER). ResultsThe base case results show that the intervention, compared with current practice, was the dominant strategy from both the 12-month and long-term perspectives. The sensitivity analyses indicated that the long-term, but not the short-term, findings were robust for different assumptions and changes in parameter estimates, resulting in ICERs similar to those of the base case scenario. Conclusions Offering dance and yoga to young girls with FAPDs generates small QALY gains and monetary savings compared with standard healthcare and is likely cost-effective. These findings make a valuable contribution to an area where evidence-based and cost-effective treatment interventions are needed.

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Dance and yoga reduced functional abdominal pain in young girls: A randomized controlled trial

Abstract: This is an open access article under the terms of the Creat ive Commo ns Attri bution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 9 publications

References 58 publications

Saliva Cortisol in Girls With Functional Abdominal Pain Disorders: A Randomized Controlled Dance and Yoga Intervention

Saliva Cortisol in Girls With Functional Abdominal Pain Disorders: A Randomized Controlled Dance and Yoga Intervention

Cognitive Behavioral Therapy for Disorder of Brain-Gut Interaction

The Cost-Effectiveness of a Dance and Yoga Intervention for Girls with Functional Abdominal Pain Disorders

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