Sex, Smoking and Ethnicity: Does It Influence Bowel Preparation?

Panitch, Jonathan; Tin, Kevin; Gonuguntla, Varun Tej; Rahmani, Rabin

doi:10.14309/00000434-201810001-00501

Cited by 2 publications

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“…Other studies also confirm this finding [ 77 , 78 ]. It is assumed that smokers are less likely to follow the instructions before colonoscopy precisely due to lower socioeconomic and health status [ 79 ].…”

Section: Discussionmentioning

confidence: 99%

The effectiveness of walking exercise on the bowel preparation before colonoscopy: a single blind randomized clinical trial study

Rezamand,

Joukar,

Amini-Salehi

et al. 2023

BMC Gastroenterol

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Background and Aim Bowel preparation is a crucial factor affecting the diagnostic accuracy of colonoscopy, and few randomized control trials evaluated enhancement in bowel preparation. In this study, we aimed to evaluate the effectiveness of walking exercises on bowel preparation before a colonoscopy procedure. Methods The present study is a single-blind randomized controlled trial involving 262 patients scheduled for colonoscopy procedures. These patients were randomly assigned to two groups: an intervention group (n = 131) and a control group (n = 131). In the intervention group, participants followed a predetermined plan that included the consumption of specific liquids and foods, bisacodyl pills, polyethylene glycol powder, and a regimen of walking exercises in preparation for their colonoscopy. Conversely, individuals in the control group followed the same regimen but were not instructed to engage in walking exercises. On the day of the colonoscopy, both groups were assessed for their level of physical activity using a foot counter. Additionally, an experienced gastroenterologist evaluated and compared the bowel preparation between the two groups using the Boston Bowel Preparation Scale (BBPS). Results The number of footsteps recorded in the two groups exhibited a significant difference (P < 0.001). Although there was no statistically significant difference between the intervention and control groups in terms of mean BBPS scores (6.26 ± 1.9 vs. 6.29 ± 1.9, P = 0.416), individuals who took more than 6900 steps had significantly higher BBPS scores compared to those with fewer than 6900 footsteps (6.62 ± 1.8 vs. 5.92 ± 1.9, P = 0.003).In the univariate analysis, BBPS was found to be significantly associated with individuals under the age of 50 (OR: 2.45, 95% CI: 1.30–4.61, P = 0.006) and smoking status (OR: 0.41, 95% CI: 0.17–0.94, P = 0.043). In the multivariate analysis, the relationship between BBPS and age below 50 and smoking remained significant (OR: 2.50, 95% CI: 1.30–4.70, P = 0.005, and OR: 0.38, 95% CI: 0.16–0.93, P = 0.034, respectively). Conclusion A higher number of footsteps taken especially more than 6900 can significantly enhance bowel preparation; however, walking exercise as an intervention before colonoscopy is not significantly associated with BBPS. Also, older people and smokers seem to have fewer benefits from walking exercises for bowel preparation. Trial registration ISRCTN32724024 (Registration date:22/08/2018).

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Section: Discussionmentioning

confidence: 99%

The effectiveness of walking exercise on the bowel preparation before colonoscopy: a single blind randomized clinical trial study

Rezamand,

Joukar,

Amini-Salehi

et al. 2023

BMC Gastroenterol

View full text Add to dashboard Cite

show abstract

The effectiveness of walking exercise on the bowel preparation before colonoscopy: A single blind randomized clinical trial study

Rezamand

Joukar

Amini-Salehi

et al. 2023

Preprint

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Background and aim: Bowel preparation is a crucial factor affecting the diagnostic accuracy of colonoscopy, and few randomized control trials evaluated enhancement in bowel preparation. In this study, we aimed to evaluate the effectiveness of walking exercises on bowel preparation before colonoscopy procedure. Methods: The present study is a single-blind randomized control trial, including 262 patients undergoing colonoscopy procedure. Patients were randomly divided into two groups of intervention (n=131) and control (n=131). Individuals in the intervention group were supposed to consume certain liquids and foods, bisacodyl pills, poly ethylene glycol powder and walk before their colonoscopy day based on a predefined plan. Individuals in the control group were supposed to consume the same regimen as the intervention group but were not told to do walking exercises. On the colonoscopy day, both groups were estimated regarding the number of footsteps taken by a foot counter. An experienced gastroenterologist compared the two groups regarding the Boston Bowel Preparation Scale (BBPS). Results: The number of taken footsteps in the two groups was significantly different (P<0.001). Although there was no significant difference between the intervention and control groups regarding mean BBPS (6.26±1.9 vs 6.29±1.9, P =0.416), individuals with more than 6900 steps had significantly higher BBPS compared to individuals with less than 6900 footsteps (6.62±1.8 vs 5.92±1.9, P = 0.003). In univariate analysis, BBPS was significantly associated with age below 50 (OR: 2.45, 95%CI: 1.30-4.61, P=0.006) and smoking (OR: 0.41, 95%CI: 0.17-0.94, P=0.043). In multivariate analysis, the relationship between BBPS with age below 50 and smoking remained significant (OR: 2.50, 95%CI: 1.30-4.70, P=0.005 and OR: 0.38, 95%CI: 0.16-0.93, P=0.034, respectively). Conclusion: Although walking exercise as an intervention before colonoscopy was not significantly associated with BBPS, the higher number of footsteps taken was found to enhance bowel preparation. Also, older people and smokers seem to have fewer benefits from walking exercises for bowel preparation before the colonoscopy procedure. Trial registration: ISRCTN32724024 (Registration date:22/08/2018).

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Sex, Smoking and Ethnicity: Does It Influence Bowel Preparation?

Cited by 2 publications

References 0 publications

The effectiveness of walking exercise on the bowel preparation before colonoscopy: a single blind randomized clinical trial study

The effectiveness of walking exercise on the bowel preparation before colonoscopy: a single blind randomized clinical trial study

The effectiveness of walking exercise on the bowel preparation before colonoscopy: A single blind randomized clinical trial study

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