Impact of Moderate Intensity Aerobic Exercise on Irritable Bowel Syndrome in Post Cholecystectomy Patients

Abstract
Background: Irritable bowel syndrome is a chronic func-tional disorder of the gastrointestinal system. Patients experi-ence abdominal pain and altered bowel habit, with either predominantly diarrhea, constipation, or both, the risk to develop Irritable Bowel Syndrome (IBS) after cholecystectomy is 2.2 times higher than in general population.
Aim of Study: To evaluate the effect of moderate intensity aerobic exercise training (60% MHR) (Treadmill Training) on Irritable Bowel Syndrome (IBS) symptom and Quality of Life in post cholecystectomy patients.
Patients and Methods: Thirty non-athletic post cholecys-tectomy patients complaining from Irritable Bowel Syndrome were recruited for this study; there age were ranged between 25 to 40 years, in the period between Oct. 2017 and Feb. 2019 from Kasr Al-Ainy Hospital. Patients who met the selection criteria were divided randomly into two equal groups, Group (A): They participated in 4 weeks of moderate intensity aerobic training program (60% MHR Treadmill Training) (3 sessions per week) plus receiving medical treatment protocol, Group (B) (Medical Treatment Group) received medical care only.
Measurements: Irritable bowel syndrome was assessed by Irritable Bowel Syndrome Symptom Severity Score (IBS-SSS) and Irritable Bowel Syndrome Quality of Life (IBS-QOL) Instrument Assessment was carried out before treatment and after 4 weeks of treatment in both groups.
Results: The result showed that there was a significant decrease in post-treatment values of IBS-SSS and IBS-QOL in comparison to pre-treatment values at both groups with (p-value <0.001). Post-treatment comparison between both groups showed significant difference in IBS-SSS and IBS-QoL variables, in favor of Group A (study group).
Conclusion: Moderate intensity aerobic exercise training (60% MHR) for 4 weeks is effective in treatment of IBS post cholecystectomy through reducing IBS symptoms and improving quality of Life.