Yoga in Pediatric Gastroenterology

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Abstract

Purpose of Review

Pediatric use of yoga as an integrative medicine modality has increased in prevalence over the last several decades. In this article, we review the available evidence for yoga in pediatric gastrointestinal disorders.

Recent Findings

Evidence supports that in many pediatric disorders of gut brain interaction (DGBI), including irritable bowel syndrome, functional abdominal pain and functional dyspepsia, yoga decreases pain intensity and frequency and increases school attendance. Yoga has been shown to improve health-related quality of life and improve stress management as an effective adjunct to standard medical therapy in pediatric inflammatory bowel disease (IBD). Further studies are needed regarding optimal frequency, duration of practice and evaluation of the impact on IBD disease activity measures.

Summary

Yoga may benefit pediatric gastroenterology patients with DGBIs and IBD through improving quality of life and reducing pain. Future yoga studies could investigate biomarkers and continued research will help integrate this modality into routine pediatric gastroenterology care.

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Most cited references 41

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Rome IV-Functional GI Disorders: Disorders of Gut-Brain Interaction.

Douglas A. Drossman, William L. Hasler (2016)

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Prevalence of symptoms meeting criteria for irritable bowel syndrome in inflammatory bowel disease: systematic review and meta-analysis.

Talitha C. Ford, Elizabeth S. Halpin (2012)

Symptoms compatible with irritable bowel syndrome (IBS) may co-exist in patients with inflammatory bowel disease (IBD), presenting a clinical dilemma for physicians. We conducted a systematic review and meta-analysis to examine this issue. MEDLINE, EMBASE, and EMBASE Classic were searched (through February 2012) to identify cross-sectional surveys or case-control studies reporting the prevalence of symptoms meeting diagnostic criteria for IBS in ≥50 unselected adult IBD patients. The number of individuals with symptoms meeting criteria for IBS was extracted for each study, and pooled prevalence and odds ratios (ORs), with 95% confidence intervals (CIs), were calculated. The search identified 3,045 articles. Thirteen studies, containing 1,703 patients, were eligible. The pooled prevalence for IBS in all IBD patients was 39% (95% CI 30-48%), with an OR compared with controls of 4.89 (95% CI 3.43-6.98). In IBD patients in remission, the OR was 4.39 (95% CI 2.24-8.61). For IBD patients with active disease, the pooled prevalence of IBS was 44%, compared with 35% in those felt to be in remission (OR 3.89; 95% CI 2.71-5.59). The prevalence in patients with Crohn's disease (CD) was higher than in those with ulcerative colitis (UC; 46 vs. 36%, OR 1.62; 95% CI 1.21-2.18). Symptoms compatible with IBS were significantly higher in patients with IBD compared with non-IBD controls, even among those felt to be in remission. IBS-type symptoms were also significantly more common in CD than in UC patients, and in those with active disease. Management strategies for IBD patients with symptoms suggestive of IBS are required.

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Abdominal pain and irritable bowel syndrome in adolescents: a community-based study.

Jeffrey Hyams, Georgine Burke, Patricia M. Davis … (1996)

This study was undertaken to determine (1) the prevalence of gastrointestinal symptoms including abdominal pain in a community-based population of adolescents, (2) whether a subgroup of these subjects have symptoms resembling Irritable bowel syndrome (IBS), and (3) whether anxiety and depression are more commonly found in adolescents with IBS-type symptoms compared with unaffected adolescents. We collected data by administration of a gastrointestinal symptoms questionnaire, State-Trait Anxiety Inventory, and Children's Depression Inventory to middle school and high school students. A total of 507 subjects participated (mean age of middle school students 12.6 years; mean age of high school students 15.6 years). Abdominal pain was noted by 75% of all students. The pain occurred weekly in 13% to 17% of the subjects and was severe enough to affect activities in approximately 21%. Irritable bowel syndrome-type symptoms were noted by 17% of high school students and 8% of middle school students (p <0.01) who reported abdominal pain (n = 381), representing 14% and 6% of all high school and middle school students (p <0.005), respectively. Anxiety and depression scores were significantly higher for students with IBS-type symptoms compared with those without symptoms. Eight percent of all students had seen a physician for abdominal pain in the previous year. These visits were correlated with abdominal pain severity, frequency, duration, and disruption of normal activities but not with anxiety, depression, gender, family structure, or ethnicity. Recurrent abdominal pain and symptoms of IBS are commonly noted in a community-based adolescent population and frequently result in use of health care resources. Health care providers who work with this age group need to be able to recognize the symptom complex associated with IBS, as well as the possible relationship to anxiety and depression.

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Author and article information

Contributors

Alycia Leiby:

ORCID: http://orcid.org/0000-0003-3402-1523

Alycia.leiby@atlantichealth.org

Journal

Journal ID (nlm-ta): Curr Gastroenterol Rep

Journal ID (iso-abbrev): Curr Gastroenterol Rep

Title: Current Gastroenterology Reports

Publisher: Springer US (New York )

ISSN (Print): 1522-8037

ISSN (Electronic): 1534-312X

Publication date (Electronic): 13 August 2024

Publication date PMC-release: 13 August 2024

Publication date (Print): 2024

Volume: 26

Issue: 12

Pages: 335-341

Affiliations

[1 ]GRID grid.429583.1, Atlantic Children’s Health-Goryeb Children’s Hospital, ; Morristown, NJ USA

[2 ]GRID grid.415013.2, ISNI 0000 0004 0445 8449, Kapi’olani Medical Center for Women and Children, Pediatric Gastroenterology, ; Honolulu, HI USA

[3 ]GRID grid.413808.6, ISNI 0000 0004 0388 2248, Division of Pediatric Gastroenterology, Hepatology, and Nutrition, , Ann and Robert H. Lurie Children’s Hospital, ; Chicago, IL USA

[4 ]GRID grid.16753.36, ISNI 0000 0001 2299 3507, Department of Pediatrics, , Northwestern University Feinberg School of Medicine, ; Chicago, IL USA

[5 ]GRID grid.286440.c, ISNI 0000 0004 0383 2910, Division of Gastroenterology, Hepatology and Nutrition, , Rady Children’s Hospital, ; San Diego, CA USA

[6 ]GRID grid.266100.3, ISNI 0000 0001 2107 4242, Department of Pediatrics, , University of California, ; San Diego, CA USA

[7 ]GRID grid.429583.1, Atlantic Children’s Health-Goryeb Children’s Hospital, Pediatric Gastroenterology and Nutrition, ; Morristown, NJ USA

[8 ]Department of Pediatrics, Sidney Kimmel Medical College of Thomas Jefferson University, ( https://ror.org/00ysqcn41) Philadelphia, PA USA

Author information

Alycia Leiby http://orcid.org/0000-0003-3402-1523

Article

Publisher ID: 941

DOI: 10.1007/s11894-024-00941-9

PMC ID: 11496368

PubMed ID: 39134867

SO-VID: 185b6164-0d02-4443-a47d-0478b61c1ec2

License:

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

History

Date accepted : 24 July 2024

Custom metadata

ScienceOpen disciplines: Gastroenterology & Hepatology

Keywords: yoga,integrative medicine,children,inflammatory bowel disease,irritable bowel syndrome

Data availability:

ScienceOpen disciplines: Gastroenterology & Hepatology

Keywords: yoga, integrative medicine, children, inflammatory bowel disease, irritable bowel syndrome

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Yoga in Pediatric Gastroenterology

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Abstract

Purpose of Review

Recent Findings

Summary

Related collections

Karger: Gastroenterology

Most cited references 41

Rome IV-Functional GI Disorders: Disorders of Gut-Brain Interaction.

Prevalence of symptoms meeting criteria for irritable bowel syndrome in inflammatory bowel disease: systematic review and meta-analysis.

Abdominal pain and irritable bowel syndrome in adolescents: a community-based study.

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