A Conservative Weight Loss Intervention Relieves Bowel Symptoms in Morbidly Obese Subjects with Irritable Bowel Syndrome: A Prospective Cohort Study

Background. Irritable bowel syndrome (IBS) is common in subjects with morbid obesity; the effect of weight loss programs on bowel symptoms is largely unknown. Methods. This prospective cohort study explored bowel symptoms, health scores, and biomarkers in subjects with morbid obesity during a six-mo...

Full description

Saved in:
Bibliographic Details
Main Authors: Martin Aasbrenn, Stian Lydersen, Per G. Farup
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Obesity
Online Access:http://dx.doi.org/10.1155/2018/3732753
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832563652202332160
author Martin Aasbrenn
Stian Lydersen
Per G. Farup
author_facet Martin Aasbrenn
Stian Lydersen
Per G. Farup
author_sort Martin Aasbrenn
collection DOAJ
description Background. Irritable bowel syndrome (IBS) is common in subjects with morbid obesity; the effect of weight loss programs on bowel symptoms is largely unknown. Methods. This prospective cohort study explored bowel symptoms, health scores, and biomarkers in subjects with morbid obesity during a six-month-long conservative weight loss intervention. Bowel symptoms were assessed with IBS-severity scoring system (IBS-SSS) and Gastrointestinal Symptom Rating Scale-IBS. Changes in all variables and associations between the changes in bowel symptoms and the other variables were analysed. Results. Eighty-eight subjects (81% females) were included. Body mass index was reduced from 42.0 (3.6) to 38.7 (3.5) (p<0.001). IBS-SSS was reduced from 116 (104) to 81 (84) (p=0.001). In all, 19 out of 25 variables improved significantly. In subjects with and without IBS at inclusion, the improvement in IBS-SSS was 88 (95% CI 55 to 121) and 10 (95% CI −9 to 29), respectively. Improved bowel symptoms were associated with improved subjective well-being, sense of humour, and vitamin D and negatively associated with reduced body mass index. Conclusion. Body mass index and health scores improved during a conservative weight loss intervention. Subjects with IBS before the intervention had a clinically significant improvement in bowel symptoms.
format Article
id doaj-art-a8b85a19f4554406bdb72b056241fb0b
institution Kabale University
issn 2090-0708
2090-0716
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Journal of Obesity
spelling doaj-art-a8b85a19f4554406bdb72b056241fb0b2025-02-03T01:13:02ZengWileyJournal of Obesity2090-07082090-07162018-01-01201810.1155/2018/37327533732753A Conservative Weight Loss Intervention Relieves Bowel Symptoms in Morbidly Obese Subjects with Irritable Bowel Syndrome: A Prospective Cohort StudyMartin Aasbrenn0Stian Lydersen1Per G. Farup2Department of Surgery, Innlandet Hospital Trust, Gjøvik, NorwayRegional Centre for Child and Youth Mental Health and Child Welfare, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, NorwayUnit for Applied Clinical Research, Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, NorwayBackground. Irritable bowel syndrome (IBS) is common in subjects with morbid obesity; the effect of weight loss programs on bowel symptoms is largely unknown. Methods. This prospective cohort study explored bowel symptoms, health scores, and biomarkers in subjects with morbid obesity during a six-month-long conservative weight loss intervention. Bowel symptoms were assessed with IBS-severity scoring system (IBS-SSS) and Gastrointestinal Symptom Rating Scale-IBS. Changes in all variables and associations between the changes in bowel symptoms and the other variables were analysed. Results. Eighty-eight subjects (81% females) were included. Body mass index was reduced from 42.0 (3.6) to 38.7 (3.5) (p<0.001). IBS-SSS was reduced from 116 (104) to 81 (84) (p=0.001). In all, 19 out of 25 variables improved significantly. In subjects with and without IBS at inclusion, the improvement in IBS-SSS was 88 (95% CI 55 to 121) and 10 (95% CI −9 to 29), respectively. Improved bowel symptoms were associated with improved subjective well-being, sense of humour, and vitamin D and negatively associated with reduced body mass index. Conclusion. Body mass index and health scores improved during a conservative weight loss intervention. Subjects with IBS before the intervention had a clinically significant improvement in bowel symptoms.http://dx.doi.org/10.1155/2018/3732753
spellingShingle Martin Aasbrenn
Stian Lydersen
Per G. Farup
A Conservative Weight Loss Intervention Relieves Bowel Symptoms in Morbidly Obese Subjects with Irritable Bowel Syndrome: A Prospective Cohort Study
Journal of Obesity
title A Conservative Weight Loss Intervention Relieves Bowel Symptoms in Morbidly Obese Subjects with Irritable Bowel Syndrome: A Prospective Cohort Study
title_full A Conservative Weight Loss Intervention Relieves Bowel Symptoms in Morbidly Obese Subjects with Irritable Bowel Syndrome: A Prospective Cohort Study
title_fullStr A Conservative Weight Loss Intervention Relieves Bowel Symptoms in Morbidly Obese Subjects with Irritable Bowel Syndrome: A Prospective Cohort Study
title_full_unstemmed A Conservative Weight Loss Intervention Relieves Bowel Symptoms in Morbidly Obese Subjects with Irritable Bowel Syndrome: A Prospective Cohort Study
title_short A Conservative Weight Loss Intervention Relieves Bowel Symptoms in Morbidly Obese Subjects with Irritable Bowel Syndrome: A Prospective Cohort Study
title_sort conservative weight loss intervention relieves bowel symptoms in morbidly obese subjects with irritable bowel syndrome a prospective cohort study
url http://dx.doi.org/10.1155/2018/3732753
work_keys_str_mv AT martinaasbrenn aconservativeweightlossinterventionrelievesbowelsymptomsinmorbidlyobesesubjectswithirritablebowelsyndromeaprospectivecohortstudy
AT stianlydersen aconservativeweightlossinterventionrelievesbowelsymptomsinmorbidlyobesesubjectswithirritablebowelsyndromeaprospectivecohortstudy
AT pergfarup aconservativeweightlossinterventionrelievesbowelsymptomsinmorbidlyobesesubjectswithirritablebowelsyndromeaprospectivecohortstudy
AT martinaasbrenn conservativeweightlossinterventionrelievesbowelsymptomsinmorbidlyobesesubjectswithirritablebowelsyndromeaprospectivecohortstudy
AT stianlydersen conservativeweightlossinterventionrelievesbowelsymptomsinmorbidlyobesesubjectswithirritablebowelsyndromeaprospectivecohortstudy
AT pergfarup conservativeweightlossinterventionrelievesbowelsymptomsinmorbidlyobesesubjectswithirritablebowelsyndromeaprospectivecohortstudy