Cochrane · systematic review · CD011497

Physical activity for treatment of irritable bowel syndrome

Nunan, D, Cai, T, Gardener, AD, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

GutAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
19
current version
GRADE rated
19
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 14 · 73.7%Low 5 · 26.3%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Physical activity compared to usual care for treatment of irritable bowel syndrome

Population: people with IBS
3 questions
OutcomeEffectEvidenceStatus / GRADE
IBS symptoms
Physical activity vs usual care
no estimate extracted5 studies · 185 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Quality of life
Physical activity vs usual care
no estimate extracted4 studies · 134 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Abdominal pain
Physical activity vs usual care
no estimate extracted2 studies · 64 participantsVery low
Downgraded: risk of bias, imprecision

Yoga compared to walking for treatment of irritable bowel syndrome

Population: people with IBS
3 questions
OutcomeEffectEvidenceStatus / GRADE
IBS symptoms
Yoga vs walking
no estimate extracted2 studies · 124 participantsVery low
Downgraded: imprecision, inconsistency
Quality of life
Yoga vs walking
no estimate extracted1 study · 97 participantsVery low
Downgraded: risk of bias, imprecision
Abdominal pain
Yoga vs walking
no estimate extracted1 study · 27 participantsVery low
Downgraded: risk of bias, imprecision

Similar physical activity interventions compared to any control for treatment of irritable bowel syndrome

Population: people with IBS
7 questions
OutcomeEffectEvidenceStatus / GRADE
IBS symptoms – yoga interventions
Similar physical activity interventions vs any control
no estimate extracted5 studies · 218 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
IBS symptoms – supervised treadmill exercise
Similar physical activity interventions vs any control
no estimate extracted2 studies · 71 participantsVery low
Downgraded: risk of bias, imprecision
IBS symptoms – advice to increase physical activity
Similar physical activity interventions vs any control
no estimate extracted2 studies · 93 participantsVery low
Downgraded: risk of bias, imprecision
Quality of life – yoga interventions
Similar physical activity interventions vs any control
no estimate extracted3 studies · 177 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Quality of life – supervised treadmill exercise
Similar physical activity interventions vs any control
no estimate extracted1 study · 20 participantsVery low
Downgraded: risk of bias, imprecision
Quality of life – advice to increase physical activity
Similar physical activity interventions vs any control
no estimate extracted2 studies · 93 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Abdominal pain
Similar physical activity interventions vs any control
no estimate extracted2 studies · 48 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency

Physical activity compared to pharmacological therapy for treatment of irritable bowel syndrome

Population: people with IBS
1 question
OutcomeEffectEvidenceStatus / GRADE
IBS symptoms
Physical activity vs pharmacological therapy
no estimate extracted1 study · 21 participantsVery low
Downgraded: risk of bias, imprecision

Physical activity compared to dietary interventions for treatment of irritable bowel syndrome

Population: people with IBS
5 questions
OutcomeEffectEvidenceStatus / GRADE
IBS symptoms – 12 weeks
Physical activity vs dietary interventions
no estimate extracted1 study · 59 participantsLow
Downgraded: imprecision
Quality of life – 12 weeks
Physical activity vs dietary interventions
no estimate extracted1 study · 59 participantsLow
Downgraded: imprecision
Quality of life – 24 weeks
Physical activity vs dietary interventions
no estimate extracted1 study · 59 participantsLow
Downgraded: imprecision
Abdominal pain – 12 weeks
Physical activity vs dietary interventions
no estimate extracted1 study · 59 participantsLow
Downgraded: imprecision
Abdominal pain – 24 weeks
Physical activity vs dietary interventions
no estimate extracted1 study · 59 participantsLow
Downgraded: imprecision