Effectiveness of Walking-exercise on Bowel Preparation for Colonoscopy.
- Author:
Dong Hun PARK
1
;
Hyun Soo KIM
;
Moon Young KIM
;
Yoon Jong CHOI
;
Jung In SEO
;
Phil Ho JUNG
;
Soon Koo BAIK
;
Dong Ki LEE
;
Sang Ok KWON
Author Information
1. Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea. hskim@wonju.yonsei.ac.kr
- Publication Type:Randomized Controlled Trial ; Original Article
- Keywords:
Colonoscopy;
Bowel preparation;
Colon cleansing;
Walking-excercise
- MeSH:
Colonoscopy*;
Constipation;
Humans;
Multivariate Analysis;
Obesity;
Outpatients;
Polyethylene Glycols;
Prospective Studies;
Walking
- From:Korean Journal of Gastrointestinal Endoscopy
2002;25(2):76-81
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: This prospective study was conducted to assess the effect of walking-exercise on the bowel cleansing before colonoscopy and to define subgroup of patients to whom walking-exercise was beneficial. METHODS: Before taking 2.5 L of polyethylene glycol, 393 out-patients were randomized into two groups (G1; walking-exercise, G2; non-exercise) and the amount of walking-exercise was estimated by the step counter. A single colonoscopist performed the procedure with a single-blinded manner and estimated the bowel cleansing. RESULTS: A total of 366 patients were included by per protocol analysis. The number of step count was significantly different between two groups (p<0.000). However, the groups were similar in other data collected. The degree of bowel cleansing between two groups was significantly different (p<0.01). Age, history of abdominal surgery, constipation, obesity and walking- exercise were related to the degree of bowel cleansing. Interestingly, walking-exercise was especially beneficial to patients with age less than 65 years, without history of abdominal surgery, and non-obesity. Multivariate analysis demonstrated that absence of constipation (OR=4.74), walking- exercise (OR=2.04), and younger age (OR=1.97) were independent factors associated with better bowel cleansing. Most of walking patients (97.4%) answered that walking-exercise is more comfortable than taking the solution. CONCLUSIONS: The walking-exercise was of an additional benefit to improve colonoscopic bowel cleansing without significant patients discomfort.
