瑜伽治疗胃肠道疾病的系统综述

Elyse R. Thakur, Jordan M. Shapiro, Jennifer Wellington, Stephanie J. Sohl, Suzanne C. Danhauer, Baharak Moshiree, Alexander C. Ford, Kenneth Koch
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摘要

背景有几项研究对瑜伽治疗肠脑交互障碍(DGBI)进行了综述,其中大多数研究表明瑜伽对减轻症状有好处;然而,瑜伽的研究范围并不局限于 DGBI。方法我们在 PubMed 和 Embase 中进行了文献检索,纳入了对诊断患有胃肠道障碍和疾病的成人进行的瑜伽试验。大多数研究将瑜伽与对照组进行了比较,对象是患有不同胃肠道疾病(肠易激综合征、溃疡性结肠炎、慢性胰腺炎和胃肠道癌症)的患者。瑜伽的类型、方法和持续时间各不相同。在所有肠易激综合征研究中,大多数研究表明,与对照组相比,瑜伽能改善肠易激综合征症状的严重程度、与情绪相关的症状和生活质量。在一项关于炎症性肠病的研究中,与对照组相比,瑜伽改善了生活质量。两项胃肠道癌症研究表明,瑜伽能减少睡眠障碍和情绪症状。一项关于慢性胰腺炎的研究发现,瑜伽能改善生活质量、压力、情绪变化、酒精依赖和食欲。总之,瑜伽似乎是安全的,并有可能改善各种胃肠道疾病的功能;但是,目前的研究受到异质性和方法论缺陷的限制。需要进一步开展研究,评估瑜伽对更多胃肠道疾病的健康影响。
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A systematic review of yoga for the treatment of gastrointestinal disorders
BackgroundSeveral studies have reviewed yoga for the treatment of disorders of gut‐brain interaction (DGBI) with most demonstrating a benefit for symptom reduction; however, yoga has been studied beyond DGBI.PurposeThe aim of this systematic review is to provide a comprehensive summary of yoga as treatment for gastrointestinal conditions.MethodWe conducted literature searches in PubMed and Embase and included yoga trials of adults with a diagnosis of a gastrointestinal disorders and diseases.ResultsWe identified 1275 articles; 12 studies were eligible. Most studies compared yoga to controls, for patients with different GI conditions (irritable bowel syndrome, ulcerative colitis, chronic pancreatitis, and gastrointestinal cancer). The type, method, and duration of yoga used varied. Across IBS studies, most demonstrated that yoga improved IBS symptom severity, mood‐related symptoms, and quality of life compared with controls. In one study of inflammatory bowel disease, yoga improved quality of life compared to controls. Two studies of gastrointestinal cancer demonstrated that yoga led to a reduction in sleep disturbance and mood symptoms. One study of chronic pancreatitis found that yoga led to improvements in quality of life, stress, mood changes, alcohol dependence, and appetite. Yoga was generally safe, and no serious adverse events were attributed to the intervention.ConclusionIn conclusion, yoga appears to be safe and has potential to improve functioning across a spectrum of gastrointestinal diseases; however, current studies are limited by heterogeneity and methodological weaknesses. Further research is needed to evaluate the impact of yoga on health outcomes for a broader range of gastrointestinal conditions.
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