Yoga as an adjunct therapy in elderly patients of chronic constipation

Authors

  • Kirti Chaudhary Department of Anatomy, Jawaharlal Nehru Medical College, Sawangi, Wardha, Maharashtra, India
  • Amey Dhatrak Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sewagram, Wardha, Maharashtra, India
  • Anupama Gupta Department of Anatomy, Jawaharlal Nehru Medical College, Sawangi, Wardha, Maharashtra, India
  • Darshna Fulmali Department of Anatomy, Jawaharlal Nehru Medical College, Sawangi, Wardha, Maharashtra, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20240269

Keywords:

Chronic constipation, Elderly, Yoga, Yoga as therapy

Abstract

Background: Constipation being very prevalent and common complaint in elderly people, an effective measure is needed to get the relief along with drugs for constipation used by clinicians. Our aim was to search out the potential applicability and effectiveness of yoga.

Methods: 30 elderly patients visiting medicine OPD for chronic constipation were included in study. Yoga group (15) was offered selected yogic practices in addition to drugs and control group drugs only. Patients kept record of drug intake on paper for 2 months of study. Data was obtained by using CAS score and frequency of drug intake. Data were analysed using t test.

Results: Baseline CAS scores for the yoga and control groups were 11.92±1.59 and 12.07±1.68 respectively. Post yoga CAS score for the yoga and control groups were 3.50±1.40 and 4.14±1.5 respectively. Frequency of drug intake in yoga and control groups in first month of yoga was 17.57±2.31 and 19.14±2.38 respectively. In 4th month of yoga practice frequency of drug intake in yoga and control groups was 11.07±2.16 and 18.35±2.56, which was highly significant.

Conclusions: Selected yoga practices can be used as an adjuvant therapy to treat chronic constipation in case of elderly. They can be effective in decreasing drug requirement in patients of chronic constipation. Yoga practices should be advised for patients of chronic constipation.

References

Vazquez RM, Bouras EP. Epidemiology and management of chronic constipation in elderly patients. Clin Interv Aging. 2015;10:919-30.

Andromanakos NP, Pinis SI, Kostakis AI. Chronic severe constipation: current pathophysiological aspects, new diagnostic approaches, and therapeutic options. Eur J Gastroenterol Hepatol. 2015;27:204-14.

Choung RS, Rey E, Locke GR, Schleck CD, Baum C, Zinsmeister AR, et al. Chronic constipation and comorbidities: A prospective population-based nested case control study. United Eur Gastroenterol. 2016;4:142-51.

Tack J, Lissner SM, Stanghellini V, Boeckxstaens G, Kamm MA, Simren SM, et al. Diagnosis and treatment of chronic constipation- a European perspective. Neurogastroenterol Motil. 2011;23:697-710.

Bhaucha AE, Pemberton JH, Locke GR. American gastroenterological association technical review on constipation. Gastro. 2012;144:218-38.

Barololoum H. Effect of regular walking on chronic constipation. Rep Opin. 2012;4:52-7.

Sharma S, Agarwal BB. Scoring system in evaluation of constipation and obstruction defecation syndrome (ODS). JIMSA. 2012;25:57-9.

Ramdev S. Pranayama rahashya. 2nd edn. Haridwar: Divya Prakashan; 2009.

Saraswati SS. Asana pranayama mudra bandh. 4th ed. Munger: Yoga publication trust; 2012.

Iovino P, Chiarioni G, Bilancio G, Cirillo M, Mekjavic IB, Pisot R, et al. New onset of constipation during long-term physical inactivity: a proof of concept study on the immobility induced bowel changes. PloS One. 2013;8:1-8.

Kim YS, Song BK, Oh JS, Woo SS. Aerobic exercise improves gastrointestinal motility in psychiatric inpatients. World J Gastroenterol. 2014;20:10577-84.

Peters HPF, Vries W, Henegouwen GPV, Akkermans LMA. Potential benefits and hazards of physical activity and exercise on the gastrointestinal tract. Gut. 2001;48:435-9.

Hall JE. Guyton and Hall textbook of medical physiology. 12th edn. Philadelphia, PA: Elsevier Saunders; 2011:191-198.

Preston RR, Wilson TE. Lippincott’s Illustrated Reviews: Physiology. 1st edn. Philadelphia, PA: Wolters Kluwers Pvt Ltd; 2013:232-233.

Oettle GJ. Effect of moderate exercise on bowel habit. Gut. 1991;32:941-4.

Preston DM, Lennard- Jones J.E. Anisus in chronic constipation. Digest Dis Sci. 1985;30:413-8.

Eoff JC, Lembo AJ. Optimal treatment of chronic constipation in managed care: Review and roundtable discussion. J Manag Care Pharm. 2008;14(9 Suppl A):1-15.

Downloads

Published

2024-01-31

How to Cite

Chaudhary, K., Dhatrak, A., Gupta, A., & Fulmali, D. (2024). Yoga as an adjunct therapy in elderly patients of chronic constipation. International Journal Of Community Medicine And Public Health, 11(2), 802–806. https://doi.org/10.18203/2394-6040.ijcmph20240269

Issue

Section

Original Research Articles