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BMC Gastroenterology
Published in: BMC Gastroenterology 1/2023

Open Access 01-12-2023 | Colonoscopy | Research

The effectiveness of walking exercise on the bowel preparation before colonoscopy: a single blind randomized clinical trial study

Authors: Gholamreza Rezamand, Farahnaz Joukar, Ehsan Amini-Salehi, Hamed Delam, Reza Zare, Alireza Samadi, Sara Mavadati, Soheil Hassanipour, Fariborz Mansour-Ghanaei

Published in: BMC Gastroenterology | Issue 1/2023

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Abstract

Background and Aim

Bowel preparation is a crucial factor affecting the diagnostic accuracy of colonoscopy, and few randomized control trials evaluated enhancement in bowel preparation. In this study, we aimed to evaluate the effectiveness of walking exercises on bowel preparation before a colonoscopy procedure.

Methods

The present study is a single-blind randomized controlled trial involving 262 patients scheduled for colonoscopy procedures. These patients were randomly assigned to two groups: an intervention group (n = 131) and a control group (n = 131). In the intervention group, participants followed a predetermined plan that included the consumption of specific liquids and foods, bisacodyl pills, polyethylene glycol powder, and a regimen of walking exercises in preparation for their colonoscopy. Conversely, individuals in the control group followed the same regimen but were not instructed to engage in walking exercises. On the day of the colonoscopy, both groups were assessed for their level of physical activity using a foot counter. Additionally, an experienced gastroenterologist evaluated and compared the bowel preparation between the two groups using the Boston Bowel Preparation Scale (BBPS).

Results

The number of footsteps recorded in the two groups exhibited a significant difference (P < 0.001). Although there was no statistically significant difference between the intervention and control groups in terms of mean BBPS scores (6.26 ± 1.9 vs. 6.29 ± 1.9, P = 0.416), individuals who took more than 6900 steps had significantly higher BBPS scores compared to those with fewer than 6900 footsteps (6.62 ± 1.8 vs. 5.92 ± 1.9, P = 0.003).In the univariate analysis, BBPS was found to be significantly associated with individuals under the age of 50 (OR: 2.45, 95% CI: 1.30–4.61, P = 0.006) and smoking status (OR: 0.41, 95% CI: 0.17–0.94, P = 0.043). In the multivariate analysis, the relationship between BBPS and age below 50 and smoking remained significant (OR: 2.50, 95% CI: 1.30–4.70, P = 0.005, and OR: 0.38, 95% CI: 0.16–0.93, P = 0.034, respectively).

Conclusion

A higher number of footsteps taken especially more than 6900 can significantly enhance bowel preparation; however, walking exercise as an intervention before colonoscopy is not significantly associated with BBPS. Also, older people and smokers seem to have fewer benefits from walking exercises for bowel preparation.

Trial registration

ISRCTN32724024 (Registration date:22/08/2018).
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Metadata
Title
The effectiveness of walking exercise on the bowel preparation before colonoscopy: a single blind randomized clinical trial study
Authors
Gholamreza Rezamand
Farahnaz Joukar
Ehsan Amini-Salehi
Hamed Delam
Reza Zare
Alireza Samadi
Sara Mavadati
Soheil Hassanipour
Fariborz Mansour-Ghanaei
Publication date
01-12-2023
Publisher
BioMed Central
Keyword
Colonoscopy
Published in
BMC Gastroenterology / Issue 1/2023
Electronic ISSN: 1471-230X
DOI
https://doi.org/10.1186/s12876-023-02987-x

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