Korean J Women Health Nurs KJWHN Korean Journal of Women Health Nursing 2287-1640 2093-7695 Korean Society of Women Health Nursing 10.4069/kjwhn.2016.22.2.96 Original Article Impacts of Daily Habits, Health Status, and Health Promoting Behavior on Prevalence of Irritable Bowel Syndrome among Female Adolescents Kim Hye Young College of Nursing, Keimyung University, Daegu, Korea. Corresponding author: Kim, Hye Young. College of Nursing, Keimyung University, 1095 Dalgubeol-daero, Dalseo-gu, Daegu 704-701, Korea. Tel: +82-53-580-3934, Fax: +82-53-580-3916, hye11533@kmu.ac.kr 06 2016 28 06 2016 22 2 96 103 25 04 2016 14 06 2016 16 06 2016 © 2016 Korean Society of Women Health Nursing 2016 This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Purpose

This study was to investigate impacts of daily habits, health status and health promoting behavior on prevalence of irritable bowel syndrome (IBS) among female high school students.

 Methods

The survey was conducted from 526 female students in high school. Rome III criteria was used to diagnose IBS. Data of daily habits, health status, and health promoting behavior were collected through self-administered structured questionnaires.

 Results

The prevalence of IBS was 25.7%. Compared to the non-IBS, the IBS group scored significantly lower in exercise time, sleeping time, four dimensions of health status (physical, emotional, social, spiritual health) and management of relationship and stress in health promoting behavior. Risk factors influencing IBS were exercise time, physical health and emotional health status.

 Conclusion

The results of this study suggest that nursing interventions and education programs are important to be developed, while considering exercise, health status and health promoting behaviors for female adolescents in order to manage their IBS.

 Irritable bowel syndrome Female adolescent Nursing Summary Statement

▪ What is already known about this topic?

Irritable bowel syndrome (IBS) is more frequently noticed in women. IBS is influenced by psychological factors.

▪ What this paper adds?

Exercise time, sleeping time, and management of relationship and stress were significantly different between IBS group and non-IBS group. Levels of physical and emotional health and exercise time were risk factors on IBS.

▪ Implications for practice, education and/or policy

The study may help developing nursing interventions and educational programs for high school students with IBS.

 Drossman DA The functional gastrointestinal disorders and Rome III process Gastroenterol 2006 130 5 1377 1390 Kim JH Diet and nutritional management in functional gastrointestinal disorder: Irritable bowel syndrome Korean J Med 2006 90 2 105 110 Choe MA Kim KS An GJ Chae YR Choi JA Hong AS Non pharmacological approaches in the irritable bowel syndrome J Korean Biol Nurs Sci 2005 7 2 49 57 Kim ES Lee BJ Kim YS Lee SI Park H Validation of Rome III criteria in the diagnosis of functional gastrointestinal disorders in Korean patients Korean J Neurogastroenterol Motil 2008 14 1 39 44 Cash B Sullivan S Barghout V Total costs of IBS: Employer and managed care perspective Am J Manag Care 2005 11 1 Suppl S7 S16 Park MJ Lee KS Jeong JS Kim JH Choi JA Shin GS The prevalence, subtypes and risk factors of irritable bowel syndrome by ROME III among Korean university students J Korean Biol Nurs Sci 2011 13 1 61 71 Choi J Song YM Kim SY Park YM Cho MS A relationship between irritable bowel syndrome and physical activity in women nurses with shift work Korean J Fam Med 2010 31 7 529 539 Park SY Shin SJ Irritable bowel syndrome, stress, and diet, and their effects on quality of life in women college students Korean J Health Promot Dis Prev 2009 9 1 18 24 Kim HY Effects of a brown rice and vegetable diet on the defecation conditions and health status of high school students J Korean Public Health Nurs 2013 27 1 179 189 Park H Lim SY Frequency of irritable bowel syndrome, entrance examination stress, mental health, and quality of life among adolescent women J Korean Acad Fundam Nurs 2009 16 2 171 180 Son YJ Jun EY Park JH Prevalence and risk factors of irritable bowel syndrome in Korean adolescent girls: A school-based study Int J Nurs Stud 2009 46 76 84 Kim YS Suzuki K Kim JM Introduction to the health index( THI): evaluation of the effectiveness of health questionnaire J Occup Health 1979 18 1 18 28 Lim KH A study on shifting nurses' health conditions and job satisfaction [master's thesis] Seoul Hanyang University 2002 Ki KS A study on investigation of the factors having affect on junior highschool boys' practice of health care J Korean Acad Nurs 1985 15 1 59 75 Han CH Park JO Park JY Health promotion behavior and related factors on the high school students who live in a dormitory Korean J Health Educ Promot 2006 23 2 63 76 Park HJ Lim SJ Frequency of irritable bowel syndrome, perceived stress, and mental health among women J Korean Acad Adult Nurs 2008 20 5 685 696 Park DW Prevalence and sociodemography of irritable bowel syndrome in Korea: a population-based survey using Rome II and Rome III diagnostic criteria [master's thesis] Seoul Hanyang University 2008 31 45 Choi JH Clinical manifestations of irritable bowel syndrome and relationship between stress, family function and irritable bowel syndrome in high school students J Korean Acad Fam Med 1996 17 1 11 21 Wolfson AR Montgomery-Downs H The Oxford handbook of infant, child, and adolescent sleep and behavior Oxford Oxford University Press 2013 24 33 Lee B Association between sleep duration and body mass index among south Korean adolescents Korean J Health Promot 2015 15 1 16 23 Hale L Guan S Screen time and sleep a mong school-aged children and adolescents: A systematic literature review Sleep Med Rev 2014 21 50 58 Rossa KR Smith SS Allan AC Sullivan KA The effects of sleep restriction on executive inhibitory control and affect in young adults J Adolesc Health 2014 55 2 287 292 World Health Organization Global recommendations on physical activity for health [internet] WHO 2010 cited 2016 April 2 Available from: http://www.who.int/dietphysicalactivity/publications/9789241599979/en/ Yoo CH Han SH Park YJ Park JS Kim JE Correlation between time using the computer and adolescent obesity Korean J Health Promot Dis Prev 2006 6 4 207 212 Metcalf BS Hosking J Jeffery AN Helley WE Wilkin TJ Exploring the adolescent fall in physical activity: a 10-yr cohort study Med Sci Sports Exerc 2015 47 10 2084 2092 Spiller R Clinical update: irritable bowel syndrome Lancet 2007 369 9573 1586 1588 Deechakawan W Margaret H Kevin CC Robert B Monica J Anxiety, depression, and catecholamine levels after self-management intervention in irritable bowel syndrome Gastroenterol Nurs 2014 37 1 24 32 Cowell LJ Prather CM Phillips SF Zinsmeister AR Effects of an irritable bowel syndrome educational class on health promoting behaviors and symptoms Am J Gastroenterol 1998 93 901 905 Villoria A Serra J Azproz F Malagelada JR Physical activity and intestinal gas clearance inpatients with bloating Am J Gastroenterol 2006 101 2552 2557 Occhipinti K Smith JW Irritable bowel syndrome: A review and update Clin Colon Rectal Surg 2012 25 1 46 52 Distribution of subjects by irritable bowel syndrome (IBS). General Characteristics of Subjects (<italic>N</italic>=526)
Categories Categories Total IBS (n=135) Non-IBS (n=391) χ2 p
n (%) n (%) n (%)
Grade 1 165 (31.4) 33 (24.4) 132 (33.8) 5.83 .054
2 200 (38.0) 51 (37.8) 149 (38.1)
3 161 (30.6) 51 (37.8) 110 (28.1)
Dwelling place Dormitory 78 (14.8) 26 (19.2) 52 (13.2) 3.38 .184
Own house 435 (82.7) 107 (79.3) 328 (83.9)
Boarding house or relatives' house 13 (2.5) 2 (1.5) 11 (2.8)

IBS=irritable bowel syndrome.

 Differences of Daily Habits by IBS (<italic>N</italic>=526)
Categories Categories IBS (n=135) Non-IBS (n=391) χ2 or t p
n (%) or M±SD n (%) or M±SD
Breakfast times (week) 0 19 (14.1) 70 (17.9) 1.25 .742
1~2 23 (17.0) 69 (17.6)
3~5 27 (20.0) 70 (17.9)
6~7 66 (48.9) 182 (46.5)
Meal times (day) 1≥ 6 (4.4) 18 (4.6) 0.73 .696
2 38 (28.1) 125 (32.0)
3≤ 91 (67.4) 248 (63.4)
Exercise time (min/day) 42.42±18.27 52.52±24.73 5.03 <.001
Study time  (hours/day) 1.99±1.26 2.10±1.37 0.80 .420
Sleeping time (hours/day) 5.87±1.15 6.27±1.36 3.04 .003

IBS=irritable bowel syndrome.; †Extra study time except school classes.

 Differences in Health Status by IBS (<italic>N</italic>=526)
Dimensions of health status IBS (n=135) Non-IBS (n=391) t p
M±SD M±SD
Physical health 3.25±0.72 3.66±0.73 5.78 <.001
Emotional health 2.80±0.69 3.26±0.80 6.46 <.001
Social health 3.37±0.71 3.65±0.68 4.10 <.001
Spiritual health 3.47±0.92 3.68±0.86 2.40 .017
Total 3.24±0.56 3.57±0.63 5.36 <.001

IBS=irritable bowel syndrome.

 Differences in Health Promoting Behavior by IBS (<italic>N</italic>=526)
Dimensions of HPB IBS (n=135) Non-IBS (n=391) t p
M±SD M±SD
Exercise or activity 2.74±0.80 2.84±0.81 1.26 .208
Eating habit 3.10±0.82 3.13±0.92 0.38 .703
Personal hygiene 3.64±0.71 3.60±0.74 -0.47 .639
Management of relationship/stress 2.67±0.76 2.84±0.73 2.29 .022
Total 3.04±0.57 3.10±0.56 1.20 .231

IBS=irritable bowel syndrome; HPB=health promoting behavior.

 Factors Affecting IBS Prevalence among Subjects (<italic>N</italic>=526)
Variables Categories B SE OR 95% CI p
Exercise time -.02 .01 0.98 0.97~0.99 <.001
Sleeping time -.16 .09 0.85 0.72~1.01 .072
Health status Physical health -.39 .19 0.68 0.47~0.98 .040
Emotional health -.76 .22 0.47 0.31~0.72 .001
Social health .05 .27 1.05 0.62~1.78 .850
Spiritual health .30 .19 1.36 0.94~1.94 .100
HPB Management of relationship/stress -.13 0.16 0.88 0.64~1.20 .409

IBS=irritable bowel syndrome; HPB=health promoting behavior.