Journal List > Korean J Women Health Nurs > v.22(2) > 1089559

Kim: Impacts of Daily Habits, Health Status, and Health Promoting Behavior on Prevalence of Irritable Bowel Syndrome among Female Adolescents



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.


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.


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.


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.

Figures and Tables

Figure 1

Distribution of subjects by irritable bowel syndrome (IBS).

Table 1

General Characteristics of Subjects (N=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.

Table 2

Differences of Daily Habits by IBS (N=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.

Table 3

Differences in Health Status by IBS (N=526)

Dimensions of health status IBS (n=135) Non-IBS (n=391) t p
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.

Table 4

Differences in Health Promoting Behavior by IBS (N=526)

Dimensions of HPB IBS (n=135) Non-IBS (n=391) t p
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.

Table 5

Factors Affecting IBS Prevalence among Subjects (N=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.

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.


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