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

Hye Young Kim

doi:10.4069/kjwhn.2016.22.2.96

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

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

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

Original Article

Korean Journal of Women Health Nursing 2016; 22(2): 96-103.

Published online: 28 June 2016

DOI: https://doi.org/10.4069/kjwhn.2016.22.2.96

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

Hye Young Kim

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

Received 25 April 2016 Revised 14 June 2016 Accepted 16 June 2016

(open-access):

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.

Abstract

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.

Keywords: Irritable bowel syndrome, Female adolescent, Nursing

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
Categories	Categories	n (%)	n (%)	n (%)	χ²	p
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
Categories	Categories	n (%) or M±SD	n (%) or M±SD	χ² or t	p
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
Dimensions of health status	M±SD	M±SD	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
Dimensions of HPB	M±SD	M±SD	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.

References

1. Drossman DA. The functional gastrointestinal disorders and Rome III process. Gastroenterol. 2006; 130(5):1377–1390.

2. Kim JH. Diet and nutritional management in functional gastrointestinal disorder: Irritable bowel syndrome. Korean J Med. 2006; 90(2):105–110.

3. Choe MA, Kim KS, An GJ, Chae YR, Choi JA, Hong AS, et al. Non pharmacological approaches in the irritable bowel syndrome. J Korean Biol Nurs Sci. 2005; 7(2):49–57.

4. 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.

5. 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.

6. Park MJ, Lee KS, Jeong JS, Kim JH, Choi JA, Shin GS, et al. 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.

7. 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.

8. 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.

9. 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.

10. 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.

11. 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.

12. 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.

13. Lim KH. A study on shifting nurses' health conditions and job satisfaction [master's thesis]. Seoul: Hanyang University;2002.

14. 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.

15. 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.

16. 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.

17. 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.

18. 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.

19. Wolfson AR, Montgomery-Downs H. The Oxford handbook of infant, child, and adolescent sleep and behavior. Oxford: Oxford University Press;2013. p. 24–33.

20. Lee B. Association between sleep duration and body mass index among south Korean adolescents. Korean J Health Promot. 2015; 15(1):16–23.

21. 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.

22. 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.

23. 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/.

24. 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.

25. 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.

26. Spiller R. Clinical update: irritable bowel syndrome. Lancet. 2007; 369(9573):1586–1588.

27. 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.

28. 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.

29. Villoria A, Serra J, Azproz F, Malagelada JR. Physical activity and intestinal gas clearance inpatients with bloating. Am J Gastroenterol. 2006; 101:2552–2557.

30. Occhipinti K, Smith JW. Irritable bowel syndrome: A review and update. Clin Colon Rectal Surg. 2012; 25(1):46–52.

TOOLS

Similar articles