Engaging in More Healthful Way of living Behaviors May perhaps Minimize Hazard of IBS

Vincent Chi-ho Chung, PhD, MSc

Credit score: JC Faculty of General public Wellbeing and Major Care

Results from a modern research are providing novel evidence of the affiliation involving adhering to healthful lifestyle behaviors and a decreased danger of subsequent irritable bowel syndrome (IBS) incidence.1

The populace-based mostly prospective cohort study leveraged details from the British isles Biobank to explore the affect of by no means smoking cigarettes, exceptional rest, significant amount of vigorous bodily exercise, a higher-top quality diet program, and moderate alcohol intake on the incidence of IBS, with success showing adhering to additional of these balanced way of living behaviors was connected with less danger of IBS.1

An estimated 10-15% of adults in the US have IBS, whilst only about 5-7% see a company and acquire a diagnosis. Way of living modifications are generally suggested to assistance handle IBS and reduce signs and symptoms, despite the fact that current investigation has suggested more healthy patterns may well also aid prevent the onset of IBS and decrease its illness burden.2

“Consensus experiences have provided suggestions on the diagnosis and treatment of IBS, but none of them have encouraged any preventive steps,” wrote Vincent Chi-ho Chung, PhD, MSc, associate professor at the Jockey Club Faculty of Community Wellness at the Chinese University of Hong Kong, and colleagues.1 “Although lifestyle modification is recommended as a means of running IBS indications, its opportunity function in stopping the onset of the affliction has not been provided owing notice.”

To evaluate the association among healthier life-style behaviors and the incidence of IBS, investigators leveraged facts from the United kingdom Biobank, a huge-scale potential cohort examine that recruited 502,492 contributors 37-73 decades of age concerning 2006 and 2010, amassing facts on their demographics, well being, and existence. The present review examined 5 wholesome life-style behaviors: never ever smoking cigarettes, optimal sleep, superior stage of vigorous physical exercise, high dietary top quality, and moderate alcoholic beverages ingestion. The final result of interest was the incidence of IBS, described as code K58 below the Intercontinental Classification of Diseases 10th revision (ICD-10).1

Investigators excluded British isles Biobank clients who completed less than 2 24-hour nutritional remember questionnaires, noted unrealistic strength intake, were lacking data on any of the way of living behaviors or crucial covariates, or had commonplace IBS at baseline. In full, 64,268 suitable clients ended up enrolled in the study and followed right until 2022.1

Investigators categorized contributors into teams dependent on their adherence to the healthful way of living behaviors becoming examined. Of notice, due to the relatively little range of individuals who had 3 (n = 11,079), 4 (n = 2767), and 5 (n = 255) healthier way of living behaviors, investigators pooled these people with each other as a one team to enhance the sample dimensions for examination.1

Among the cohort, the imply age was 55.9 years and 55% of patients had been feminine. In whole, 7604 (11.8%) participants described none of the 5 healthier lifestyle behaviors, 20,662 (32.1%) reported 1 actions, 21,901 (34.1%) noted 2 behaviors, and 14,101 (21.9%) reported 3-5 behaviors at baseline. Through a imply stick to-up of 12.6 many years, 961 (1.5%) incident IBS scenarios had been recorded.1,3

Soon after altering for age, sex, employment status, geographic place, gastrointestinal an infection, endometriosis, and spouse and children heritage of IBS, investigators pointed out adherence to a bigger selection of healthier lifestyle behaviors was noticeably involved with a lower hazard of incident IBS (all P <.05). Compared with not performing any of the 5 healthy lifestyle behaviors, the adjusted hazard ratio (aHR) associated with adhering to 1 behavior was 0.79 (95% CI, 0.65-0.96), 2 behaviors was 0.64 (95% CI, 0.53-0.78), and 3-5 behaviors was 0.58 (95% CI, 0.46-0.72) (P <.001).1,3

Subgroup analyses by age, sex, employment status, geographic location, gastrointestinal infection, endometriosis, and family history of IBS yielded no significant interactions and thus no effect modifiers (all P ≥.05).1

In separate analyses of each of the 5 lifestyle behaviors, never smoking (aHR, 0.86 0.76-0.98 P = .02), high level of vigorous physical activity (aHR, 0.83 95% CI, 0.73-0.95 P =.006) and optimal sleep (aHR, 0.73 95% CI, 0.60-0.88 P =.001) demonstrated significant independent inverse associations with the incidence of IBS, although of a smaller magnitude than adhering to 3 to 5 behaviors. Investigators noted no significant independent associations were observed for healthy diet and moderate alcohol consumption.1,3

Investigators pointed out there may be potential limitations to these findings, citing the large portion of participants excluded due to family history of IBS, potential inaccuracies of self-reported data on lifestyle behaviors, use of ICD-10 codes to identify incident IBS without considering Rome III criteria, and lack of consideration for changes in healthy lifestyle behaviors during the follow-up period.1

Still, they expressed confidence in the study’s many strengths, concluding “Our findings underscore the value of lifestyle modification in the primary prevention of IBS and suggest that healthy lifestyle choices could significantly attenuate the effects of aetiological factors on the incidence of IBS.”


  1. Ho FF, Sun H, Zheng H, et al. Association of healthy lifestyle behaviours with incident irritable bowel syndrome: a large population-based prospective cohort study. Gut. doi:10.1136/gutjnl-2023-331254
  2. Cleveland Clinic. Irritable Bowel Syndrome (IBS). Diseases & Conditions. November 16, 2023. Accessed February 20, 2024. https://my.clevelandclinic.org/health/diseases/4342-irritable-bowel-syndrome-ibs
  3. BMJ. Adopting healthy lifestyle strongly linked to lower irritable bowel syndrome risk. EurekAlert! February 20, 2024. Accessed February 20, 2024. https://www.eurekalert.org/news-releases/1034704?