title: The effects of lifestyle modification on symptoms and quality of life in patients with irritable bowel syndrome: a prospective observational study.
abstract: OBJECTIVE
  Although notably common, irritable bowel syndrome (IBS) has no specific cure. Lifestyle modification may be as important as medication; however, few studies support the effectiveness of such modifications. We performed this observational study of IBS patients to explore further the role of lifestyle changes in treatment.
  
  
  METHODS
  This study included 831 men who enlisted in 2010 as armed surgeon cadets and 85 women who concurrently entered the Armed Forces Nursing Academy. Of these 916 participants, 89 were diagnosed with IBS using the Rome III criteria. Subjective changes in bowel habits, quality of life, pain, stress, stool frequency and stool consistency were surveyed before and after 9 weeks of army training. We evaluated the lifestyle risk factors that impacted improvement in IBS symptoms by comparing those who responded to lifestyle modification (the responding group) to those who did not respond (the nonresponding group).
  
  
  RESULTS
  More than half of the participants (63%) reported that their symptoms improved after training. The quality of life and levels of pain and stress significantly improved after military training. Initial stress levels before military training and smoking history affected IBS symptom improvement.
  
  
  CONCLUSIONS
  Lifestyle modification may be effective in managing IBS patients.
authors.affiliation: Department of Internal Medicine, Armed Forces Daejeon Hospital, Daejeon, Korea.
authors.forename: Sun Hyung
authors.initials: SH
authors.lastname: Kang
authors.forename: Seong-Woo
authors.initials: SW
authors.lastname: Choi
authors.forename: Seung Jun
authors.initials: SJ
authors.lastname: Lee
authors.forename: Woo Suk
authors.initials: WS
authors.lastname: Chung
authors.forename: Hye Ran
authors.initials: HR
authors.lastname: Lee
authors.forename: Ki-Young
authors.initials: KY
authors.lastname: Chung
authors.forename: Eaum Seok
authors.initials: ES
authors.lastname: Lee
authors.forename: Hee Seok
authors.initials: HS
authors.lastname: Moon
authors.forename: Seok Hyun
authors.initials: SH
authors.lastname: Kim
authors.forename: Jae Kyu
authors.initials: JK
authors.lastname: Sung
authors.forename: Byung Seok
authors.initials: BS
authors.lastname: Lee
authors.forename: Hyun Yong
authors.initials: HY
authors.lastname: Jeong