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Published on: August 1, 2019
A prospective, controlled multisite trial of yoga in pediatric inflammatory bowel disease
Alycia Leiby1,2, Lindsey Albenberg3, Annette Langseder1
1Division of Pediatric Gastroenterology and Nutrition, Atlantic Children's Health-Goryeb Children's Hospital, Atlantic Health System, Morristown, New Jersey, USA.
Insights
Structured yoga programs significantly improved health-related quality of life and self-efficacy in pediatric patients with inflammatory bowel disease (IBD). These benefits persisted three months after the intervention, indicating yoga
Area of Science:
- Pediatric Gastroenterology
- Integrative Medicine
- Quality of Life Research
Background:
- Inflammatory bowel disease (IBD) significantly impacts the quality of life (QOL) and self-efficacy of pediatric patients.
- Current management often focuses on medical therapies, with limited exploration of complementary interventions for holistic well-being.
Purpose of the Study:
- To evaluate the efficacy of a structured yoga program in enhancing health-related quality of life (HRQOL) and self-efficacy among pediatric IBD patients.
- To assess the sustainability of yoga's benefits in this population.
Main Methods:
- A 12-week, in-person yoga intervention was conducted with pediatric patients (ages 10-17) diagnosed with IBD.
- Outcomes including HRQOL (IMPACT-III, PedsQL) and self-efficacy (GSE) were measured at baseline, post-intervention, and at a 3-month follow-up.
- Patient-reported stress management and long-term yoga practice adherence were also recorded.
Main Results:
- Significant improvements were observed in IMPACT-III, PedsQL, and GSE scores from baseline to the 3-month follow-up (p < 0.05 for all).
- 85.2% of participants reported that yoga aided in stress management.
- A notable percentage (31.9%) continued practicing yoga 1-3 years post-intervention.
Conclusions:
- A 12-week structured yoga program effectively improved HRQOL and self-efficacy in pediatric IBD patients.
- The observed persistence of benefits suggests yoga is a valuable adjunct to standard medical care for improving QOL and self-efficacy in youth with IBD.
- Yoga demonstrates safety and efficacy as a complementary therapy for this population.
Aim:
To investigate whether a structured yoga program improves health-related quality of life (HRQOL) and self-efficacy in pediatric patients receiving care for inflammatory bowel disease (IBD).
Methods:
IBD patients who were 10-17 years old participated in a 12 week, in-person yoga intervention at two clinical sites. Outcomes were measured at time of consent (T0), start of yoga (T1), and completion of yoga (T2) and 3 months after yoga completion (T3) using the IMPACT-III, Pediatric Quality of Life Inventory (PedsQL), and General Self Efficacy (GSE) scales.
Results:
Seventy-eight patients were enrolled. Fifty-six patients completed nine or more classes. 73.2% had Crohn's disease and 26.8% ulcerative colitis or IBD-unclassified. A significant increase in IMPACT-III was seen from T1 to T3 (mean change of 5.22, SD = 14.33, p = 0.010), in the PedsQL (mean change = 2.3, SD = 10.24, p = 0.050), and GSE (mean change = 1, SD = 3.60, p = 0.046). 85.2% of patients reported yoga helped them to control stress. Long-term data was available for 47 subjects with 31.9% (n = 15) continuing to practice yoga one to 3 years after study completion.
Conclusion:
This structured 12-week yoga program showed significant improvements in HRQOL and general self-efficacy, particularly 3 months after classes were concluded suggesting that yoga's benefits may persist. Yoga is a safe and effective adjunct to standard medical care to improve QOL and self-efficacy in youth with IBD.
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