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Nurturing gut health: A comprehensive framework.

Manas Kumar Panigrahi1, Prajna Anirvan2, Mitali Madhumita Rath3

  • 1Department of Gastroenterology, All India Institute of Medical Sciences, Bhubaneswar 751 019, India. manaskumarpanigrahi@gmail.com.

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
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PubMed
Summary
This summary is machine-generated.

Bowel hygiene, a new framework for digestive health, uses daily lifestyle habits like diet and exercise. This approach aims to improve gut function and reduce gastrointestinal disorders.

Keywords:
BowelGastrointestinal disordersGutGut-organ axisHealthHygiene

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Area of Science:

  • Integrative Medicine
  • Gastroenterology
  • Public Health

Background:

  • Gut health is crucial for overall well-being, impacting nervous, immune, metabolic, and hepatic systems.
  • Disruptions in the gut ecosystem are linked to functional gastrointestinal disorders, metabolic diseases, and mental health issues.
  • Existing hygiene concepts (oral, sleep) provide a model for developing a similar framework for digestive health.

Purpose of the Study:

  • To introduce and define the novel concept of 'bowel hygiene' as a structured framework for improving gastrointestinal function.
  • To outline the five core pillars of bowel hygiene based on scientific evidence and traditional practices.
  • To highlight the potential of bowel hygiene as a scalable, low-cost intervention for promoting lifelong digestive health.

Main Methods:

  • Synthesizing evidence from dietetics, behavioral science, exercise physiology, and traditional practices.
  • Identifying five key pillars: dietary regulation/hydration, routine timing, physical activity, mind-body practices, and behavioral toileting.
  • Reviewing scientific literature and traditional knowledge systems supporting these practices.

Main Results:

  • Bowel hygiene encompasses five pillars: diet/hydration, routine timing, physical activity, mind-body practices, and toileting habits.
  • These practices aim to enhance gut motility, stool consistency, microbial diversity, and stress resilience.
  • Traditional knowledge systems and community sayings support the principles of bowel hygiene, adding socio-cultural legitimacy.

Conclusions:

  • Bowel hygiene offers a promising, evidence-based framework for improving digestive health and potentially reducing the burden of gastrointestinal disorders.
  • It can be implemented as a low-cost, scalable, and culturally adaptable intervention at individual, community, and school levels.
  • Further exploration of bowel hygiene within public health and preventive medicine paradigms is warranted.