Yoga and Naturopathy intervention on psychological comorbidities and autonomic function for irritable bowel syndrome patient: A case study

Brain Behavior and Immunity Integrative Pub Date : 2024-01-01 DOI:10.1016/j.bbii.2023.100042

Premalatha Palanimurugan , Velan Arumugam , Arthi Balakrishnan , Gayathri Annamalai , Maheshkumar Kuppusamy , S.T. Venkateswaran , Jenita Princy , Preethi Chandrasekaran

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Abstract

Irritable bowel syndrome (IBS) is a common functional disorder of the gut-brain axis, characterized by abdominal pain and altered bowel habits. A 38-year-old male patient with a sedentary lifestyle, diagnosed with IBS based on Rome IV criteria, was underwent Yoga and Naturopathy interventions for one month in our outpatient department. The result showed a reduced Irritable Bowel Syndrome Severity Score (IBS-SSS) (315 to 109) and perceived stress (PSS) score (29 to 12) level. Heart rate variability (HRV) analysis showed increased SDNN (35.4 to 48.3 ms) and RMSSD (41.3 to 58.3 ms) values, indicative of improved HRV. Notably, parasympathetic dominance was observed, evidenced by increased pNN50% (14.56 to 18.41) and H.F (41.92 to 59.63 n.u) values, while the LF/HF ratio (1.381 to 0.675) decreased. This case report suggests that lifestyle change through Yoga and Naturopathic intervention is useful in the management of IBS with psychological co-morbidities .

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瑜伽和自然疗法对肠易激综合征患者心理并发症和自律神经功能的干预：病例研究

肠易激综合征（IBS）是一种常见的肠-脑轴功能紊乱，以腹痛和排便习惯改变为特征。一名 38 岁的男性患者久坐不动，根据罗马 IV 标准被诊断为肠易激综合征，在本院门诊部接受了为期一个月的瑜伽和自然疗法干预。结果显示，肠易激综合征严重程度评分（IBS-SSS）（315 分至 109 分）和感知压力评分（PSS）（29 分至 12 分）水平均有所下降。心率变异性（HRV）分析显示，SDNN（35.4 至 48.3 毫秒）和 RMSSD（41.3 至 58.3 毫秒）值增加，表明心率变异性有所改善。值得注意的是，pNN50%（14.56 至 18.41）和 H.F（41.92 至 59.63 n.u）值增加，而 LF/HF 比值（1.381 至 0.675）下降，这表明副交感神经占主导地位。本病例报告表明，通过瑜伽和自然疗法干预改变生活方式，对治疗伴有心理并发症的肠易激综合征很有帮助。

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Brain Behavior and Immunity Integrative

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