Ann Coloproctol.  2018 Aug;34(4):197-205. 10.3393/ac.2018.03.13.

Lifestyle Factors and Bowel Preparation for Screening Colonoscopy

Affiliations
  • 1Center for Colorectal Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Korea. gsgabal@ncc.re.kr
  • 2Department of Clinical Nutrition, Research Institute and Hospital, National Cancer Center, Goyang, Korea.
  • 3Division of Cancer Epidemiology and Prevention, Research Institute, National Cancer Center, Goyang, Korea.

Abstract

PURPOSE
The quality of bowel preparation is a major determinant of the quality of colonoscopy. This study evaluated lifestyle factors, including usual dietary style, associated with bowel preparation.
METHODS
This retrospective study evaluated 1,079 consecutive subjects who underwent complete colonoscopy from December 2012 to April 2014 at National Cancer Center of Korea. Questionnaires on bowel preparation were completed by the subjects, with the quality of bowel preparation categorized as optimal (excellent or good) or suboptimal (fair, poor or inadequate). Lifestyle factors associated with bowel preparation were analyzed.
RESULTS
The 1,079 subjects included 680 male (63.0%) and 399 female patietns (37.0%), with a mean age of 49.6 ± 8.32 years. Bowel preparation was categorized as optimal in 657 subjects (60.9%) and as suboptimal in 422 (39.1%). Univariate analyses showed no differences between groups in lifestyle factors, such as regular exercise, alcohol intake, smoking, and dietary factor. Body mass index (BMI) > 25 kg/m2 was the only factor associated with suboptimal bowel preparation on both the univariate (P = 0.007) and the multivariate (odds ratio, 1.437; 95% confidence interval, 1.104-1.871; P = 0.007) analyses.
CONCLUSION
Most lifestyle factors, including dietary patterns, exercise, alcohol intake and smoking, were not associated with suboptimal bowel preparation in Koreans. However, BMI > 25 kg/m2 was independently associated with suboptimal bowel preparation. More intense preparation regimens before colonoscopy can be helpful in subjects with BMI > 25 kg/m2.

Keyword

Colonoscopy; Quality; Dietary supplements; Life style

MeSH Terms

Body Mass Index
Colonoscopy*
Dietary Supplements
Female
Humans
Korea
Life Style*
Male
Mass Screening*
Retrospective Studies
Smoke
Smoking
Smoke
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