The Relationship Between Occupational Sitting Time, Physical Activity Level and Bowel Functions in Office Workers

Abstract

Purpose: This study was conducted to investigate the relationships among occupational sitting time, physical activity level and bowel function in office workers. Material and Methods: The study included 152 office workers. Sociodemographic and clinical characteristics of the participants were recorded in detail. The International Physical Activity Questionnaire (IPAQ) was used to determine the level of physical activity, a bowel diary was used to determine bowel functions, the Bristol Stool Scale (BTS) was used to determine stool type, and the Constipation Severity Scale (CSS) was used to determine the severity of constipation symptoms in individuals with constipation complaints. Results: There was no difference in physical activity level and occupational daily sitting time between office workers with and without constipation; however, there was a difference between the two groups in terms of occupational sitting duration (p=0.018). A positive, weak relationship was found between occupational sitting time, duration of constipation complaints, and CSS-pain (p1=0.045, r1=0.163; p2=0.041, r2=0.167). However; no correlation was found between other parameters. Discussion: As the daily sitting time increases, the duration of constipation complaints and the pain symptom of constipation increase in office workers. Providing training to office workers to reduce sitting time and sedentary lifestyle in the office environment may be beneficial in terms of improving bowel functions.

Keywords

• constipation
• Bowel Health
• Exercise
• Physical inactivity
• Sedantary Behavior
• Occupations

Ofis Çalışanlarında Mesleki Oturma Süresi, Fiziksel Aktivite Seviyesi ve Bağırsak Fonksiyonları Arasındaki İlişki

Abstract

Amaç: Bu çalışmanın amacı, ofis çalışanları arasında mesleki oturma süresi, fiziksel aktivite düzeyleri ve bağırsak fonksiyonu arasındaki ilişkiyi incelemekti. Gereç ve Yöntem: Çalışmaya 152 ofis çalışanı dahil edildi. Katılımcıların sosyodemografik ve klinik özellikleri ayrıntılı olarak kaydedildi. Fiziksel aktivite düzeyini belirlemek için Uluslararası Fiziksel Aktivite Anketi (UFAA), bağırsak fonksiyonlarını belirlemek için gayta günlüğü, dışkı tipini belirlemek için Bristol Dışkı Ölçeği (BDÖ) ve kabızlık şikayeti olan bireylerde kabızlık semptomlarının şiddetini belirlemek için Konstipasyon Şiddet Ölçeği (KŞÖ) kullanıldı. Sonuçlar: Kabızlığı olan ve olmayan ofis çalışanları arasında fiziksel aktivite seviyesi ve mesleki günlük oturma süresinde fark yoktu; ancak mesleki oturma süresi açısından iki grup arasında fark vardı (p=0,018). Mesleki oturma süresi, kabızlık şikayetlerinin süresi ve KŞÖ-ağrı arasında pozitif, zayıf düzeyde bir korelasyon bulundu (p1=0,045, r1=0,163; p2=0,041, r2=0,167). Ancak; diğer parametreler arasında korelasyon bulunamadı. Tartışma: Mesleki günlük oturma süresi arttıkça ofis çalışanlarında kabızlık şikayetlerinin süresi ve kabızlığa bağlı ağrı semptomu artmaktadır. Ofis çalışanlarına, ofis ortamında oturma süresini ve sedanter yaşam tarzını azaltma konusunda eğitim verilmesi bağırsak fonksiyonlarını iyileştirme açısından faydalı olabilir.

Keywords

• Konstipasyon
• Egzersiz
• Fiziksel İnaktivite
• Sedanter Yaşam
• Meslekler

References

1. Barnes, J., Behrens, T., Benden, M., Biddle, S., Bond, D., Brassard, P., Brown, H., Carr, L., Chaput, J., & Christian, H. (2012). Sedentary Behaviour Research Network: Letter to the Editor: Standardized use of the terms" sedentary" and" sedentary behaviours. Applied Physiology, Nutrition, and Metabolism, 37(3), 540-542. https://doi.org/10.1139/h2012-024
2. Bharucha, A. E., Pemberton, J. H., & Locke, G. R. (2013). American Gastroenterological Association technical review on constipation. Gastroenterology, 144(1), 218-238. https://doi.org/10.1053/j.gastro.2012.10.028
3. Chien, L. Y., Liou, Y. M., & Chang, P. (2011). Low defaecation frequency in Taiwanese adolescents: Association with dietary intake, physical activity and sedentary behaviour. Journal of Paediatrics and Child Health, 47(6), 381-386. https://doi.org/10.1111/j.1440-1754.2010.01990.x
4. Deniz, Ş., Güveli, H., Kenger, E. B., & Özlü, T. (2023). Determining the relationship between fiber consumption and physical activity and bowel habits in office workers. Frontiers in Life Sciences and Related Technologies, 4(1), 1-6. https://doi.org/10.51753/flsrt.1144657
5. Doğan, İ. G., Gürşen, C., Akbayrak, T., Balaban, Y. H., Vahabov, C., Üzelpasacı, E., & Özgül, S. (2022). Abdominal massage in functional chronic constipation: A randomized placebo-controlled trial. Physical Therapy, 102(7), pzac058. https://doi.org/10.1093/ptj/pzac058
6. Donald, I. P., Smith, R. G., Cruikshank, J. G., Elton, R. A., & Stoddart, M. E. (1985). A study of constipation in the elderly living at home. Gerontology, 31(2), 112-118. https://doi.org/10.1159/000212689
7. Dukas, L., Willett, W. C., & Giovannucci, E. L. (2003). Association between physical activity, fiber intake, and other lifestyle variables and constipation in a study of women. Official Journal of the American College of Gastroenterology| ACG, 98(8), 1790-1796. https://doi.org/10.1111/j.1572-0241.2003.07591.x
8. Ekelund, U., Steene-Johannessen, J., Brown, W. J., Fagerland, M. W., Owen, N., Powell, K. E., Bauman, A., & Lee, I.-M. (2016). Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. The Lancet, 388(10051), 1302-1310. https://doi.org/10.1016/s0140-6736(16)30370-1

9. Gürsen, C., Günel, M. K., Kaya, S., Kav, T., & Akbayrak, T. (2015). Effect of connective tissue manipulation on symptoms and quality of life in patients with chronic constipation: a randomized controlled trial. Journal of Manipulative and Physiological Therapeutics, 38(5), 335-343. https://doi.org/10.1016/j.jmpt.2015.06.003
10. İlhan, L. (2010). Hareketsiz yaşamlar kültürü ve beraberinde getirdikleri. Verimlilik Dergisi(3), 195-210. Janwantanakul, P., Pensri, P., Moolkay, P., & Jiamjarasrangsi, W. (2011). Development of a risk score for low back pain in office workers-a cross-sectional study. BMC Musculoskeletal Disorders, 12, 1-8. https://doi.org/10.1186/1471-2474-12-23
11. Karaaslan, Y., Koç, D. Ö., & Çelenay, Ş. T. (2023). Kronik konstipasyonu olan ve olmayan kadınlarda fiziksel aktivite seviyesi, oturma süresi ve algılanan stres düzeyinin karşılaştırılması: Vaka kontrol çalışması. Turkiye Klinikleri Journal of Health Sciences, 8(2), 292-299. https://doi.org/10.15437/jetr.1229577
12. Kaya, N., & Turan, N. (2011). Konstipasyon ciddiyet ölçeğinin güvenilirlik ve geçerliliği. Turkiye Klinikleri Journal of Medical Sciences, 31(6), 1491-1501. https://doi: 10.5336/medsci.2010-22198
13. Klauser, A., Flaschenträger, J., Gehrke, A., & Müller-Lissner, S. (1992). Abdominal wall massage: Effect on colonic function in healthy volunteers and in patients with chronic constipation. Zeitschrift fur Gastroenterologie, 30(4), 247-251.
14. Küçük, F., Öztürk, S. D., Şenol, H., & Özkeskin, M. (2018). Ofis çalışanlarında çalışma postürü, kas iskelet sistemi rahatsızlıkları, bel ağrısına bağlı özürlülük düzeyi ve sağlıkla ilgili yaşam kalitesinin incelenmesi. Ergoterapi ve Rehabilitasyon Dergisi, 6(2), 135-144. https://doi.org/10.30720/ered.463658
15. Lewis, S. J., & Heaton, K. W. (1997). Stool form scale as a useful guide to intestinal transit time. Scandinavian Journal of Gastroenterology, 32(9), 920-924. https://doi.org/10.3109/00365529709011203
16. Martin, D. (2011). Physical activity benefits and risks on the gastrointestinal system. Southern Medical Journal, 104(12), 831-837. https://doi.org/10.1097/smj.0b013e318236c263
17. Mclaughlin, M., Atkin, A., Starr, L., Hall, A., Wolfenden, L., Sutherland, R., Wiggers, J., Ramirez, A., Hallal, P., & Pratt, M. (2020). Worldwide surveillance of self-reported sitting time: A scoping review. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 111. https://doi.org/10.1186/s12966-020-01008-4
18. Meshkinpour, H., Selod, S., Movahedi, H., Nami, N., James, N., & Wilson, A. (1998). Effects of regular exercise in management of chronic idiopathic constipation. Digestive Diseases and Sciences, 43, 2379-2383. https://doi.org/10.1023/a:1026609610466
19. Orhan, C., Akbayrak, T., Kaya, S., Kav, T., & Günel, M. K. (2015). Fiziksel aktivite seviyesi ile konstipasyon şiddeti arasındaki ilişkinin incelenmesi. Journal of Exercise Therapy and Rehabilitation, 2(2), 66-73.
20. Peters, H. P., De Vries, W., Vanberge-Henegouwen, G., & Akkermans, L. (2001). Potential benefits and hazards of physical activity and exercise on the gastrointestinal tract. Gut, 48(3), 435-439. https://doi.org/10.1136/gut.48.3.435
21. Saglam, M., Arikan, H., Savci, S., Inal-Ince, D., Bosnak-Guclu, M., Karabulut, E., & Tokgozoglu, L. (2010). International physical activity questionnaire: Reliability and validity of the Turkish version. Perceptual and Motor Skills, 111(1), 278-284. https://doi.org/10.2466/06.08.pms.111.4.278-284
22. Serrano Falcón, B., Álvarez Sánchez, Á., Diaz-Rubio, M., & Rey, E. (2017). Prevalence and factors associated with faecal impaction in the Spanish old population. Age and Ageing, 46(1), 119-124. https://doi.org/10.1093/ageing/afw166
23. Simons, C. C., Hughes, L. A., Van Engeland, M., Goldbohm, R. A., Van Den Brandt, P. A., & Weijenberg, M. P. (2013). Physical activity, occupational sitting time, and colorectal cancer risk in the Netherlands cohort study. American Journal of Epidemiology, 177(6), 514-530. https://doi.org/10.1093/aje/kws280
24. Tremblay, M. S., Colley, R. C., Saunders, T. J., Healy, G. N., & Owen, N. (2010). Physiological and health implications of a sedentary lifestyle. Applied Physiology, Nutrition, and Metabolism, 35(6), 725-740. https://doi.org/10.1139/h10-079
25. Tuteja, A. K., Talley, N. J., Joos, S. K., Woehl, J. V., & Hickam, D. H. (2005). Is constipation associated with decreased physical activity in normally active subjects? Official journal of the American College of Gastroenterology| ACG, 100(1), 124-129. https://doi.org/10.1111/j.1572-0241.2005.40516.x
26. Varma, M. G., Wang, J. Y., Berian, J. R., Patterson, T. R., McCrea, G. L., & Hart, S. L. (2008). The constipation severity instrument: A validated measure. Diseases of the Colon & Rectum, 51(2), 162-172. https://doi.org/10.1007/s10350-007-9140-0
27. Wilson, P. B. (2020). Associations between physical activity and constipation in adult Americans: Results from the National Health and Nutrition Examination Survey. Neurogastroenterology & Motility, 32(5), e13789. https://doi.org/10.1111/nmo.13789
28. World Health Organization, (2020). WHO guidelines on physical activity and sedentary behaviour. https://doi.org/10.1136/bjsports-2020-102955
29. Yurtdaş, G., Acar-Tek, N., Akbulut, G., Cemali, Ö., Arslan, N., Beyaz Coşkun, A., & Zengin, F. H. (2020). Risk factors for constipation in adults: A cross-sectional study. Journal of the American College of Nutrition, 39(8), 713-719. https://doi.org/10.1080/07315724.2020.1727380
30. Zainordin, N. H., Karim, N. A., Shahril, M. R., & Abd Talib, R. (2021). Physical activity, sitting time, and quality of life among breast and gynaecology cancer survivors. Asian Pacific Journal of Cancer Prevention: APJCP, 22(8), 2399. https://doi.org/10.31557/apjcp.2021.22.8.2399