{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T18:46:59Z","timestamp":1790275619605,"version":"4.1.0"},"reference-count":48,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T00:00:00Z","timestamp":1742947200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aliment Pharmacol Ther"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Older patients with constipation are at an increased risk of inadequate bowel preparation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To assess the effectiveness of an abdominal vibration combined with walking exercise (AVCWE) programme compared to walking exercise (WE) and standard preparation regimens for bowel preparation in older patients with constipation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This three\u2010arm randomised controlled trial involved 271 older patients with constipation scheduled for colonoscopy. Patients assigned to the AVCWE group were asked to walk independently for at least 5500 steps and received two cycles of moderate\u2010intensity abdominal vibrations. Patients in the WE group were required to walk independently for at least 5500 steps, whereas patients in the control group received only the standard regimen. The primary outcome was the rate of adequate bowel preparation, defined as a total score of \u2265\u20096 on the Boston Bowel Preparation Scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The rate of adequate bowel preparation in the AVCWE group (92.2%) was significantly higher than in the WE group (78.9%) and the control group (60.4%) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Additionally, the AVCWE group had statistically significant increases in adenoma detection rate (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003) and patient satisfaction (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and a reduced incidence of bloating (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.016). Logistic regression analysis identified first colonoscopy (OR\u2009=\u20092.329), laxative use \u2265\u20093 times per week (OR\u2009=\u20092.675) and poor dietary compliance (OR\u2009=\u20092.249) as risk factors for inadequate preparation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This provides empirical evidence suggesting that AVCWE may help improve bowel preparation quality among older patients with constipation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>Chinese Clinical Trial Registry, Number: ChiCTR2300067667<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apt.70103","type":"journal-article","created":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T21:42:13Z","timestamp":1743198133000},"page":"1447-1457","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Clinical Trial: Effect of Abdominal Vibration Combined With Walking Exercise Programme on Bowel Preparation in Older Patients With Constipation"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6590-3695","authenticated-orcid":false,"given":"Yuan\u2010Yuan","family":"Zhang","sequence":"first","affiliation":[{"name":"School of Medical and Health Engineering Changzhou University  Changzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8506-7826","authenticated-orcid":false,"given":"Ramoo","family":"Vimala","sequence":"additional","affiliation":[{"name":"Department of Nursing Science, Faculty of Medicine Universiti Malaya  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6918-1204","authenticated-orcid":false,"given":"Ping Lei","family":"Chui","sequence":"additional","affiliation":[{"name":"Department of Nursing Science, Faculty of Medicine Universiti Malaya  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ida Normiha","family":"Hilmi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine Universiti Malaya  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11864-022-00962-4"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2019.06.043"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000001122"},{"issue":"1","key":"e_1_2_9_5_1","first-page":"16","article-title":"China Guideline for the Screening, Early Detection and Early Treatment of Colorectal Cancer (2020, Beijing)","volume":"43","author":"National Cancer Center","year":"2021","journal-title":"Zhonghua Zhong Liu Za Zhi"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-019-05847-5"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000003073"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOG.0000000000000983"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/den.14627"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/sjg.SJG_426_17"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/den.14635"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/SGA.0000000000000588"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.3904\/kjim.2023.334"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2023.104631"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v29.i11.1685"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphar.2022.964915"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.14309\/ctg.0000000000000708"},{"issue":"7","key":"e_1_2_9_18_1","first-page":"485","article-title":"Chinese Guideline for Bowel Preparation for Colonoscopy (2019, Shanghai)","volume":"58","author":"Digestive Endoscopy Special Committee","year":"2019","journal-title":"Zhonghua Nei Ke Za Zhi"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.21037\/jgo-23-581"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/SGA.0000000000000759"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12876-023-02987-x"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.5009\/gnl19199"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620\u2010022\u201007526\u20104"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.281053"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/17474124.2020.1708718"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.4103\/sjg.sjg_387_23"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2008.05.057"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v24.i26.2833"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2014.01.031"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.5946\/ce.2022.037"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.21037\/tgh\u201022\u201092"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000025927"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.35576"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-117630"},{"issue":"12","key":"e_1_2_9_35_1","first-page":"2270","article-title":"Clinical Effect of Different Adjuvant Programs on Intestinal Preparation in Elderly Patients With Constipation","volume":"37","author":"Wei W.","year":"2023","journal-title":"Chinese Nursing Research"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v14.i8.778"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.21037\/apm-21-3378"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-020-06626-3"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.14309\/ctg.0000000000000267"},{"issue":"25","key":"e_1_2_9_40_1","first-page":"163","article-title":"Application Value of Quantitative Exercise Intervention Based on WeChat Platform Combined With Abdominal Massage in Colonoscopy Intestinal Preparation","volume":"6","author":"Cui L.","year":"2021","journal-title":"Clinical Research and Practice"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/2050640620953224"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/8169649"},{"issue":"11","key":"e_1_2_9_43_1","first-page":"1337","article-title":"Development and Validation of a Risk Score Model for Inadequate Bowel Preparation for Colonoscopy in Elderly Patients","volume":"57","author":"Xu M. M.","year":"2022","journal-title":"Chinese Journal of Nursing"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000029437"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jopan.2023.09.008"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/1751-2980.13222"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-023-08089-8"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1159\/000516976"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0266780"}],"container-title":["Alimentary Pharmacology &amp; Therapeutics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apt.70103","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T14:31:52Z","timestamp":1744209112000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/apt.70103"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,26]]},"references-count":48,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1111\/apt.70103"],"URL":"https:\/\/doi.org\/10.1111\/apt.70103","archive":["Portico"],"relation":{},"ISSN":["0269-2813","1365-2036"],"issn-type":[{"value":"0269-2813","type":"print"},{"value":"1365-2036","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,26]]},"assertion":[{"value":"2024-12-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}