Exercise and inflammatory bowel disease
- PMID: 18478136
- PMCID: PMC2660805
- DOI: 10.1155/2008/785953
Exercise and inflammatory bowel disease
Abstract
Crohn's disease and ulcerative colitis are both idiopathic inflammatory bowel diseases (IBDs) that affect 0.5% of Canadians. As yet, there is no known cure for either disease, and symptoms are treated with an array of medicines. The objective of the present review was to present the role of exercise and its impact on all facets of IBD. Exercise has been speculated to be protective against the onset of IBD, but the literature is inconsistent and weak. Preliminary studies reveal that exercise training may be beneficial to reduce stress and symptoms of IBD. Current research also recommends exercise to help counteract some IBD-specific complications by improving bone mineral density, immunological response, psychological health, weight loss and stress management ability. However, the literature advises that some patients with IBD may have limitations to the amount and intensity of exercise that they can perform. In summary, exercise may be beneficial to IBD patients, but further research is required to make a convincing conclusion regarding its role in the management of IBD and to help establish exercise regimens that can account for each IBD patient's unique presentation.
La maladie de Crohn et la colite ulcéreuse sont deux maladies inflammatoires de l’intestin (MII) idiopathiques qui affectent 0,5 % des Canadiens. On ne dispose encore d’aucun remède pour guérir ces maladies, et leurs symptômes sont traités au moyen de divers médicaments. L’objectif de la présente synthèse était d’étudier le rôle de l’exercice et son impact sur toutes les facettes des MII. L’exercice conférerait une protection contre le déclenchement des MII, mais la littérature à cet égard laisse à désirer sur le plan de la qualité et de la cohésion des preuves. Des études préliminaires révèlent que l’entraînement physique peut être bienfaisant en réduisant le stress et en atténuant les symptômes de MII. La recherche actuelle recommande aussi l’exercice pour lutter contre certaines complications spécifiques des MII en améliorant la densité minérale osseuse, les réactions immunologiques, la santé psychologique, la perte de poids et la réduction du stress. Par contre, selon la littérature, certains patients atteints de MII doivent limiter la durée et l’intensité de leur entraînement. En résumé, l’exercice peut être bienfaisant pour les patients atteints de MII, mais il faudra approfondir la recherche pour en arriver à une conclusion probante au sujet de son rôle dans la prise en charge de la MII et établir des programmes d’entraînement établis au cas par cas.
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