Lustyk M K, Jarrett M E, Bennett J C, Heitkemper M M
Department of Psychology, Seattle Pacific University, WA 98119, USA.
Gastroenterol Nurs. 2001 May-Jun;24(3):129-37.
It has been proposed that physical activity moderates physiological or psychological responses to chronic conditions. The purpose of this study was to determine if women with a chronic functional gastrointestinal (GI) disorder, irritable bowel syndrome, had less active lifestyles than healthy controls and to test whether active women with irritable bowel syndrome had less severe recalled or daily reports of GI, psychological, and somatic symptoms than inactive women with irritable bowel syndrome. Questionnaires were used to measure GI and psychological distress and somatic symptoms in 89 women who participated in this study. A daily symptom and activity diary was kept for one menstrual cycle. Women with irritable bowel syndrome were significantly less likely to be active (48%) than control women (71%) (X2 = 3.4, p = .05). Within the irritable bowel syndrome group, active women were less likely to report a feeling of incomplete evacuation following a bowel movement than inactive women (p < .04), yet active women did not have less severe recalled psychological or somatic symptoms than inactive women. Active women with irritable bowel syndrome reported less severe daily somatic symptoms, which were accounted for by a lower level of fatigue (p = .003), but not daily GI or psychological symptoms. These results suggest that physical activity may produce select symptom improvement in women with irritable bowel syndrome.
有人提出，体育活动可调节对慢性病的生理或心理反应。本研究的目的是确定患有慢性功能性胃肠（GI）疾病——肠易激综合征的女性，其生活方式是否不如健康对照组活跃，并测试患有肠易激综合征的活跃女性与不活跃女性相比，其回忆的或日常报告的胃肠道、心理和躯体症状是否不那么严重。研究使用问卷对参与本研究的89名女性的胃肠道和心理困扰以及躯体症状进行测量。让她们记录一个月经周期的每日症状和活动日记。患有肠易激综合征的女性比对照组女性活跃的可能性显著更低（48% 对比71%）（X2 = 3.4，p = .05）。在肠易激综合征组中，活跃女性比不活跃女性报告排便后有未完全排空感觉的可能性更低（p < .04），然而活跃女性回忆的心理或躯体症状并不比不活跃女性轻。患有肠易激综合征的活跃女性报告的日常躯体症状不那么严重，这是由较低水平的疲劳导致的（p = .003），但日常胃肠道或心理症状并非如此。这些结果表明，体育活动可能会使肠易激综合征女性的某些症状得到改善。
