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炎症性肠病患者的运动

Exercise in individuals with inflammatory bowel disease.

作者信息

Nathan Indira, Norton Christine, Czuber-Dochan Wladyslawa, Forbes Alastair

机构信息

Indira Nathan, PhD, BSc (Hons), SRD, is Research Associate, Centre for Gastroenterology and Nutrition, University College London, London, England. Christine Norton, PhD, MA, RN, is Florence Nightingale Professor of Clinical Nursing Research, King's College London, Florence Nightingale School of Nursing and Midwifery, London, England. Wladyslawa Czuber-Dochan, MSc, PGPD, RN, RNT, is PhD Research Fellow, King's College London, Florence Nightingale School of Nursing and Midwifery, London, England. Alastair Forbes, MD, FRCP, FHEA, is Professor of Gastroenterology and Clinical Nutrition, University College London and University College London Hospital, Department of Gastroenterology, London, England.

出版信息

Gastroenterol Nurs. 2013 Nov-Dec;36(6):437-42. doi: 10.1097/SGA.0000000000000005.

Abstract

There is increasing evidence that exercise may improve symptoms in individuals with inflammatory bowel disease (IBD). This study aims to explore issues that clinicians may need to consider when giving advice on exercise to such individuals. Limited existing evidence suggests that low to moderate physical activity may improve symptoms without any adverse effects in individuals with IBD. This is largely supported by the findings of the current case series of "exercising" individuals with IBD who reported that low- to moderate-intensity exercise (most commonly walking) had a positive effect on their mood, fatigue, weight maintenance, and osteoporosis. Overexertion was reported as a potential problem. Scant advice regarding exercise had been given by their healthcare professionals according to participants. The current literature and findings of this small case series suggest that exercise is likely to be beneficial and safe for individuals with IBD. However, more research is required on which recommendations for exercise could be based.

摘要

越来越多的证据表明,运动可能改善炎症性肠病(IBD)患者的症状。本研究旨在探讨临床医生在为这类患者提供运动建议时可能需要考虑的问题。现有的有限证据表明,低至中等强度的体育活动可能改善IBD患者的症状,且无任何不良影响。这在很大程度上得到了当前一组IBD“运动”患者病例系列研究结果的支持,这些患者报告称,低至中等强度的运动(最常见的是步行)对他们的情绪、疲劳、体重维持和骨质疏松症有积极影响。过度劳累被报告为一个潜在问题。根据参与者的说法,他们的医疗保健专业人员很少提供有关运动的建议。当前的文献和这个小病例系列的研究结果表明,运动对IBD患者可能是有益且安全的。然而,还需要更多的研究来确定运动建议的依据。

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