Matsuzaki Juntaro, Suzuki Hidekazu, Masaoka Tatsuhiro, Tanaka Kentaro, Mori Hideki, Kanai Takanori
Division of Gastroenterology and Hepatology, Department of Internal Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan; Division of Molecular and Cellular Medicine, National Cancer Center Research Institute, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan.
Medical Education Center, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.
J Clin Biochem Nutr. 2016 Sep;59(2):130-133. doi: 10.3164/jcbn.16-29. Epub 2016 Jul 16.
Functional gastrointestinal disorders (FGIDs), including functional dyspepsia (FD), are common chronic disorders even in the younger population. Physical activity is advocated for patients with FGIDs, although the evidence is insufficient. We investigated the association between the intensity of regular exercise and gastric emptying to determine the effect of physical activity on dyspeptic symptoms. Thirty healthy individuals were selected and divided into three groups (low, moderate, and high) using the index of total exercise intensity in a week. Gastric emptying was evaluated by the C-acetate breath test. Gastroesophageal reflux symptoms, dyspeptic symptoms, stool forms, scores of anxiety and depression, and scores of sleep quality were also compared. Baseline scores of gastroesophageal reflux symptoms, anxiety, depression, and sleep quality were not different among the three groups. Gastric emptying was significantly faster in low-intensity exercise group than the moderate-intensity exercise group. Although the presence of loose stool and alcohol consumption were also associated with the intensity of regular exercise, these variables were not confounders. In conclusion, the intensity of regular exercise was independently associated with gastric emptying in healthy individuals. These baseline data would be useful for consideration of an optimal exercise intervention for the treatment of FD.
功能性胃肠疾病(FGIDs),包括功能性消化不良(FD),即便在年轻人群中也是常见的慢性疾病。尽管证据不足,但仍提倡FGIDs患者进行体育活动。我们研究了规律运动强度与胃排空之间的关联,以确定体育活动对消化不良症状的影响。选取了30名健康个体,并根据一周内的总运动强度指标将其分为三组(低强度、中等强度和高强度)。通过C - 醋酸呼气试验评估胃排空情况。还比较了胃食管反流症状、消化不良症状、大便形态、焦虑和抑郁评分以及睡眠质量评分。三组之间胃食管反流症状、焦虑、抑郁和睡眠质量的基线评分无差异。低强度运动组的胃排空明显快于中等强度运动组。虽然稀便的出现和饮酒也与规律运动强度有关,但这些变量并非混杂因素。总之,规律运动强度与健康个体的胃排空独立相关。这些基线数据将有助于考虑针对FD治疗的最佳运动干预措施。