The Gonczarowski Family Institute of Gastroenterology and Liver Diseases, Shamir (Assaf Harofeh) Medical Center, Zerifin, affiliated with the Sackler School of Medicine, Tel Aviv University, ISRAEL.
Curr Sports Med Rep. 2021 Jul 1;20(7):359-365. doi: 10.1249/JSR.0000000000000860.
This article discusses the "bidirectional" relationship between inflammatory bowel disease (IBD) and physical activity. Intestinal symptoms and extraintestinal manifestations of IBD negatively impact a patient's ability to participate in sports. IBD also impacts athletic performance via its effects on muscle mass, muscle function, bone density, and fatigue. Surveys of IBD patients consistently show that IBD interferes with athletic participation. While IBD negatively affects physical activity, there is growing evidence that physical activity can be beneficial for IBD patients. Prospective studies have revealed that structured physical activities may positively influence inflammatory markers, disease activity, muscle strength, bone density, fatigue, stress, anxiety, and quality of life. This suggests that physical activity may be a simple and safe adjuvant therapy for IBD patients. Future studies assessing the optimal activity regimen are warranted. Finally, a cohort of professional athletes with IBD are described for the first time - football players in the National Football League.
本文探讨了炎症性肠病（IBD）与身体活动之间的“双向”关系。IBD 的肠道症状和肠外表现会降低患者参与运动的能力。IBD 通过对肌肉质量、肌肉功能、骨密度和疲劳的影响，也会对运动表现产生影响。对 IBD 患者的调查一致表明，IBD 会干扰运动参与。虽然 IBD 会对身体活动产生负面影响，但越来越多的证据表明身体活动对 IBD 患者有益。前瞻性研究表明，有组织的身体活动可能会对炎症标志物、疾病活动、肌肉力量、骨密度、疲劳、压力、焦虑和生活质量产生积极影响。这表明身体活动可能是 IBD 患者的一种简单且安全的辅助治疗方法。未来有必要评估最佳活动方案的研究。最后，首次描述了一组患有 IBD 的职业运动员——美国国家橄榄球联盟的足球运动员。
