Department of Surgery, Sri Balaji Vidyapeeth, Pondicherry 607402, India.
World J Gastroenterol. 2024 Jun 7;30(21):2744-2747. doi: 10.3748/wjg.v30.i21.2744.
There is considerable controversy on the role of physical activity in irritable bowel disease (IBD) since published reports are conflicting. It is well known that there is known relapse with specific treatment in IBD. This, in addition to onset of extraintestinal symptoms creates a need to think of alternate approaches. In this context, the current article describes the need of a multi-institutional study with standard protocol of physical activity for documenting its effect on both the primary disease and the extra alimentary manifestations. This paper also points out the possibility of using adjuvant complementary medicine such as yoga, whose effects have been documented in other diseases like irritable bowel syndrome. A third approach could be to focus on the intestinal dysbiosis in IBD and concentrate on research on restoring the microbial flora to normal, to see whether the extra-intestinal symptoms are alleviated.
关于体力活动在肠易激综合征（IBD）中的作用存在相当大的争议，因为已发表的报告相互矛盾。众所周知，IBD 采用特定治疗后会有已知的复发。除了肠道外症状的发作之外，这需要考虑其他方法。在这种情况下，本文描述了进行多机构研究的必要性，该研究采用标准的体力活动方案来记录其对原发性疾病和肠道外表现的影响。本文还指出了使用辅助性补充药物（如瑜伽）的可能性，瑜伽的作用已在其他疾病（如肠易激综合征）中得到证实。第三种方法可能是专注于 IBD 的肠道菌群失调，并集中研究恢复微生物菌群正常，以观察肠道外症状是否得到缓解。
