Are Crohn’s Disease Patients Limited in Sport Practise? An UltraEndurance Case–Control Study Response

Tornero-Aguilera, José Francisco; Sánchez-Molina, Joaquín; Parraça, José A.; Morais, Ana Isabel; Clemente-Suárez, Vicente Javier

doi:10.3390/ijerph191610007

Cited by 3 publications

(3 citation statements)

References 58 publications

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“…This means that once the diagnosis is made, we will have these people in follow-up consultations, check-ups, and pharmacology throughout life, which is associated with high healthcare costs during this process [ 374 , 375 , 376 , 377 , 378 , 379 , 380 ]. In addition, in these diseases, we must consider that there will be moments of remission, but also episodes in which the symptomatology worsens significantly during outbreaks [ 381 , 382 , 383 ].…”

Section: Sanitary Costs Of Western Dietmentioning

confidence: 99%

Global Impacts of Western Diet and Its Effects on Metabolism and Health: A Narrative Review

et al. 2023

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The Western diet is a modern dietary pattern characterized by high intakes of pre-packaged foods, refined grains, red meat, processed meat, high-sugar drinks, candy, sweets, fried foods, conventionally raised animal products, high-fat dairy products, and high-fructose products. The present review aims to describe the effect of the Western pattern diet on the metabolism, inflammation, and antioxidant status; the impact on gut microbiota and mitochondrial fitness; the effect of on cardiovascular health, mental health, and cancer; and the sanitary cost of the Western diet. To achieve this goal, a consensus critical review was conducted using primary sources, such as scientific articles, and secondary sources, including bibliographic indexes, databases, and web pages. Scopus, Embase, Science Direct, Sports Discuss, ResearchGate, and the Web of Science were used to complete the assignment. MeSH-compliant keywords such “Western diet”, “inflammation”, “metabolic health”, “metabolic fitness”, “heart disease”, “cancer”, “oxidative stress”, “mental health”, and “metabolism” were used. The following exclusion criteria were applied: (i) studies with inappropriate or irrelevant topics, not germane to the review’s primary focus; (ii) Ph.D. dissertations, proceedings of conferences, and unpublished studies. This information will allow for a better comprehension of this nutritional behavior and its effect on an individual’s metabolism and health, as well as the impact on national sanitary systems. Finally, practical applications derived from this information are made.

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Section: Sanitary Costs Of Western Dietmentioning

confidence: 99%

Global Impacts of Western Diet and Its Effects on Metabolism and Health: A Narrative Review

et al. 2023

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“…The sports activity is a barrier for patients with active Crohn’s disease (intestinal manifestations) because it flares up the symptoms[ 15 ]. Some authors believe that the barriers to sports medicine are related to psychosocial factors and alterations in the physiological responses to exercise, characterized by a lower sympathetic tone and body temperature[ 16 ]. In the scoping review, which included 28 articles, the authors recommended that moderately intense PA is a useful non-pharmacological intervention to improve the quality of life and attenuate the activity of Crohn’s disease[ 17 ].…”

Section: To the Editormentioning

confidence: 99%

Interaction between inflammatory bowel disease, physical activity, and myokines: Assessment of serum irisin levels

Al-Nimer

2024

World J Gastroenterol

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Inflammatory bowel disease (IBD), including Crohn’s disease and ulcerative colitis, showed a wide spectrum of intestinal and extra-intestinal manifestations, which rendered the patients physically inactive and impaired their quality of life. It has been found that physical activity is a non-pharmacological intervention that improves the quality of life for those patients. Irisin is one member of the myokines secreted by muscle contraction during exercise and could be used as an anti-inflammatory biomarker in assessing the physical activity of IBD patients. In addition, experimental studies showed that exogenous irisin significantly decreased the inflammatory markers and the histological changes of the intestinal mucosa observed in experimental colitis. Furthermore, irisin produces changes in the diversity of the microbiota. Therefore, endogenous or exogenous irisin, via its anti-inflammatory effects, will improve the health of IBD patients and will limit the barriers to physical activity in patients with IBD.

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“…22–24 However, it is noted that some case studies have raised some objections that exercise during the active phase may aggravate the condition of patients with IBD. 25 26 It is worth mentioning that exacerbation may be related to the intensity or frequency of exercise. It has been found that prolonged strenuous exercise may lead to multiple physiological changes related to hypoperfusion and ischaemia, altered gastrointestinal motility, and local and systemic inflammation, which may result in gastrointestinal syndromes induced by acute disturbances in gastrointestinal health.…”

Section: Introductionmentioning

confidence: 99%

Attitude and influencing factors on exercise in patients with moderately to severely active inflammatory bowel disease: a qualitative study

Wang,

Tong,

Niu

et al. 2023

BMJ Open

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ObjectivesTo explore the attitudes towards exercise, factors influencing exercise and exercise-related needs of patients with moderately to severely active inflammatory bowel disease.DesignA qualitative phenomenological research.SettingThe study was conducted at a comprehensive tertiary hospital in Suzhou, China, which is a secondary care facility.ParticipantsThe study included 17 participants who met specific inclusion criteria: aged between 16 and 70 years, diagnosed with inflammatory bowel disease and in a state of moderate to severe disease activity. Participants were required to be capable of clear self-expression and provide voluntary consent. Exclusion criteria included the presence of cancer or severe physical illness, cognitive impairment or mental illness.InterventionsSemistructured interviews were used to collect data.ResultsThe exercise experiences of participants with moderate to severe inflammatory bowel disease yielded three themes: attitudes towards exercise, factors influencing exercise and exercise-related needs.ConclusionThe majority of participants had negative attitudes towards exercise during periods of moderate to severe activity, largely influenced by disease activity, symptom management, inadequate knowledge of exercise and uncertainty about the value of exercise. Of particular note, professional guidance was generally recognised as stimulating a willingness to exercise positively, and participants demonstrated a strong need for professional guidance. Therefore, it is recommended that clear exercise guidelines for inflammatory bowel disease be constructed to ensure that patients receive safe and effective guidance to develop a healthy lifestyle in order to maximise the benefits of exercise.

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Are Crohn’s Disease Patients Limited in Sport Practise? An UltraEndurance Case–Control Study Response

Cited by 3 publications

References 58 publications

Global Impacts of Western Diet and Its Effects on Metabolism and Health: A Narrative Review

Global Impacts of Western Diet and Its Effects on Metabolism and Health: A Narrative Review

Interaction between inflammatory bowel disease, physical activity, and myokines: Assessment of serum irisin levels

Attitude and influencing factors on exercise in patients with moderately to severely active inflammatory bowel disease: a qualitative study

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