I benefici dell'esercizio fisico nei pazienti con malattia infiammatoria intestinale
Abstract
La malattia di Crohn (CD) e la colite ulcerosa (UC) sono malattie infiammatorie intestinali (IBD), caratterizzate da infiammazione della mucosa intestinale. L'origine delle malattie infiammatorie intestinali è multifattoriale e coinvolge fattori ambientali, genetici e immunologici. Non esiste una cura per la malattia infiammatoria intestinale. L'obiettivo del presente studio era quello di effettuare una revisione critica del ruolo dell'esercizio fisico nella qualità della vita dei pazienti con IBD. Una diminuzione della densità minerale ossea (BMD) è riportata nei pazienti con malattia di Crohn, con circa il 40% al 50% con osteopenia e circa il 15% con osteoporosi. L'IBD può influenzare la composizione corporea, le prestazioni muscolari e il dispendio energetico.Esiste una relazione dose-risposta e una soglia di intensità dell'esercizio fisico che separa i benefici ei rischi dell'esercizio sul tratto gastrointestinale. Nella letteratura scientifica ci sono pochi studi relativi all'IBD e all'esercizio fisico. È consenso in tutti gli studi che l'esercizio fisico di intensità bassa e moderata promuova un miglioramento della qualità della vita dei pazienti con IBD, dimostrando un'azione diretta sui sintomi extra-intestinali delle malattie senza esacerbare i sintomi. sviluppare nuovi studi per comprendere i reali benefici dell'intervento di programmi di esercizio fisico, sia di resistenza che di forza, sui sintomi delle IBD.
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