Effects of Regular Exercise in Management of Chronic Idiopathic Constipation
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Regular physical exercise has long beenconsidered in the management of chronic constipation.This recommendation is probably based on the assumptionthat exercise shortens the transit time through the gastrointestinal tract. However, on the basisof previous studies, the effect of exercise on thetransit remains controversial at best. Therefore, it wasthe goal of the present study to assess the influence of regular physical exercise, what averagepeople may consider routine exercise, in the managementof chronic idiopathic constipation. The study populationconsisted of eight patients, seven women and a man, with chronic idiopathic constipation. Theywere studied for six weeks, including two weeks of restand four weeks of regular exercise. Patients had asubmaximal exercise test, before and after the exercise period, to determine their rate ofperceived exertion (RPE), the target heart rate, and theintensity of exercise they can perform. In addition totheir routine daily activities, they exercised 1 hr a day, five days a week according to theirperformance at the initial exercise tolerance test. Theykept a daily activity log and maintained their normaldietary intake during this period. The patients overall physical activity was assessed by apedometer. They also maintained a diary of the numberand consistency of their bowel movements and the amountof straining required for defecation. The impact of exercise on constipation was assessed byutilizing an index that took into consideration allthree parameters of bowel function. Results of the studyrevealed that patients covered 1.8 ± 0.33 and3.24 ± 0.28 miles/day in the rest period andduring the exercise period, respectively (P = 0.007).The intensity of exercise may have improved the level oftraining as reflected on the mean maximum time before and after exercise period (P = 0.039). Thislevel of exercise did not improve their constipationindices, which were 9.11 ± 0.65 and 8.57 ±1.08 in the rest and exercise periods, respectively (P= 0.68). In conclusion, physical activity, to the extentthat people consider “regular exercise,”does not play a role in the management of chronicidiopathic constipation.
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- 1.Bockus HL: Textbook of Gastroenterology, 4th ed., Vol I. Philadelphia, WB Saunde rs, 1985, p 116Google Scholar
- 2.Abyad A, Mourad F: Constipation: Common sense care of the older patient. Ge riatrics 51:28-34, 1996Google Scholar
- 3.Kligman EW, Pepin E: Pre scribing physical activity for elder patients. Ge riatrics 47:33-34, 1992Google Scholar
- 7.Meshkinpour H, Kemp C, Fairshter R: Effect of aerobic exercise on mouth-to-cecum transit time. Gastroente rology 96:938-941, 1989Google Scholar
- 10.Sesboue B, Arhan P, Devroe de G, Lecointe-Besancon I, Congard P, Bouchoucha M, Fabre J: Colonic transit in socce r playe rs. J Clin Gastroente rol 20:211-214, 1995Google Scholar
- 16.Milne JS, Williamson J: Bowel habit in older people. Gerontol Clin 14:56, 1972Google Scholar
- 18.American College of Sports Medicine: ACSM's Guidelines for Exercise Te sting and Prescription, 5th ed. Baltimore, Williams and Wilkins, 1995Google Scholar
- 22.Gullemin R, Vargo T, Rossier J, e t al: Be ta-endorphin and adrenocorticotrophin are se creted concomitantly by the pituitary gland. Science 197:1397-1399, 1977Google Scholar
- 24.Evans DF, Foster GE, Hardcastle JD: Doe s exercise affect small bowel motility in man? Gut 24:A1012, 1983Google Scholar