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Sport and Physical Activity in Epilepsy
Fanziska van den Bogard1, Hajo M Hamer, Robert Sassen
1Institute of Sports Medicine, Paderborn University; Epilepsy Centre at the Department of Neurology, Universitätsklinikum Erlangen; Department of Epileptology, University Hospital Bonn.
Deutsches Arzteblatt International
|February 4, 2020
Summary
Individuals with epilepsy often exercise less and have lower fitness levels. Physical activity generally does not increase seizure frequency and can improve quality of life for people with epilepsy.
Area of Science:
- Neurology
- Sports Medicine
- Public Health
Background:
- Historically, individuals with epilepsy were discouraged from participating in sports.
- This practice stemmed from concerns about the potential impact of physical activity on seizure frequency.
Purpose of the Study:
- To systematically review the existing literature on physical activity levels in people with epilepsy.
- To investigate the effects of physical activity on epilepsy management and patient outcomes.
Main Methods:
- A comprehensive literature search was conducted across PubMed and Web of Science databases.
- 14,269 studies were initially identified, with subsequent selection and methodological quality assessment to determine evidence levels.
Main Results:
- 42 studies were included, ranging from evidence level 1- to 3.
- Persons with epilepsy demonstrate lower physical activity and fitness compared to the general population.
- Reduced physical activity correlates with increased comorbidities and diminished quality of life, while physical interventions show potential for improvement.
Conclusions:
- There is no evidence to support forbidding sports participation for individuals with epilepsy.
- Encouraging physical activity is recommended, with sport-specific recommendations needing individual assessment.
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