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Reflujo gastroesofágico inducido por el ejercicio en voluntarios sanos
C S Clark1, B B Kraus, J Sinclair
1Department of Medicine, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC 27103.
JAMA
|June 23, 1989
Resumen
El ejercicio vigoroso, especialmente correr, puede desencadenar el reflujo gastroesofágico en individuos sanos. El ciclismo estacionario puede ser una opción de ejercicio aeróbico más segura para aquellos que experimentan reflujo.
Área de la Ciencia:
- Gastroenterología y Gastroenterología.
- Medicina del Deporte Medicina del Deporte es la medicina del deporte.
- Fisiología del ejercicio Fisiología del ejercicio
Sus antecedentes:
- El reflujo gastroesofágico (RGE) es una afección común.
- El impacto de los diferentes tipos de ejercicio en el GER no se entiende completamente.
- Comprender el GER inducido por el ejercicio puede informar las recomendaciones para los pacientes.
Objetivo del estudio:
- Para evaluar los efectos de varios tipos de ejercicio en el reflujo gastroesofágico.
- Para comparar el reflujo durante el ayuno y los estados postprandial.
- Para evaluar la influencia de la intensidad del ejercicio y la posición del cuerpo en el reflujo.
Principales métodos:
- Doce voluntarios asintomáticos (7 hombres, 5 mujeres) participaron.
- Se utilizó el monitoreo ambulatorio del pH intraesofágico.
- Los protocolos de ejercicio incluían ciclismo estacionario, correr y una rutina de pesas, realizadas durante el ayuno y los períodos postprandial.
Principales resultados:
- El ejercicio vigoroso, especialmente correr, indujo significativamente el reflujo gastroesofágico.
- El ciclismo estacionario resultó en menos reflujo en comparación con correr.
- Las rutinas de peso indujeron reflujo en algunos sujetos; el ejercicio postprandial aumentó la cantidad de reflujo.
Conclusiones:
- El ejercicio aeróbico de alto impacto puede provocar GER en individuos sanos.
- El ejercicio aeróbico de menor impacto, como el ciclismo estacionario, puede ser una alternativa adecuada.
- Investigaciones adicionales pueden orientar las recomendaciones de ejercicio para pacientes con GER.
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