健康なボランティアで運動によって誘発された胃食道逆流
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
まとめ
激しい運動,特にランニングは,健康な個人に胃食道逆流を引き起こす可能性があります. 静止サイクリングは,反流を経験している人にとって,より安全なエアロビック運動の選択肢かもしれません.
科学分野:
- 胃腸内科 胃腸内科
- スポーツ医学 スポーツ医学
- 運動生理学 運動生理学
背景:
- 胃食道逆流 (GER) は一般的な疾患です.
- 異なるタイプの運動がGERに与える影響は,十分に理解されていません.
- 運動誘発性GERの理解は,患者に対する推奨事項を参考にすることができます.
研究 の 目的:
- 胃食道逆流に対する様々な運動の効果を評価する.
- 断食中の反流と食後の状態を比較するために.
- 運動の強度と身体の位置がリフルークスに与える影響を評価する.
主な方法:
- 12人の無症状のボランティア (7男性,5女性) が参加しました.
- 歩行器内食道内PHモニタリングを使用した.
- 運動プロトコルには,静止自転車,ランニング,体重管理などがあり,断食と食後の期間中に実施した.
主要な成果:
- 激しい運動,特にランニングは,胃食道逆流を著しく誘発した.
- 静止した自転車は,走ることと比較して,リフルーツが少なくなった.
- 体重管理は,一部の被験者に逆流を引き起こし,食後の運動は逆流量を増加させた.
結論:
- 高インパクトのエアロビック運動は,健康な個人にGERを引き起こす可能性があります.
- 静止サイクリングのような低インパクトの有酸素運動は,適切な代替手段かもしれません.
- さらなる研究により,GER患者のための運動の推奨を導き出せるでしょう.
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