Description

Many patients with inflammatory bowel disease (IBD) can successfully participate in sports. However, certain findings may require modification of what is done and how. In general a patient with an inflammatory bowel disease should be encouraged to exercise as much as he or she can provided that it can be done safely.


 

In general a patient should have few restrictions if they have:

(1) disease in remission

(2) mild and intermittent disease

 

In general a patient will have significant restrictions if they have:

(1) severe disease

(2) a significant flare-up in disease activity

Problem

Impact

diarrhea

risk of dehydration and heat-related illness; problems in swimming pools; need to be near a bathroom

osteoporosis

increased risk for fracture; weight-bearing exercise may improve bone density

arthritis

limited joint mobility

abdominal pain

limited ability to exercise

medications

adverse impact of medications on the ability to exercise

history of recent abdominal surgery

may limit the ability to participate in contact sports

extensive bowel resection

may not be able to meet energy requirements

muscle weakness

decreased performance in strenuous activities

 


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