Editorial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jun 7, 2024; 30(21): 2744-2747
Published online Jun 7, 2024. doi: 10.3748/wjg.v30.i21.2744
Unresolved conundrum of the role of physical activity in inflammatory bowel disease: What next?
Nilakantan Ananthakrishnan
Nilakantan Ananthakrishnan, Department of Surgery, Sri Balaji Vidyapeeth, Pondicherry 607402, India
Author contributions: As single author I have contributed to conceiving of the idea, collecting references, writing the editorial and all parts of the article.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
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Corresponding author: Nilakantan Ananthakrishnan, FRCS, MS, Emeritus Professor, Department of Surgery, Sri Balaji Vidyapeeth, Pondy Cuddalore Main Road, Pillaiyarkuppam, Pondicherry 607402, India. n.ananthk@gmail.com
Received: March 1, 2024
Revised: April 24, 2024
Accepted: May 15, 2024
Published online: June 7, 2024
Processing time: 94 Days and 1.1 Hours
Abstract

There is considerable controversy on the role of physical activity in irritable bowel disease (IBD) since published reports are conflicting. It is well known that there is known relapse with specific treatment in IBD. This, in addition to onset of extraintestinal symptoms creates a need to think of alternate approaches. In this context, the current article describes the need of a multi-institutional study with standard protocol of physical activity for documenting its effect on both the primary disease and the extra alimentary manifestations. This paper also points out the possibility of using adjuvant complementary medicine such as yoga, whose effects have been documented in other diseases like irritable bowel syndrome. A third approach could be to focus on the intestinal dysbiosis in IBD and concentrate on research on restoring the microbial flora to normal, to see whether the extra-intestinal symptoms are alleviated.

Keywords: Extra intestinal symptoms of inflammatory bowel diseases, Management, Physical activity in inflammatory bowel diseases, Complementary medicine in inflammatory bowel diseases, Yoga in inflammatory bowel diseases, Dysbiosis in inflammatory bowel diseases

Core Tip: A multi institutional study has been suggested and the parameters defined to finally develop strong evidence for the use of complemetary measures for management of extralimentary symptoms of inflammatory bowel diseases such as depression, anxiety, stress, fatigue, poor quality of life etc.