Физические упражнения как эффективная адъювантная терапия при ремиссии воспалительных заболеваний кишечника (обзор литературы)

Воспалительные заболевания кишечника (ВЗК) включают болезнь Крона и язвенный колит. ВЗК являются хроническими болезнями с траекторией ремиссии и рецидива. Медикаментозная терапия ВЗК недостаточно эффективна. Существует потребность в адъювантной терапии ВЗК. Цель настоящего обзора состояла в том, чтобы представить роль физических упражнений и их влияние на ВЗК. В этой связи ведётся поиск дополнительных инструментов для повышения частоты достижения и удержания ремиссии. В последнее время получены данные, что физическая нагрузка индуцирует каскад противовоспалительных цитокинов, специфически запускаемый за счет экспоненциального увеличения мышечного интерлейкин 6, и при регулярных тренировках в период ремиссии может снизить базальные уровни циркулирующих воспалительных маркеров и потенциально уменьшить хроническое воспаление при ВЗК. Рекомендации врача по физической активности в период ремиссии могут быть эффективны в качестве дополнительного компонента противорецидивного лечения.

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