Probiotics and physical exercise in constipation
Abstract
Introduction: Constipation is an intestinal subtype of the irritable bowel syndrome (IBS) which affects women and men of all ages, with predominance in females and that leads to great suffering. Objective: This study aimed to review the effects of probiotics and exercise physical on constipation. Literature Review: There is evidence for probiotics in the treatment and especially prevention of symptoms of the diseases of the gastrointestinal tract, and the adhesion of the intestinal mucosa may be one of the main reasons for the beneficial effects of probiotics. Furthermore, studies about the effect of physical exercises on the tratogastrointestinal show interesting results, but its action in constipation show no significant effects. Conclusion: The results show that probiotics may be an alternative in the treatment or relief of symptoms of constipation. Regarding the exercise, although some degree of confidence of the effects for this purpose, there are few studies, their follow-up is short which shows a degree of uncertainty of its action in constipation.
References
- Agrawal, A.; Whorwell, P.J. Irritable bowel syndrome: diagnosis and management. British Medical Journal. Londres. Vol. 332. Num. 4. 2006. p. 280-283.
- Agarwal, R.K. Probiotics – the health friendly gut bacteria. Indian Pediatric. New Dheli. Vol. 45. Num. 12. 2008. p. 953-954.
- Barrett, J.S.; Canale, K.E.K.; Gearry, R.B.; Irving, P.M.; Gibson, P.R. Probiotic effects on intestinal fermentation patterns in patients with irritable bowel syndrome. World Journal of Gastroenterology. Beijing. Vol. 14. Num. 32. 2008. p. 5020-5024.
- Bekkali, N-L-H.; Bongers, M.E.J.; Van den Berg, M.M.; Liem, O.; Benninga, M.A. The role of a probiotics mixture in the treatment of childhood constipation: a pilot study. Nutrition Journal. Londres. Vol. 6. Num. 17. 2007. p. 1-6.
- Chang, L. Epidemiology and quality of life in functional gastrointestinal disorders. Alimentar y Pharmacologic and Therapeutics. On line. Vol. 20. Num(suppl)7. 2004. p. 31-39.
- Chan, A.O.; Cheng, C.; Hui, W.M.; Hu, W.H.; Wong, N.Y.; Lam, K.; Wong, W.M.; Lai, K.C.; Lam, S.K.; Wong, B.C. Differing coping mechanisms, stress level anorectal physiology in patients with functional constipation. World Journal of Gatroenterology. Beijing. Vol. 11. Num. 34. 2005. p. 5362-5366.
- Cammack, J.; Read, N.W.; Cann, P.A.; Greenwood, B.; Holgate, A.M. Effect of prolonged exercise on the passage of a solid meal through the stomach and small intestine. Gut. Londres. Vol. 23. Num. 11. 1982. p. 957-961.
- Drouault-Holowacz, S.; Bieuvelet, S.; Burckel, A.; Cazaubiel, M.; Dray, X.; Marteau, P. A double blind randomized controlled trial of a probiotic combination in 100 patients with irritable bowel syndrome. Gastroentérologie Clinique et Biologique. Paris. Vol. 32. Num. 2. 2008. p.147-152.
- Dughera, L.; Elia, C.; Navino, M.; Cisarò, F. Effects of symbiotics preparations on constipated irritable bowel syndrome symptoms. Actabiomedica. Parma. Vol. 78. Num. 2. 2007. p. 111-116.
- Dukas, L.; Willet, W.C.; Giovanucci, E.L. Association between physical activity, fiber intake, and other lifestyle variables and constipation in a study of women. The American Journal of Gastroenterology. Philadelphia. Vol. 98. Num 8. 2003. p. 1790-1796.
- Eriksson, E.M.; Andrén, K.I.; Eriksson, H.T.; Kurlberg, G.K. Irritable bowel syndrome subtypes differ in body awareness, psychological symptoms and biochemical stress markers. World Journal Gastroenterology. Göteborg. Vol. 14. Num. 31. 2008. p. 4889-4896.
- Foxx-Orenstein, A.E.; McNally, M.A.; Odunsi, S.T. Update on constipation:One treatment does not fit all. Clinic Journal of Medicine. Cleveland. Vol. 75. Num.11. 2008. p. 813-823.
- Fuller, R. Probiotics in man and animals. Journal of Applied Bacteriology. Oxford. Vol. 66. Num. 5. 1989. p. 365-378.
- Fuller, R. Probiotics in human medicine. Gut. Londres. Vol. 32. Num. 4. 1991. p. 439-442.
- Gibson, G.R.; Fuller, R. Aspects of in vitro and in vivo research approaches directed toward indentifying probiotics and prebiotics for human use. The Journal of Nutrition. Bethesda. Vol. 130. Num. 2. 2000. p. 391-395.
- Grotz, R.L.; Pemberton,J.H.; Talley, N.J.; Rath, D.M.; Zinsmeister, A.R. Discriminant value of psychological distress, symptom profiles, and segmental colonic dysfunction in outpatients with severe idiopathic constipation. Gut. Londres. Vol. 35. Num. 6. 1994. p. 798-802.
- Hoveyda, N.; Heneghan, C.; Mahtani, K.R.; Perera, R.; Roberts, N.; Glasziou, P. A systematic review and meta-analysis: probiotics in the treatment of irritable bowel syndrome. Biomedical Central Gastroenterology. Londres. Vol. 9. Num. 15. 2009. p. 1-11.
- Kalache, A.; Veras, R.P.; Ramos, L.R. O envelhecimento da população mundial. Um desafio novo. Revista de Saúde Pública. São Paulo. Vol. 21. Num. 3. 1987. p. 200-210.
- Karkow, F.J.A.; Faintuch, J.; Karkow, A.G.M. Probióticos: perspectivas médicas. Revista da Associaçao Médica do Rio Grande do Sul. Porto Alegre. Vol. 51. Num. 1. 2007. p. 38-48.
- Lacerda-Filho, A.; Lima, M.J.R.; Magalhães, M.F.; Paiva, R.A.; Cunha-Mello, J.R.; O papel da avaliação clinica e dos testes de fisiologia colo-reto anal no diagnostico etiológico da constipação intestinal crônica. Arquivos de gastroenterologia. São Paulo. Vol. 45. Num. 1. 2008. p. 50-57.
- Limdi, J.K.; O’Neill, C.; McLaughlin, J. Do probiotics have a therapeutic role in gastroenterology? World Journal of Gastroenterology. Beijing. Vol. 12. Num. 34. 2006. p. 5447-5457.
- Lira, C.A.B.; Vancini, R.L.; Silva, A.C.; Nouailhetas, V.L.A. Efeitos do exercício físico sobre o trato gastrintestinal. Revista Brasileira de Medicina do Esporte. São Paulo. Vol. 14. Num. 1. 2008. p. 64-67.
- McCrea, G.L.; Miaskowski, C.; Stotts, N.A.; Macera, L.; Varma, M.G. Pathophysiology of constipation in the older adult. World Journal of Gastroenterology. Dongsihuan Zhonglu. Vol. 14. Num. 17. 2008. p. 2631-2638.
- Motta, M.E.F.A.; Silva, G.A.P. Constipação intestinal crônica funcional na infância: diagnostico e prevalência em uma comunidade de baixa renda. Jornal de Pediatria. Porto Alegre. Vol. 74. Num. 6. 1998. p. 451-454.
- Marteau, P.; Boutron-Ruault, M.C. Nutritional advantages of probiotics and prebiotics. British Journal of Nutrition. New York. Vol. 87. Num. suppl 2. 2002. p. 153-157.
- McFarland, L.V.; Dublin, S. Meta-analysis of probiotics for the treatment of irritable bowel syndrome. World Journal of Gastroenterology. Beijing. Vol. 14. Num. 17. 2008. p. 2650-2661.
- Massi, M.; Ioan, P.; Budriesi, R.; Chiarini, A.; Vitali, B.; Lammers, K.M.; Ghionchetti, P.; Campieri, M.; Lembo, A.; Brigidi, P. Effects of probiotic bacteria on gastrointestinal motility in guinea-pig isolated tissue. World Journal of Gastroenterology. Beijing. Vol.12. Num. 37. 2006. p. 5987-5994.
- Matsumoto, M.; Inque, R.; Tsukahara, T.; Ushida, K.; Chiji, H.; Matsubara, N.; Hara, H. Voluntary running exercise alters microbiota composition and increases n-butyrate concentration in the rat cecum. Biosci Biothecnol Biochem. Tokyo. Vol. 72. Num. 2. 2008. p. 572-576.
- Meshkinpour, H.; Selod, S.; Movahedi, H.; Nami, N.; James, N.; Wilson, A. Effects of Regular Exercise in Management of Chronic Idiopathic Constipation. Digestive Deseases and Sciences. Springer. Vol. 43. Num. 11. 1998. p. 2379-2383.
- Oliveira, S.C.M.; Pinto-Neto, A.M.; Goes, J.R.N.; Conde, D.M.; Santos-Sá, D.; Costa-Paiva, L. Prevalência e fatores associados a constipação intestinal em mulheres na pos-menopausa. Arquivos de Gastroenterologia. São Paulo. Vol. 42. Num. 1. 2005. p. 24-29.
- Oliveira, J.N.; Tahan, S.; Goshima, S.; Fagundes-Neto, U.; Morais, M.B. Prevalência de constipação em adolescentes matriculados em escolas de São José dos Campos,SP, e, em seus pais. Arquivo de Gastroenterologia. São Paulo. Vol. 43. Num. 1. 2006. p. 50-54.
- Ötles, S.; Çagindi, Ö.; Akçiçek, E. Probiotics and Health. Asian Pacific Journal of Cancer Prevetion. Bangkok. Vol. 4. Num. 4. 2003. p. 369-372.
- Ouwehand, A.C.; Salminen, S.; Roberts, P.J.; Ovaska, J.; Salminen, E. Disease-dependent adhesion of lactic bacteria to the human intestinal mucosa. Clinical and Diagnostic Laboratory Immunology. Washington D.C. Vol. 10. Num. 4. 2003. p. 643-646.
- Oettlé, G.J. Effect of moderate exercise on bowel habit. Gut. Londres. Vol. 32. Num. 8. 1991. p. 941-944.
- Pimentel, M.; Chow, E.J.; Lin, H.C. Eradication of small intestinal bacterial overgrowth reduces symptoms of irritable bowel syndrome. The American Journal of Gastroenterology. Philadelphia. Vol. 95. Num.12. 2000. p. 3503-3506.
- Peters, H.P.F.; Vries, W.R.; Vanberge-Henegouwen, G.P.; Akkermans, L.M.A. Potential benefits and hazards of physical activity and exercise on the gastrointestinal tract. Gut. Londres. Vol. 48. Num. 3. 2001. p. 435-439.
- Paw, M.J.M.C.A.; Van Poppel, M.N.M.; Van Mechelen, W. Effects of resistance and funtional-skills training on habitual activity and constipation among older adults living in long-term care facilities: a randomized controlled trial. Bio med Central Geriatrics. Londres. Vol. 6. Num. 9. 2006.
- Sandler, R.S.; Jordan, M.C.; Shelton, B.J. Demographic and dietary determinants of constipation in the US population. American Journal of Public Health. Washington. Vol. 80. Num. 2. 1990. p. 185-189.
- Schrezenmeir, J.; Vrese, M. Probiotics, prebiotics, and symbiotics-approaching a definition. The American Journal of Clinical Nutrition. Houston. Vol. 73. Num. supp. 1. 2001. p. 361-364.
- Sanders, M.E. Probiotics: Definition, sources, selection and uses. Cid. Colorado. Vol. 46. Num. suppl2. 2008. p. 558-561.
- Thompson, W.G.; Longstreth, G.F.; Drossman, D.A.; Heaton, K.W.; Irvine, E.J.; Müller-Lissner,S.A. Functional bowel disorders and functional abdominal pain. Gut. Londres. Vol. 45. Num. Suppl II. 1999. p. II43-II47.
- Tuteja, A.K.; Talley, N.J.; Joos, S.K.; Woehl, J.V.; Hickam, D.H. Is constipation associated with decreased physical activity in normally active subjects? American Journal of Gastroenterology. Philadelphia. Vol. 100. Num. 1. 2005. p. 124-129.
- Yang, Y.X.; He, M.; Hu, G.; Wei, J.; Pages, P.; Yang, X.H.; Bourdu-Naturel, S. Effect of a fermented milk containing bifidobacterium lactis DN-173010 on chinese constipated women. World Journal of Gastroenterology. Beijing. Vol. 14. Num. 40. 2008. p. 6237-6243.
- Younghoon, K.; Kim, S.H.; Whang, K.Y.; Kim, Y.J.; Oh, S. Inhibition of escherichia coli 0157:h7 attachement by interactions between lactic acid bacteria and intestinal epithelial cells. Journal of Microbiology and Biotechnology. Seul. Vol. 18. Num. 7. 2008. p. 1278-1285.
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