Effects of regular physical activity on defecation pattern in middle-aged patients complaining of chronic constipation

Schryver, A M De; Keulemans, Yolande C.A.; Peters, H. P. F.; Akkermans, L.M.A.; Smout, A. J. P. M.; Vries, W. R. de; Berge‐Henegouwen, G. P. Van

doi:10.1080/00365520510011641

Cited by 162 publications

(89 citation statements)

References 17 publications

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“…Constipation is a possible risk factor of colon cancer, (35)(36)(37)(38) and this can be relieved by exercise. (39)(40)(41)(42) High physical activity has been reported to be related to low prevalence of constipation in some, (43,44) but not all, studies. (45) One possibility that deserves further consideration is that there could be an association between exercise and sunlight, and therefore vitamin D levels, thought to be protective against neoplasia in the colon and rectum.…”

Section: Discussionmentioning

confidence: 99%

Physical activity and colorectal cancer: The Fukuoka Colorectal Cancer Study

et al. 2006

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The number of cases of colorectal cancer in Japan has increased over the past few decades, and incidence rates are now among the highest in the world. The present investigation within the Fukuoka Colorectal Cancer Study, including 778 cases and 767 controls aged 20-74 years, examined the association between physical activity and colorectal cancer risk by subsite. Employment-associated and leisure time physical activity was assessed by a questionnaire and interview. Division of sites into the proximal and distal colon, as well as the rectum, revealed clear site-dependent protective effects, with adjustment for smoking, alcohol consumption, BMI and age. In males, greater job-related physical activity was associated with significant reduction of risk in the distal colon and rectum (P = 0.047 and 0.02, respectively), whereas total and moderate or hard non-job physical activity exerted effects limited to the rectum (P = 0.01 and 0.004, respectively). In females, job-related physical activity and moderate or hard non-job physical activity was also protective, but only in the distal colon. Separate assessment of the influence of BMI 10 years previous to the study showed increase in risk with obesity in males but not in females, limited to distal colon and rectum. The results of the present study indicate that physical activity associated with work and leisure-time exerts beneficial effects in Japanese, but not on the proximal colon. (Cancer Sci 2006; 97: 1099-1104)

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Section: Discussionmentioning

confidence: 99%

Physical activity and colorectal cancer: The Fukuoka Colorectal Cancer Study

et al. 2006

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“…One small, nonplacebo RCT reported that regular exercise decreases constipation as per Rome I criteria, 88 whereas another even smaller study did not show any benefit. 89 Two other cohort studies showed that physical activity significantly decreased the self-reported symptoms in women.…”

Section: Exercisementioning

confidence: 99%

Chronic Constipation: An Evidence-Based Review

Leung¹,

Riutta²,

Kotecha³

et al. 2011

The Journal of the American Board of Family Medicine

273

168

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Background: Chronic constipation is a common condition seen in family practice among the elderly and women. There is no consensus regarding its exact definition, and it may be interpreted differently by physicians and patients. Physicians prescribe various treatments, and patients often adopt different over-the-counter remedies. Chronic constipation is either caused by slow colonic transit or pelvic floor dysfunction, and treatment differs accordingly.Methods: To update our knowledge of chronic constipation and its etiology and best-evidence treatment, information was synthesized from articles published in PubMed, EMBASE, and Cochrane Database of Systematic Reviews. Levels of evidence and recommendations were made according to the Strength of Recommendation taxonomy.Results

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“…Physical activity appears to accelerate colonic transit time (5)(6)(7), suggesting that exercise may reduce exposure to fecal carcinogens in the colon. Also, effects of exercise related to insulin levels (8,9), insulin-like growth factors, bile acids, and prostaglandins have been proposed (4).…”

Section: Introductionmentioning

confidence: 99%

Recreational Physical Activity and Cancer Risk in Subsites of the Colon (the Nord-Trøndelag Health Study)

Nilsen¹,

Romundstad

Petersen

et al. 2008

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Physical activity may reduce colon cancer risk, but the underlying mechanisms remain unclear. Relating physical activity to cancer risk in anatomic segments of the colon may advance our understanding of possible mechanisms. We conducted a prospective study of 59,369 Norwegian men and women who were followed up for cancer incidence and mortality. Cox proportional hazards models were used to estimate multivariably adjusted hazard ratios (HR) and 95% confidence intervals (95% CI). All statistical tests were two sided. During 17 years of follow-up, 736 colon cancers and 294 rectal cancers were diagnosed. Overall, we found an inverse association between recreational physical activity and colon cancer risk, but subsite analyses showed that the association was confined to cancer in the transverse and sigmoid colon. The adjusted HR, comparing people who reported high versus no physical activity, was 0.44 (95% CI, 0.25-0.78) for cancer in the transverse colon and 0.48 (95% CI, 0.31-0.75) for cancer in the sigmoid colon. The corresponding HR for cancer mortality was 0.33 (95% CI, 0.14-0.76) for the transverse colon and 0.29 (95% CI, 0.15-0.56) for the sigmoid colon. For rectal cancer, there was no association with physical activity in these data. In conclusion, the inverse association of recreational physical activity with cancer risk and mortality in the transverse and sigmoid segments of the colon may point at increased colon motility and reduced fecal transit time as possible underlying mechanisms. (Cancer Epidemiol

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Effects of regular physical activity on defecation pattern in middle-aged patients complaining of chronic constipation

Abstract: In middle-aged inactive subjects with symptoms of chronic constipation, it is advisable to promote regular physical activity since it improves both the defecation pattern and rectosigmoid or total colonic transit time.

Cited by 162 publications

References 17 publications

Physical activity and colorectal cancer: The Fukuoka Colorectal Cancer Study

Physical activity and colorectal cancer: The Fukuoka Colorectal Cancer Study

Chronic Constipation: An Evidence-Based Review

Recreational Physical Activity and Cancer Risk in Subsites of the Colon (the Nord-Trøndelag Health Study)

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