RESUMO
There is a bidirectional relationship between patients with inflammatory bowel disease (IBD) and physical activity. Physical activity may be associated with a reduced risk of IBD, especially Crohn’s disease. Long⁃term prolongation and recurrence of IBD not only affect the quality of life of patients, but also make many patients ignore the impact of exercise on IBD. Moderate exercise can reduce the level of proinflammatory factors in IBD patients, which can play an anti⁃inflammatory role, but acute high⁃intensity exercise may cause a local inflammatory response. IBD symptoms, especially active symptoms, can impair the ability to exercise and participate in physical activity. Exercise may worsen the symptoms such as fatigue, abdominal pain, diarrhea, and urgency of bowel movements in patients with active IBD. This review presented the level of physical activity in adults with IBD, summarized the evidence for benefits of physical activity for IBD and the challenges faced by patients with IBD in physical activity, and provided recommendations for physical activity in patients with IBD based on the latest evidence, so as to provide references for further research in this area.
