Association between physical activity and inflammatory bowel disease risk: A meta-analysis.
Dig Liver Dis 2016;
48:1425-1431. [PMID:
27671622 DOI:
10.1016/j.dld.2016.08.129]
[Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2016] [Revised: 08/17/2016] [Accepted: 08/27/2016] [Indexed: 12/11/2022]
Abstract
BACKGROUND
Previous studies of an association between physical activity and inflammatory bowel disease have yielded conflicting results.
AIM
This meta-analysis was conducted to clarify whether there is an association between physical activity and inflammatory bowel disease.
METHODS
The PubMed and Web of Science databases were searched for relevant studies published up to October 2015. Data were extracted and the summary relative risks (RRs) were calculated using a random effects or a fixed-effects model, according to heterogeneity.
RESULTS
Seven studies were included in the analysis. Relative to individuals with low physical activity, those who participated in high physical activity had an RR of 0.63 (95% CI, 0.50-0.79) for developing Crohn's disease. In stratified analyses, a significantly lower risk for Crohn's disease was associated with high physical activity in Europeans only (RR, 0.62; 95% CI, 0.43-0.91); population-based control studies (RR, 0.56; 95% CI, 0.41-0.76); and case-control studies (RR, 0.56; 95% CI, 0.41-0.75). The data of 6 studies were pooled to analyze the effect of physical activity on the risk of ulcerative colitis, and no significant association was found (RR, 0.82; 95% CI, 0.68-1.00).
CONCLUSIONS
The pooled results of observational studies support that physical activity has a protective effect against Crohn's disease.
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