Document Detail

Influence of exercise testing in gastroesophageal reflux in patients with gastroesophageal reflux disease.
MedLine Citation:
PMID:  24676289     Owner:  NLM     Status:  In-Data-Review    
Background : Gastroesophageal reflux disease is a worldwide prevalent condition that exhibits a large variety of signs and symptoms of esophageal or extra-esophageal nature and can be related to the esophagic adenocarcinoma. In the last few years, greater importance has been given to the influence of physical exercises on it. Some recent investigations, though showing conflicting results, point to an exacerbation of gastroesophageal reflux during physical exercises. Aim : To evaluate the influence of physical activities in patients presenting with erosive and non erosive disease by ergometric stress testing and influence of the lower esophageal sphincter tonus and body mass index during this situation. Methods : Twenty-nine patients with erosive disease (group I) and 10 patients with non-erosive disease (group II) were prospectively evaluated. All the patients were submitted to clinical evaluation, followed by upper digestive endoscopy, manometry and 24 h esophageal pH monitoring. An ergometric testing was performed 1 h before removing the esophageal pH probe. During the ergometric stress testing, the following variables were analyzed: test efficacy, maximum oxygen uptake, acid reflux duration, gastroesophageal reflux symptoms, influence of the lower esophageal sphincter tonus and influence of body mass index in the occurrence of gastroesophageal reflux during these physical stress. Results : Maximum oxigen consumption or VO 2 max, showed significant correlation when it was 70% or higher only in the erosive disease group, evaluating the patients with or without acid reflux during the ergometric testing (p=0,032). The other considered variables didn't show significant correlations between gastroesophageal reflux and physical activity (p>0,05). Conclusions : 1) Highly intensive physical activity can predispose the occurrence of gastroesophageal reflux episodes in gastroesophageal reflux disease patients with erosive disease; 2) light or short sessions of physical activity have no influence on reflux, regardless of body mass index; 3) the lower esophageal sphincter tonus does not influence the occurrence of reflux disease episodes during exercise testing.
Antonio Moreira Mendes-Filho; Joaquim Prado Pinto Moraes-Filho; Ary Nasi; Jaime Natan Eisig; Tomas Navarro Rodrigues; Ricardo Correa Barbutti; Josemberg Marins Campos; Decio Chinzon
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery     Volume:  27     ISSN:  0102-6720     ISO Abbreviation:  Arq Bras Cir Dig     Publication Date:  2014 Mar 
Date Detail:
Created Date:  2014-03-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9100283     Medline TA:  Arq Bras Cir Dig     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  3-8     Citation Subset:  IM    
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