Is there a link between gastroesophageal reflux disease and physical activity?

Abstract

Aim of study The purpose of this review is to examine the impact of physical activity on the course of gastroesophageal reflux disease (GERD) and to provide an overview of the disease based on current literature. Materials and Methods A comprehensive literature search was conducted using the Medline/PubMed database to identify relevant studies. Additionally, reference lists of included articles were manually searched to identify further relevant studies. Data extraction was performed independently by two reviewers using a standardized form. Results GERD is a chronic condition characterized by the reflux of stomach contents into the esophagus, affecting an estimated 20% of the global population. Pathophysiological mechanisms include transient lower esophageal sphincter relaxation, hiatal hernia, and delayed gastric emptying. Physical activity has a dual impact on GERD; while moderate exercise can aid in symptom management by promoting weight loss and improving gastric emptying, high-intensity activities may exacerbate symptoms due to increased intra-abdominal pressure. Conclusions GERD is a prevalent chronic condition that significantly impacts quality of life. Effective management requires a multifaceted approach, including lifestyle modifications, pharmacotherapy, and in severe cases, surgical intervention. Moderate physical activity can be beneficial for symptom management, but high-intensity exercise may worsen symptoms. Health professionals should emphasize patient education and tailored treatment strategies to improve outcomes for GERD patients.

Keywords

• gastroesopageal reflux disease
• Physical Activity
• GERD
• lifestyle modification
• pharmacotherapy