Exercise Guidelines for Inflammatory Bowel Disease Management

A Comprehensive Guide for Patients with IBD

Gastroenterology

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Last updated: Mar 24, 2025

Introduction

Regular exercise is an important component of managing Inflammatory Bowel Disease (IBD). This guide will help you develop a safe and effective exercise routine.

Benefits of Exercise with IBD

  • Reduces stress and anxiety
  • Improves bone density
  • Enhances immune system function
  • Helps maintain healthy weight
  • Reduces inflammation
  • Improves sleep quality

Getting Started

Initial Assessment

  • Consult your gastroenterologist before starting
  • Start slowly and gradually increase intensity
  • Listen to your body's signals

Recommended Activities

Low-Impact Exercises

  • Walking
  • Swimming
  • Stationary cycling
  • Yoga or gentle stretching
  • Tai Chi

Strength Training

  • Body weight exercises
  • Light resistance bands
  • Weight machines (under supervision)

Exercise Guidelines

Intensity Levels

  • Begin with 10-15 minutes per session
  • Aim for moderate intensity
  • Should be able to hold a conversation

Frequency

  • Start with 2-3 times per week
  • Gradually increase to 4-5 times weekly
  • Allow rest days between sessions

Safety Considerations

When to Avoid Exercise

  • During severe flares
  • If experiencing severe fatigue
  • When dehydrated
  • If experiencing severe joint pain

Important Tips

  1. Stay well-hydrated
  2. Exercise near restroom facilities
  3. Eat light meals 2-3 hours before exercise
  4. Wear comfortable, breathable clothing

Monitoring Progress

  • Keep an exercise diary
  • Note any symptoms during/after exercise
  • Track energy levels
  • Record improvements in stamina

When to Seek Help

Contact your healthcare provider if you experience:

  • Increased abdominal pain
  • Severe fatigue
  • Dizziness
  • Unusual joint pain
  • Worsening of IBD symptoms

Additional Resources

  • Local IBD support groups
  • Certified fitness trainers with IBD experience
  • Online IBD exercise communities

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