Modern views on physical activity in the prevention of concomitant pathology in individuals after cholecystectomy as a prerequisite for the substantiation and development of a physical rehabilitation program
DOI:
https://doi.org/10.12775/JEHS.2017.04.078Keywords
metabolic parameters, metabolism, burden of comorbidity, emotional state, cholecystitis, quality of life, comorbid conditions in rehabilitation, depression, diabetes mellitus, thyroid dysfunction, liver steatosis, physical rehabilitation, physical therapy, cholecystectomy, obesityAbstract
Actuality. The absence of physical activity (PA) harms the health and normal functional capacity of organs and is the main cause of most chronic diseases, including in patients with gallbladder disease (GBD) and after cholecystectomy (CC).
Objectives of research. To analyze the causes and risk factors for the development of GBD. To analyze the effect of PA on the human body. To determine the directions of physical rehabilitation to improve the quality of life of people after cholecystectomy with concomitant pathology.
Results of research. The risk factors for the development of GBD are low FA, overweight, obesity, smoking, female sex, childbirth before the age of 20, postmenopausal medication, diet (consumption of large amounts of calories from refined carbohydrates, animal protein and cholesterol and low content of vegetables and dietary fiber). CC is a trigger for the development of metabolic dysfunctions. FA deficiency and metabolic dysfunctions after CC lead to further development of comorbidities – a combination of factors, namely endothelial dysfunction in the form of insulin resistance, abdominal obesity, hypertension, dyslipidemia, is defined as metabolic syndrome (MS).
Conclusions. Increasing FA and exercise training (ET) is an effective therapeutic strategy to improve endothelial function and, as a result, reduce the symptoms of cardiovascular disease (CVD), normalize lipid profile, slow the progression of diabetes mellitus (DM) and its consequences, reduce body mass index (BMI), blood pressure (BP), and the risk of stroke. The use of ET in people after CC with comorbidities should be individualized, taking into account age, gender, recovery period, lifestyle, and existing concomitant pathology. For effective positive changes, physical rehabilitation programs should last at least 12 weeks. The intensity and number of ET sessions for people after CC requires more thorough further study.
References
Mylytsia K. M., Mylytsia M. M., Postolenko M. D., Lutsenko N. S., Soldusova V. V. (2015) Multydystsyplinarnyi pidkhid do terapii metabolichnoho syndromu ta ozhyrinnia yak zaporuka efektyvnosti yikhnoho likuvannia/ Simeina medytsyna. Yevropeiski praktyky : vseukr. nauk.-prakt. zhurn.Kyiv, № 4 (60), 38-40
Agosti, V., Graziano, S., Artiaco, L., & Sorrentino, G. (2009). Biological mechanisms of stroke prevention by physical activity in type 2 diabetes. Acta neurologica Scandinavica, 119(4), 213–223. https://doi.org/10.1111/j.1600-0404.2008.01080.x
Ashor, A. W., Lara, J., Siervo, M., Celis-Morales, C., Oggioni, C., Jakovljevic, D. G., & Mathers, J. C. (2015). Exercise modalities and endothelial function: a systematic review and dose-response meta-analysis of randomized controlled trials. Sports medicine (Auckland, N.Z.), 45(2), 279–296. https://doi.org/10.1007/s40279-014-0272-9
Blaak, E. E., van Aggel-Leijssen, D. P., Wagenmakers, A. J., Saris, W. H., & van Baak, M. A. (2000). Impaired oxidation of plasma-derived fatty acids in type 2 diabetic subjects during moderate-intensity exercise. Diabetes, 49(12), 2102-2107.
Boehme, J., McKinley, S., Michael Brunt, L., Hunter, T. D., Jones, D. B., Scott, D. J., & Schwaitzberg, S. D. (2016). Patient comorbidities increase postoperative resource utilization after laparoscopic and open cholecystectomy. Surgical endoscopy, 30(6), 2217–2230. https://doi.org/10.1007/s00464-015-4481-6
Booth, F. W., Roberts, C. K., & Laye, M. J. (2012). Lack of exercise is a major cause of chronic diseases. Comprehensive Physiology, 2(2), 1143–1211. https://doi.org/10.1002/cphy.c110025
Boulé, N. G., Haddad, E., Kenny, G. P., Wells, G. A., & Sigal, R. J. (2001). Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: a meta-analysis of controlled clinical trials. Jama, 286(10), 1218-1227.
Childers D., Allison D. The «obesity paradox»: a parsimonious explanation for relations among obesity, mortality rate and aging? // Int.J.Obes. – 2010. – 34. – P. 1231–1238.
Cirillo, D. J., Wallace, R. B., Rodabough, R. J., Greenland, P., LaCroix, A. Z., Limacher, M. C., & Larson, J. C. (2005). Effect of estrogen therapy on gallbladder disease. JAMA, 293(3), 330–339. https://doi.org/10.1001/jama.293.3.330
Ghisi, G. L., Durieux, A., Pinho, R., & Benetti, M. (2010). Physical exercise and endothelial dysfunction. Arquivos brasileiros de cardiologia, 95(5), e130–e137. https://doi.org/10.1590/s0066-782x2010001500025
Golbidi, S., & Laher, I. (2013). Exercise and the aging endothelium. Journal of diabetes research, 2013, 789607. https://doi.org/10.1155/2013/789607
Grotemeyer, K. C., & Lammert, F. (2016). Gallensteine – Ursachen, Folgen und Therapieoptionen [Gallstones - Causes and Consequences]. Deutsche medizinische Wochenschrift (1946), 141(23), 1677–1682. https://doi.org/10.1055/s-0042-113238
Grover-Páez, F., & Zavalza-Gómez, A. B. (2009). Endothelial dysfunction and cardiovascular risk factors. Diabetes research and clinical practice, 84(1), 1–10. https://doi.org/10.1016/j.diabres.2008.12.013
Hayes, K. C., Livingston, A., & Trautwein, E. A. (1992). Dietary impact on biliary lipids and gallstones. Annual review of nutrition, 12, 299-326.
Henao-Morán, S., Denova-Gutiérrez, E., Morán, S., Duque, X., Gallegos-Carrillo, K., Macías, N., & Salmerón, J. (2014). Recreational physical activity is inversely associated with asymptomatic gallstones in adult Mexican women. Annals of hepatology, 13(6), 810–818.
Housset, C., Chrétien, Y., Debray, D., & Chignard, N. (2016). Functions of the Gallbladder. Comprehensive Physiology, 6(3), 1549–1577. https://doi.org/10.1002/cphy.c150050
Hulley, S., Grady, D., Bush, T., Furberg, C., Herrington, D., Riggs, B., & Vittinghoff, E. (1998). Randomized trial of estrogen plus progestin for secondary prevention of coronary heart disease in postmenopausal women. Heart and Estrogen/progestin Replacement Study (HERS) Research Group. JAMA, 280(7), 605–613. https://doi.org/10.1001/jama.280.7.605
Kadoglou, N. P., Iliadis, F., & Liapis, C. D. (2008). Exercise and carotid atherosclerosis. European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery, 35(3), 264–272. https://doi.org/10.1016/j.ejvs.2007.08.022
Kawamata Y, Fujii R, Hosoya M, Harada M, Yoshida H, Miwa M, Fukusumi S, Habata Y, Itoh T, Shintani Y, Hinuma S, Fujisawa Y, Fujino M (2003). "A G protein-coupled receptor responsive to bile acids". J. Biol. Chem. 278 (11): 9435–40. doi:10.1074/jbc.M209706200
Ko, C. W., Beresford, S. A., Schulte, S. J., & Lee, S. P. (2008). Insulin resistance and incident gallbladder disease in pregnancy. Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 6(1), 76–81. https://doi.org/10.1016/j.cgh.2007.10.007
Lee, J. Y., Keane, M. G., & Pereira, S. (2015). Diagnosis and treatment of gallstone disease. The Practitioner, 259(1783), 15–2.
Leitzmann, M. F., Rimm, E. B., Willett, W. C., Spiegelman, D., Grodstein, F., Stampfer, M. J., Colditz, G. A., & Giovannucci, E. (1999). Recreational physical activity and the risk of cholecystectomy in women. The New England journal of medicine, 341(11), 777–784. https://doi.org/10.1056/NEJM199909093411101
Méndez-Sánchez, N., Zamora-Valdés, D., Chávez-Tapia, N. C., & Uribe, M. (2007). Role of diet in cholesterol gallstone formation. Clinica chimica acta, 376(1-2), 1-8.
Schmidt-Trucksäss, A., & Weisser, B. (2011). Vaskuläres Altern, Hypertonie und körperliche Aktivität [Vascular aging, arterial hypertension and physical activity]. Deutsche medizinische Wochenschrift (1946), 136(46), 2367–2371. https://doi.org/10.1055/s-0031-1292053
Schofer J. M. (2010). Biliary causes of postcholecystectomy syndrome. The Journal of emergency medicine, 39(4), 406–410. https://doi.org/10.1016/j.jemermed.2007.11.090
Seals, D. R., Desouza, C. A., Donato, A. J., & Tanaka, H. (2008). Habitual exercise and arterial aging. Journal of applied physiology (Bethesda, Md. : 1985), 105(4), 1323–1332. https://doi.org/10.1152/japplphysiol.90553.2008
Storti, K. L., Brach, J. S., FitzGerald, S. J., Zmuda, J. M., Cauley, J. A., & Kriska, A. M. (2005). Physical activity and decreased risk of clinical gallstone disease among post-menopausal women. Preventive medicine, 41(3-4), 772-777.
Talseth, A., Ness-Jensen, E., Edna, T. H., & Hveem, K. (2016). Risk factors for requiring cholecystectomy for gallstone disease in a prospective population-based cohort study. The British journal of surgery, 103(10), 1350–1357. https://doi.org/10.1002/bjs.10205
Thijssen, D. H., Rongen, G. A., Smits, P., & Hopman, M. T. (2008). Physical (in)activity and endothelium-derived constricting factors: overlooked adaptations. The Journal of physiology, 586(2), 319–324. https://doi.org/10.1113/jphysiol.2007.145698
Tran, T. T., Kaneva, P., Mayo, N. E., Fried, G. M., & Feldman, L. S. (2014). Short-stay surgery: what really happens after discharge?. Surgery, 156(1), 20–27. https://doi.org/10.1016/j.surg.2014.03.024
Tsai, C. H., Wu, J. S., Chang, Y. F., Lu, F. H., Yang, Y. C., & Chang, C. J. (2014). The number of metabolic abnormalities associated with the risk of gallstones in a non-diabetic population. PloS one, 9(3), e90310. https://doi.org/10.1371/journal.pone.0090310
Tsai, C. J., Leitzmann, M. F., Willett, W. C., & Giovannucci, E. L. (2006). Fruit and vegetable consumption and risk of cholecystectomy in women. The American journal of medicine, 119(9), 760-767.
Vasconcellos, F., Seabra, A., Katzmarzyk, P. T., Kraemer-Aguiar, L. G., Bouskela, E., & Farinatti, P. (2014). Physical activity in overweight and obese adolescents: systematic review of the effects on physical fitness components and cardiovascular risk factors. Sports medicine (Auckland, N.Z.), 44(8), 1139–1152. https://doi.org/10.1007/s40279-014-0193-7
Wisløff, U., Støylen, A., Loennechen, J. P., Bruvold, M., Rognmo, Ø., Haram, P. M., Tjønna, A. E., Helgerud, J., Slørdahl, S. A., Lee, S. J., Videm, V., Bye, A., Smith, G. L., Najjar, S. M., Ellingsen, Ø., & Skjaerpe, T. (2007). Superior cardiovascular effect of aerobic interval training versus moderate continuous training in heart failure patients: a randomized study. Circulation, 115(24), 3086–3094. https://doi.org/10.1161/CIRCULATIONAHA.106.675041
Yung, L. M., Laher, I., Yao, X., Chen, Z. Y., Huang, Y., & Leung, F. P. (2009). Exercise, vascular wall and cardiovascular diseases: an update (part 2). Sports medicine (Auckland, N.Z.), 39(1), 45–63. https://doi.org/10.2165/00007256-200939010-00004
Zhang Z., Henzel W.J. (2004). Signal peptide prediction based on analysis of experimentally verified cleavage sites. Protein Sci. 13: 2819—2824. DOI:10.1110/ps.04682504
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2017 Golod Nataliya
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 24
Number of citations: 0