Crohn's disease: good tips for sports
In a period of remission, sport has benefits, both on body composition (muscle and bone mass) and on the quality of life of patients with Crohn's disease. In particular, it helps to manage and manage stress states.
However, "in periods of relapses, when symptoms are present, intense fatigue and increased digestive disorders often require a temporary cessation of all activity," warns Eva Milesi. "If you manage to keep walking regularly, that's good news! "
But in a period of remission, as soon as one is able to do so and the fatigue subsides, it is time to gradually resume the sport, with low intensity activities (walking, swimming, cycling, pilates, yoga ...) all gently). We then increase the intensity gradually. "You have to get to know each other: if an activity is too tiring, you reduce the duration or the intensity! "Says the dietician.
Frequency, duration, type of sport
High intensity sports cause everyone to accelerate transit, especially for people with Crohn's disease. We will therefore favor low to moderate intensity sports (we can practice the endurance race until half marathon, do badminton, squash - and of course cycling, swimming, etc.). Regarding team sports, it is even more important to know and listen to the sensations of his body because in a team, it is more difficult to regulate his activity according to his feelings. Attention also to the duration: to swim during one hour without stopping is intense! "We recommend instead three times a week, 30 minutes, which is ideal for maintaining muscle and bone, and in stress management," says Eva Milesi. The idea is, first of all, to have fun (according to his abilities and his tastes)!
A few years ago, the AFA even organized an ascent of Mont Blanc for patients, doctors and high mountain guides, in a cordée solidaire - a very beautiful route traced by the film "A Mont-Blanc to believe it".
Hydration and nutrition
You should be careful to hydrate yourself by drinking 1L of water per hour of physical activity on average, between 30 minutes before the start and 30 minutes after the end of the physical exercise. "I advise to drink 500ml during the hour of physical activity 250ml in the half an hour which precedes and 250 ml in the half-hour which follows", says the dietician. Better to avoid drinking cold and in large quantities at once: water at room temperature and consumed in small sips will be better tolerated. Energy and isotonic drinks tend to create digestive disorders, and are not necessary for short-term efforts, better do without!
On the food side, some precautions are also necessary. First, avoid playing sports on an empty stomach. "Because we will then draw on its energy reserves and increase muscle wasting - which is not desirable for patients with Crohn's disease," says the dietician. However, it is better to wait 3 hours after a meal before playing sports. The blood flow would then be attracted to the muscles and the altered digestive work. It is however possible to eat a snack (a banana, a cereal bar, biscuits ... accompanied by a dairy) in the hour before the effort.
After the sport (between 30 minutes and 1:30 after the end of the session) is the "anabolic window post-effort". "This is the time when it is necessary to provide a supply of carbohydrates and proteins to the body to meet the needs in terms of muscle recovery: we can then eat a yoghurt to drink and cereal biscuits for example, or take his meal, "advises the dietician.
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⋙ Hydration: 4 tips to drink more water
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