期刊
EUROPEAN JOURNAL OF CLINICAL INVESTIGATION
卷 48, 期 8, 页码 -出版社
WILEY
DOI: 10.1111/eci.12958
关键词
bile acids; farnesoid X receptor; G protein-coupled bile acid receptor-1; gallstone disease; gut microbiota; nonalcoholic fatty liver disease
资金
- European Union's Horizon 2020 Research and Innovation programme under the Marie Sklodowska-Curie Grant [722619]
- Foie Gras Early Research Training Grant
BackgroundPhysical inactivity puts the populations at risk of several health problems, while regular physical activity brings beneficial effects on cardiovascular disease, mortality and other health outcomes, including obesity, glycaemic control and insulin resistance. The hepatobiliary tract is greatly involved in several metabolic aspects which include digestion and absorption of nutrients in concert with intestinal motility, bile acid secretion and flow across the enterohepatic circulation and intestinal microbiota. Several metabolic abnormalities, including nonalcoholic fatty liver as well as cholesterol cholelithiasis, represent two conditions explained by changes of the aforementioned pathways. Materials and MethodsThis review defines different training modalities and discusses the effects of physical activity in two metabolic disorders, that is nonalcoholic fatty liver disease (NAFLD) and cholelithiasis. Emphasis is given to pathogenic mechanisms involving intestinal bile acids, microbiota and inflammatory status. ResultsA full definition of physical activity includes the knowledge of aerobic and endurance exercise, metabolic equivalent tasks, duration, frequency and intensity, beneficial and harmful effects. Physical activity influences the hepatobiliary-gut axis at different levels and brings benefits to fat distribution, liver fat and gallbladder disease while interacting with bile acids as signalling molecules, intestinal microbiota and inflammatory changes in the body. ConclusionsSeveral beneficial effects of physical activity are anticipated on metabolic disorders linking liver steatosis, gallstone disease, gut motility, enterohepatic circulation of signalling bile acids in relation to intestinal microbiota and inflammatory changes.
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