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The Effect of Physical Activity/Exercise on Constipation in Sedentary Individuals

Yıl 2025, Cilt: 5 Sayı: 2, 122 - 132, 29.12.2025

Öz

Constipation is generally caused by decreased motility, decreased water consumption, a low intake of fibrous foods, anxiety and depression, the use of certain medications, and some neurological diseases. Constipation is a common problem in pregnant women, infants, the elderly, the disabled, people with sleep problems and people with psychological and neurological diseases. Although inadequate physical activity is an important factor in the occurrence of constipation in these people, most studies in the literature do not mention physical activity, or even if they do, they do not give it the value it deserves. This is because when gastrointestinal motility decreases due to inactivity, the nutrients consumed remain in the intestines for a longer time, accordingly, all water and fat content is excessively absorbed, hardens, and forced movement due to straining leads to rupture of the anus and inflammation of the intestine. Physical activity allows all abdominal muscles and the intestines to move up and down, increases gastric motility, increases gastric secretions, reduces the time food spends in the intestines, reduces depression and anxiety, and prevents inflammation of the intestines. The present study is the first to suggest that inactivity may be the cause of constipation and constipation-related diseases that occur in people with insufficient physical activity. This study aims to provide the information about why physical activity/exercise must be recommended as a complementary treatment for constipation in sedentary individuals.

Etik Beyan

Not aplicable.

Destekleyen Kurum

No

Proje Numarası

Yok

Teşekkür

No

Kaynakça

  • Adibi, P., Abdoli, M., Daghaghzadeh, H., Keshteli, A. H., Afshar, H., Roohafza, H.,…Feizi, A. (2022). Relationship between Depression and Constipation: Results from a Large Cross-sectional Study in Adults. Korean J Gastroenterol, 80(2), 77-84. https://doi.org/10.4166/kjg.2022.038
  • Albiani, J. J., Hart, S. L., Katz, L., Berian, J., Del Rosario, A., Lee, J., & Varma, M. (2013). Impact of depression and anxiety on the quality of life of constipated patients. J Clin Psychol Med Settings, 20(1), 123-132. https://doi.org/10.1007/s10880-012-9306-3
  • Arnaud, M. J. (2003). Mild dehydration: a risk factor of constipation? Eur J Clin Nutr, 57 Suppl 2, S88-95. https://doi.org/10.1038/sj.ejcn.1601907
  • Artal, M. (1998). Exercise against depression. Phys Sportsmed, 26(10), 55-60. https://doi.org/10.3810/psm.1998.10.1171
  • Bolia, R., Safe, M., Southwell, B. R., King, S. K., & Oliver, M. R. (2020). Paediatric constipation for general paediatricians: Review using a case-based and evidence-based approach. J Paediatr Child Health, 56(11), 1708-1718. https://doi.org/10.1111/jpc.14720
  • Booth, F. W., Roberts, C. K., & Laye, M. J. (2012). Lack of Exercise Is a Major Cause of Chronic Diseases. In Comprehensive Physiology (pp. 1143-1211). https://doi.org/https://doi.org/10.1002/cphy.c110025
  • Bradley, C. S., Kennedy, C. M., Turcea, A. M., Rao, S. S., & Nygaard, I. E. (2007). Constipation in pregnancy: prevalence, symptoms, and risk factors. Obstet Gynecol, 110(6), 1351-1357. https://doi.org/10.1097/01.AOG.0000295723.94624.b1
  • Carson, R. A., & Lyles, J. L. (2024). Cognitive Bias in an Infant with Constipation. J Pediatr, 270, 113996. https://doi.org/10.1016/j.jpeds.2024.113996
  • Chang, S. H., Park, K. Y., Kang, S. K., Kang, K. S., Na, S. Y., Yang, H. R.,…Ryoo, E. (2013). Prevalence, clinical characteristics, and management of functional constipation at pediatric gastroenterology clinics. J Korean Med Sci, 28(9), 1356-1361. https://doi.org/10.3346/jkms.2013.28.9.1356
  • C haput, J. P., & Tremblay, A. (2009). Obesity and physical inactivity: the relevance of reconsidering the notion of sedentariness. Obes Facts, 2(4), 249-254. https://doi.org/10.1159/000227287
  • Cullen, G., & O'Donoghue, D. (2007). Constipation and pregnancy. Best Pract Res Clin Gastroenterol, 21(5), 807-818. https://doi.org/10.1016/j.bpg.2007.05.005 den Boer, J. A., Slaap, B. R., & Bosker, F. J. (2001). Biological Aspects of Anxiety Disorders and Depression. In SSRIs in Depression and Anxiety (pp. 25-85). https://doi.org/https://doi.org/10.1002/0470846518.ch2
  • Desprez, C., Bridoux, V., & Leroi, A. M. (2022). Disorders of anorectal motility: Functional defecation disorders and fecal incontinence. J Visc Surg, 159(1S), S40-S50. https://doi.org/10.1016/j.jviscsurg.2021.12.004
  • Dobbels, F., De Geest, S., Vanhees, L., Schepens, K., Fagard, R., & Vanhaecke, J. (2002). Depression and the heart: a systematic overview of definition, measurement, consequences and treatment of depression in cardiovascular disease. Eur J Cardiovasc Nurs, 1(1), 45-55. https://doi.org/10.1016/s1474-5151(01)00012-3
  • Driessen, L. M., Kiefte-de Jong, J. C., Wijtzes, A., de Vries, S. I., Jaddoe, V. W., Hofman, A.,…Moll, H. A. (2013). Preschool physical activity and functional constipation: the Generation R study. J Pediatr Gastroenterol Nutr, 57(6), 768-774. https://doi.org/10.1097/MPG.0b013e3182a313fc
  • Everhart, J. E., Go, V. L., Johannes, R. S., Fitzsimmons, S. C., Roth, H. P., & White, L. R. (1989). A longitudinal survey of self-reported bowel habits in the United States. Dig Dis Sci, 34(8), 1153-1162. https://doi.org/10.1007/bf01537261
  • Fitzpatrick, D. J., McCallion, P., McCarron, M., & Burke, E. A. (2023). Epidemiology of constipation and its associated factors in an ageing population of people with an intellectual disability in Ireland: A cross-sectional study. Journal of Intellectual & Developmental Disability, 1-9. https://doi.org/10.3109/13668250.2023.2271759
  • Fu, R., Niu, R., Zhao, F., Wang, J., Cao, Q., Yu, Y.,…Sun, Z. (2022). Exercise alleviated intestinal damage and microbial disturbances in mice exposed to fluoride. Chemosphere, 288, 132658. https://doi.org/https://doi.org/10.1016/j.chemosphere.2021.132658
  • Gao, X., Tian, S., Huang, N., Sun, G., & Huang, T. (2024). Associations of daily sedentary behavior, physical activity, and sleep with irritable bowel syndrome: A prospective analysis of 362,193 participants. J Sport Health Sci, 13(1), 72-80. https://doi.org/10.1016/j.jshs.2023.02.002
  • Gong, L., Du, H., Guo, X., Li, J., Zhu, X., Shen, X.,…Sun, R. (2024). Shouhui Tongbian Capsule in treatment of constipation: Treatment and mechanism development. Chin Herb Med, 16(2), 239-247. https://doi.org/10.1016/j.chmed.2023.05.006
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Hareketsiz Bireylerde Fiziksel Aktivitenin/Egzersizin Kabızlık Üzerine Etkisi

Yıl 2025, Cilt: 5 Sayı: 2, 122 - 132, 29.12.2025

Öz

Kabızlık genellikle hareket kabiliyetinin azalması, su tüketiminin azalması, lifli gıdaların az tüketilmesi, anksiyete ve depresyon, bazı ilaçların kullanımı ve bazı nörolojik hastalıklardan kaynaklanır. Kabızlık, hamilelerde, bebeklerde, yaşlılarda, engellilerde, uyku problemi yaşayanlarda ve psikolojik ve nörolojik hastalıkları olan kişilerde sık görülen bir sorundur. Yetersiz fiziksel aktivite, bu kişilerde kabızlığın ortaya çıkmasında önemli bir faktör olmasına rağmen, literatürdeki çoğu çalışmada ya fiziksel aktiviteden bahsetmemekte veya bahsetse bile hak ettiği değeri vermemektedir. Bunun nedeni, hareketsizlik nedeniyle gastrointestinal motilitenin azalması, tüketilen besinler bağırsaklarda daha uzun süre kalması, tüm su ve yağ içeriğinin aşırı emilmesi ve sertleşmesidir. Buna bağlı olarak ıkınma zorlanan anüsün yırtılmasına ve bağırsak iltihabına yol açar. Fiziksel aktivite/egzersiz, tüm karın kaslarının ve bağırsakların yukarı aşağı hareket etmesini sağlar, mide hareketliliğini artırır, mide salgılarını artırır, yiyeceklerin bağırsaklarda kalma süresini kısaltır, depresyon ve anksiyeteyi azaltır, ve bağırsak iltihabını önler. Bu çalışma, hareketsizliğin, yetersiz fiziksel aktiviteye sahip kişilerde görülen kabızlık ve ona bağlı hastalıkların nedeni olabileceğini öne süren ilk çalışmadır. Bu çalışma, hareketsiz bireylerde kabızlık için tamamlayıcı bir tedavi olarak fiziksel aktivite/egzersizin neden önerilmesi gerektiği konusunda bilgi sağlamayı amaçlamaktadır.

Etik Beyan

Ugulanabilir değil

Destekleyen Kurum

yok

Proje Numarası

Yok

Teşekkür

Yok

Kaynakça

  • Adibi, P., Abdoli, M., Daghaghzadeh, H., Keshteli, A. H., Afshar, H., Roohafza, H.,…Feizi, A. (2022). Relationship between Depression and Constipation: Results from a Large Cross-sectional Study in Adults. Korean J Gastroenterol, 80(2), 77-84. https://doi.org/10.4166/kjg.2022.038
  • Albiani, J. J., Hart, S. L., Katz, L., Berian, J., Del Rosario, A., Lee, J., & Varma, M. (2013). Impact of depression and anxiety on the quality of life of constipated patients. J Clin Psychol Med Settings, 20(1), 123-132. https://doi.org/10.1007/s10880-012-9306-3
  • Arnaud, M. J. (2003). Mild dehydration: a risk factor of constipation? Eur J Clin Nutr, 57 Suppl 2, S88-95. https://doi.org/10.1038/sj.ejcn.1601907
  • Artal, M. (1998). Exercise against depression. Phys Sportsmed, 26(10), 55-60. https://doi.org/10.3810/psm.1998.10.1171
  • Bolia, R., Safe, M., Southwell, B. R., King, S. K., & Oliver, M. R. (2020). Paediatric constipation for general paediatricians: Review using a case-based and evidence-based approach. J Paediatr Child Health, 56(11), 1708-1718. https://doi.org/10.1111/jpc.14720
  • Booth, F. W., Roberts, C. K., & Laye, M. J. (2012). Lack of Exercise Is a Major Cause of Chronic Diseases. In Comprehensive Physiology (pp. 1143-1211). https://doi.org/https://doi.org/10.1002/cphy.c110025
  • Bradley, C. S., Kennedy, C. M., Turcea, A. M., Rao, S. S., & Nygaard, I. E. (2007). Constipation in pregnancy: prevalence, symptoms, and risk factors. Obstet Gynecol, 110(6), 1351-1357. https://doi.org/10.1097/01.AOG.0000295723.94624.b1
  • Carson, R. A., & Lyles, J. L. (2024). Cognitive Bias in an Infant with Constipation. J Pediatr, 270, 113996. https://doi.org/10.1016/j.jpeds.2024.113996
  • Chang, S. H., Park, K. Y., Kang, S. K., Kang, K. S., Na, S. Y., Yang, H. R.,…Ryoo, E. (2013). Prevalence, clinical characteristics, and management of functional constipation at pediatric gastroenterology clinics. J Korean Med Sci, 28(9), 1356-1361. https://doi.org/10.3346/jkms.2013.28.9.1356
  • C haput, J. P., & Tremblay, A. (2009). Obesity and physical inactivity: the relevance of reconsidering the notion of sedentariness. Obes Facts, 2(4), 249-254. https://doi.org/10.1159/000227287
  • Cullen, G., & O'Donoghue, D. (2007). Constipation and pregnancy. Best Pract Res Clin Gastroenterol, 21(5), 807-818. https://doi.org/10.1016/j.bpg.2007.05.005 den Boer, J. A., Slaap, B. R., & Bosker, F. J. (2001). Biological Aspects of Anxiety Disorders and Depression. In SSRIs in Depression and Anxiety (pp. 25-85). https://doi.org/https://doi.org/10.1002/0470846518.ch2
  • Desprez, C., Bridoux, V., & Leroi, A. M. (2022). Disorders of anorectal motility: Functional defecation disorders and fecal incontinence. J Visc Surg, 159(1S), S40-S50. https://doi.org/10.1016/j.jviscsurg.2021.12.004
  • Dobbels, F., De Geest, S., Vanhees, L., Schepens, K., Fagard, R., & Vanhaecke, J. (2002). Depression and the heart: a systematic overview of definition, measurement, consequences and treatment of depression in cardiovascular disease. Eur J Cardiovasc Nurs, 1(1), 45-55. https://doi.org/10.1016/s1474-5151(01)00012-3
  • Driessen, L. M., Kiefte-de Jong, J. C., Wijtzes, A., de Vries, S. I., Jaddoe, V. W., Hofman, A.,…Moll, H. A. (2013). Preschool physical activity and functional constipation: the Generation R study. J Pediatr Gastroenterol Nutr, 57(6), 768-774. https://doi.org/10.1097/MPG.0b013e3182a313fc
  • Everhart, J. E., Go, V. L., Johannes, R. S., Fitzsimmons, S. C., Roth, H. P., & White, L. R. (1989). A longitudinal survey of self-reported bowel habits in the United States. Dig Dis Sci, 34(8), 1153-1162. https://doi.org/10.1007/bf01537261
  • Fitzpatrick, D. J., McCallion, P., McCarron, M., & Burke, E. A. (2023). Epidemiology of constipation and its associated factors in an ageing population of people with an intellectual disability in Ireland: A cross-sectional study. Journal of Intellectual & Developmental Disability, 1-9. https://doi.org/10.3109/13668250.2023.2271759
  • Fu, R., Niu, R., Zhao, F., Wang, J., Cao, Q., Yu, Y.,…Sun, Z. (2022). Exercise alleviated intestinal damage and microbial disturbances in mice exposed to fluoride. Chemosphere, 288, 132658. https://doi.org/https://doi.org/10.1016/j.chemosphere.2021.132658
  • Gao, X., Tian, S., Huang, N., Sun, G., & Huang, T. (2024). Associations of daily sedentary behavior, physical activity, and sleep with irritable bowel syndrome: A prospective analysis of 362,193 participants. J Sport Health Sci, 13(1), 72-80. https://doi.org/10.1016/j.jshs.2023.02.002
  • Gong, L., Du, H., Guo, X., Li, J., Zhu, X., Shen, X.,…Sun, R. (2024). Shouhui Tongbian Capsule in treatment of constipation: Treatment and mechanism development. Chin Herb Med, 16(2), 239-247. https://doi.org/10.1016/j.chmed.2023.05.006
  • Hammer, R. L., Perkins, J., & Parr, R. (2000). Exercise during the childbearing year. J Perinat Educ, 9(1), 1-14. https://doi.org/10.1624/105812400x87455
  • Hedayat, K. M., & Lapraz, J.-C. (2019). Chapter 10 - Disorders of intestinal transit. In K. M. Hedayat & J.-C. Lapraz (Eds.), The Theory of Endobiogeny (pp. 215-235). Academic Press. https://doi.org/https://doi.org/10.1016/B978-0-12-816964-3.00010-9
  • Hoekman, D. R., & Benninga, M. A. (2013). Functional constipation in childhood: current pharmacotherapy and future perspectives. Expert Opin Pharmacother, 14(1), 41-51. https://doi.org/10.1517/14656566.2013.752816
  • Hsieh, C. (2005). Treatment of constipation in older adults. Am Fam Physician, 72(11), 2277-2284. Inan, M., Aydiner, C. Y., Tokuc, B., Aksu, B., Ayvaz, S., Ayhan, S.,…Basaran, U. N. (2007). Factors associated with childhood constipation. J Paediatr Child Health, 43(10), 700-706. https://doi.org/10.1111/j.1440-1754.2007.01165.x
  • Keller, J., Frederking, D., & Layer, P. (2008). The spectrum and treatment of gastrointestinal disorders during pregnancy. Nature Clinical Practice Gastroenterology & Hepatology, 5(8), 430-443. https://doi.org/10.1038/ncpgasthep1197
  • Kiefte-de Jong, J. C., Escher, J. C., Arends, L. R., Jaddoe, V. W., Hofman, A., Raat, H., & Moll, H. A. (2010). Infant nutritional factors and functional constipation in childhood: the Generation R study. Am J Gastroenterol, 105(4), 940-945. https://doi.org/10.1038/ajg.2010.96
  • Kong, W. L., Huang, Y., Qian, E., & Morris, M. J. (2020). Constipation and sleep behaviour disorder associate with processing speed and attention in males with Parkinson's disease over five years follow-up. Sci Rep, 10(1), 19014. https://doi.org/10.1038/s41598-020-75800-4
  • Kovacevic, A., Mavros, Y., Heisz, J. J., & Fiatarone Singh, M. A. (2018). The effect of resistance exercise on sleep: A systematic review of randomized controlled trials. Sleep Med Rev, 39, 52-68. https://doi.org/10.1016/j.smrv.2017.07.002
  • Leung, L., Riutta, T., Kotecha, J., & Rosser, W. (2011). Chronic constipation: an evidence-based review. J Am Board Fam Med, 24(4), 436-451. https://doi.org/10.3122/jabfm.2011.04.100272
  • Li, J., Liu, X., Wu, Y., Ji, W., Tian, Q., & Li, S. (2022). Aerobic exercise improves intestinal mucosal barrier dysfunction through TLR4/MyD88/NF-κB signaling pathway in diabetic rats. Biochemical and Biophysical Research Communications, 634, 75-82. https://doi.org/https://doi.org/10.1016/j.bbrc.2022.09.075
  • Maselli, K. M., Shah, N. R., & Speck, K. E. (2024). Approach to Constipation in Children. Advances in Pediatrics. https://doi.org/10.1016/j.yapd.2024.04.001
  • McCrea, G. L., Miaskowski, C., Stotts, N. A., Macera, L., & Varma, M. G. (2008). Pathophysiology of constipation in the older adult. World J Gastroenterol, 14(17), 2631-2638. https://doi.org/10.3748/wjg.14.2631
  • Menza, M., Dobkin, R. D., Marin, H., & Bienfait, K. (2010). Sleep disturbances in Parkinson's disease. Movement Disorders, 25(S1), S117-S122. https://doi.org/https://doi.org/10.1002/mds.22788
  • Miller, L., Roland, B. C., Whitson, M., Passi, M., Cheung, M., & Vegesna, A. (2018). Chapter 22 - Clinical and Translational Aspects of Normal and Abnormal Motility in the Esophagus, Small Intestine and Colon. In H. M. Said (Ed.), Physiology of the Gastrointestinal Tract (Sixth Edition) (pp. 485-516). Academic Press. https://doi.org/https://doi.org/10.1016/B978-0-12-809954-4.00022-0
  • Munch, L., Tvistholm, N., Trosborg, I., & Konradsen, H. (2016). Living with constipation--older people's experiences and strategies with constipation before and during hospitalization. Int J Qual Stud Health Well-being, 11, 30732. https://doi.org/10.3402/qhw.v11.30732
  • Ohkuma, T., Iwase, M., & Kitazono, T. (2024). Sleep duration and its association with constipation in patients with diabetes: The fukuoka diabetes registry. PLoS One, 19(5), e0302430. https://doi.org/10.1371/journal.pone.0302430
  • Ohlsson, B., & Manjer, J. (2016). Physical inactivity during leisure time and irregular meals are associated with functional gastrointestinal complaints in middle-aged and elder subjects. Scand J Gastroenterol, 51(11), 1299-1307. https://doi.org/10.1080/00365521.2016.1209786
  • Ozhanli, Y., & Akyuz, N. (2022). The Effect of Progressive Relaxation Exercise on Physiological Parameters, Pain and Anxiety Levels of Patients Undergoing Colorectal Cancer Surgery: A Randomized Controlled Study. J Perianesth Nurs, 37(2), 238-246. https://doi.org/10.1016/j.jopan.2021.08.008
  • Passos, M., Alvariz, R. C., Andre, E. A., Barbuti, R. C., Fillmann, H. S., Murad-Regadas, S. M.,…Guedes, L. (2022). Diagnosis and Management of Chronic Idiopathic Constipation: A Narrative Review from a Brazilian Expert Task Force. Arq Gastroenterol, 59(1), 137-144. https://doi.org/10.1590/S0004-2803.202200001-23
  • Pont, L. G., Fisher, M., & Williams, K. (2019). Appropriate Use of Laxatives in the Older Person. Drugs Aging, 36(11), 999-1005. https://doi.org/10.1007/s40266-019-00701-9
  • Quitadamo, P., Tambucci, R., Mancini, V., Campanozzi, A., Caldaro, T., Giorgio, V.,…Borrelli, O. (2024). Diagnostic and therapeutic approach to children with chronic refractory constipation: Consensus report by the SIGENP motility working group. Dig Liver Dis, 56(3), 406-420. https://doi.org/10.1016/j.dld.2023.11.037
  • Ross, D. G. (1995). Altered bowel elimination patterns among hospitalized elderly and middle-aged persons: quantitative results. Orthop Nurs, 14(1), 25-31. https://doi.org/10.1097/00006416-199501000-00006
  • Seidenfaden, S., Ormarsson, O. T., Lund, S. H., & Bjornsson, E. S. (2018). Physical activity may decrease the likelihood of children developing constipation. Acta Paediatr, 107(1), 151-155. https://doi.org/10.1111/apa.14067
  • Sheikhpour, E., Mard, S. A., Farbood, Y., Bavarsad, K., & Sarkaki, A. (2023). The effects of gallic acid and vagotomy on motor function, intestinal transit, brain electrophysiology and oxidative stress alterations in a rat model of Parkinson's disease induced by rotenone. Life Sci, 315, 121356. https://doi.org/10.1016/j.lfs.2022.121356
  • Shi, W., Xu, X., Zhang, Y., Guo, S., Wang, J., & Wang, J. (2015). Epidemiology and Risk Factors of Functional Constipation in Pregnant Women. PLoS One, 10(7), e0133521. https://doi.org/10.1371/journal.pone.0133521
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  • Steurbaut, L., Levy, E. I., De Geyter, C., Buyse, S., & Vandenplas, Y. (2023). A narrative review on the diagnosis and management of constipation in infants. Expert Review of Gastroenterology & Hepatology, 17(8), 769-783. https://doi.org/10.1080/17474124.2023.2242255
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  • Wanjau, M. N., Moller, H., Haigh, F., Milat, A., Hayek, R., Lucas, P., & Veerman, J. L. (2023). Physical Activity and Depression and Anxiety Disorders: A Systematic Review of Reviews and Assessment of Causality. AJPM Focus, 2(2), 100074. https://doi.org/10.1016/j.focus.2023.100074
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  • Yang, S., Li, S. Z., Guo, F. Z., Zhou, D. X., Sun, X. F., & Tai, J. D. (2022). Association of sleep duration with chronic constipation among adult men and women: Findings from the National Health and Nutrition Examination Survey (2005-2010). Front Neurol, 13, 903273. https://doi.org/10.3389/fneur.2022.903273
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  • Zheng, S., Yao, J., & Chinese Geriatric Society, E. B. o. C. J. o. G. (2018). Expert consensus on the assessment and treatment of chronic constipation in the elderly. Aging Med (Milton), 1(1), 8-17. https://doi.org/10.1002/agm2.12013
Toplam 56 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Egzersiz Fizyolojisi
Bölüm Derleme
Yazarlar

Kemal Yuce 0000-0001-8915-4900

Proje Numarası Yok
Gönderilme Tarihi 20 Ağustos 2025
Kabul Tarihi 20 Aralık 2025
Yayımlanma Tarihi 29 Aralık 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 5 Sayı: 2

Kaynak Göster

APA Yuce, K. (2025). The Effect of Physical Activity/Exercise on Constipation in Sedentary Individuals. Egzersiz ve Spor Bilimleri Araştırmaları Dergisi, 5(2), 122-132.