INNOVATIVE APPROACHES IN IBS MANAGEMENT: THE ROLE OF PHYSICAL ACTIVITY AND WEARABLE TECHNOLOGIES

Irritable bowel syndrome (IBS) is a chronic functional gastrointestinal disorder characterized by disturbances in intestinal motility, alterations in gut microbiota, visceral hypersensitivity, and dysregulation of the gut-brain axis. In recent years, interest has increased in the potential role of physical activity as a supportive, non-pharmacological intervention for symptom management, particularly in individuals who engage in recreational exercise. This review aims to summarize current evidence on the association between physical activity and IBS symptoms, with a focus on physiological mechanisms, stress-related pathways, and the integration of wearable health technologies. Relevant publications, including clinical trials, systematic reviews, and meta-analyses published between 2016 and 2025, were identified through PubMed, Scopus, and Google Scholar. Studies examining gastrointestinal physiology, neuroendocrine responses to exercise, and digital monitoring tools were included. Findings suggest that regular exercise promotes intestinal peristalsis, supports microbial diversity, and reduces low-grade inflammation through immune modulation. Physical activity also contributes to lowering cortisol levels and balancing neurotransmitter activity within the gut–brain axis. Moderate-intensity activities, such as walking or cycling, appear particularly beneficial in alleviating gastrointestinal and psychological symptoms. Furthermore, wearable devices-including fitness trackers, smartwatches, and HRV monitors-offer opportunities to personalize exercise regimens by capturing real-time physiological data and correlating it with symptom fluctuations. In conclusion, moderate and consistent physical activity shows promise as an adjunctive therapeutic approach in IBS management. The incorporation of wearable technologies facilitates individualized treatment strategies and underscores the need for continued interdisciplinary research in this rapidly evolving field.