Whether physical exercise stimulates colonic motility is unclear. Our aim w
as to determine the immediate effects of graded exercise on colonic motilit
y. Colonic motility was recorded at six sites in 11 untrained subjects, by
colonoscopically placing a solid-state probe. Subjects were free to ambulat
e. The next day, subjects exercised on a bicycle at 25, 50, and 75% of peak
oxygen uptake for 15 min, with each followed by a 15-min rest. Motor patte
rns, motility indexes, and regional variations before, during exercise, dur
ing rest, and during postexercise periods were compared. During exercise, t
here was an intensity-dependent decrease (P < 0.001) in the number and area
under the curve of pressure waves. The incidence of propagated or simultan
eous pressure waves and cyclical events also decreased (P < 0.05). After ex
ercise, the pressure activity reverted to baseline, but the number and ampl
itude of propagated waves increased (P < 0.01), whereas the simultaneous wa
ves and cyclical events remained lower. Acute graded exercise decreases col
onic phasic activity. This may offer less resistance to colonic flow, where
as the postexercise increase in propagated activity may enhance colonic pro
pulsion.