scholarly journals Physical Activity in Patients with Inflammatory Bowel Disease: A Cross-Sectional Study

2021 ◽  
pp. 1-9
Author(s):  
Georgina Fagan ◽  
Hamish Osborne ◽  
Michael Schultz
Keyword(s):  
Physical Activity ◽  
Inflammatory Bowel Disease ◽  
New Zealand ◽  
Bowel Disease ◽  
Well Being ◽  
Activity Levels ◽  
Psychological Well Being ◽  
Physical Activity Levels ◽  
Inflammatory Bowel ◽  
Active Disease

Introduction and Objective: Despite the known benefits of physical activity in the management of chronic diseases, the use of exercise as a treatment is relatively underemployed, with many patients reporting their disease to be a barrier. This study aimed to assess physical activity levels, attitudes, and barriers towards exercise in a cohort of patients with inflammatory bowel disease (IBD). In addition, this study aimed to assess possible relationships between physical well-being, psychological well-being, and sociodemographic factors. Methods: 306 patients >18 years with diagnosed IBD in Dunedin, New Zealand, were approached to participate in this study. Participants who consented completed questionnaires regarding exercise preferences and attitudes, physical activity levels, and psychological well-being. Results: Seventy-seven patients participated in the study (77/308 = 25%). Sixty-six percent of participants met physical activity guidelines and the median metabolic equivalent minutes/week of 1,027.5 (505.5–2,339.5). Walking was the most preferred activity (30%) followed by water-based exercise (20%). Two-thirds of participants reported their disease limited the amount of physical activity undertaken. Common barriers to participating in physical activity included fatigue (34%) and abdominal pain (20%). Patients with active disease reported higher levels of barriers than those in remission (80 vs. 54%, p = 0.018). Higher physical activity levels were correlated with lower levels of fatigue (p = 0.022–0.046). Conclusions: While patients with IBD in Dunedin, New Zealand, are physically active, reducing real and perceived barriers is crucial to further increase physical activity in patients with IBD who are in remission or with active disease.

scholarly journals COVID-19, Psychological Well-being and Physical Activity Levels in Older Adults During the Nationwide Lockdown in Spain

2020 ◽  
Vol 28 (11) ◽  
pp. 1146-1155 ◽  
Author(s):  
Alejandro Carriedo ◽  
José A. Cecchini ◽  
Javier Fernandez-Rio ◽  
Antonio Méndez-Giménez
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Well Being ◽  
Activity Levels ◽  
Psychological Well Being ◽  
Physical Activity Levels

scholarly journals N01 Does physical activity positively impact fatigue in individuals with Inflammatory Bowel Disease?

2021 ◽  
Vol 15 (Supplement_1) ◽  
pp. S608-S608
Author(s):  
D Farrell ◽  
P Bager ◽  
F Bredin ◽  
V Cairnes ◽  
M Forry ◽  
...  
Keyword(s):  
Physical Activity ◽  
Ulcerative Colitis ◽  
Inflammatory Bowel Disease ◽  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Bowel Disease ◽  
Cross Sectional ◽  
Objective Measurements ◽  
Inflammatory Bowel ◽  
Active Disease

Abstract Background Patients with Inflammatory Bowel Disease (IBD) often experience the problematic and burdensome symptom of fatigue, both during periods of relapse and remission. The optimal management of fatigue in IBD is uncertain, however there is evidence suggesting that physical activity is likely to be a beneficial way of managing the symptom. The aim of this study is to explore the relationship between fatigue and objective measurements of both physical activity metrics and varying intensities of physical activity for individuals with IBD. Methods A multi-centred, European, cross-sectional, correlational study was employed. A consecutive sample of 187 patients with Crohn’s disease (59%) or ulcerative colitis (41%) were recruited from six IBD centres in the Republic of Ireland (42%), United Kingdom (40%) and Denmark (18%). Fatigue was measured using the IBD-Fatigue (IBD-F) scale, including both the level of fatigue (IBD-F, Section 1) and impact of fatigue (IBD-F, Section 2). Physical activity was objectively measured using scientifically validated triaxial accelerometers (ActiGraph wGT3X-BT) during seven consecutive days. Results A moderate level of fatigue (IBD-F Section 1 Md (IQR) = 10 (6 – 13)), predominantly intermittent in nature (72%) was reported by participants (57.4% female; 59% Crohn’s disease; 43% active disease). Participants self-reported sleeping an average of 8.7 hours over the seven nights. During the week, the intensity of activity was predominantly sedentary (Md 5 days, 22 hours, 20 minutes) or light (Md 19 hours, 35 minutes). The median moderate-to-vigorous intensity of physical activity per day was 32.2 minutes and step count over the week was 47052 steps. There was no evidence of a unique linear or non-linear relationship between each of the objective measurements of physical activity with IBD-related fatigue. This lack of evidence extended separately to patients in remission and to patients with active disease. These findings are in the context of a statistically significant moderately-strong relationship between disease activity (measured using both HBI and SCCAI) and level of fatigue for both patients of Crohn’s disease (rs = .327, p = .001, n = 96) and ulcerative colitis (rs = .353, p = .003, n = 71). Conclusion This large multi-centred study shows no association between objective measurements of physical activity and IBD-fatigue. These findings suggest that engaging or not engaging in physical activity has no differential impact on self-assessment of fatigue.

scholarly journals A242 EXERCISE AND PHYSICAL ACTIVITY IN PEDIATRIC INFLAMMATORY BOWEL DISEASE: A SYSTEMATIC REVIEW AND RECOMMENDATIONS

2020 ◽  
Vol 3 (Supplement_1) ◽  
pp. 119-120
Author(s):  
L Hill ◽  
M Faraz ◽  
E Hartung ◽  
J Popov ◽  
N Pai
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Well Being ◽  
Poor Growth ◽  
Markers Of Inflammation ◽  
Inflammatory Bowel ◽  
Health And Well Being

Abstract Background Inflammatory bowel disease (IBD) is a chronic life-long condition affecting 0.25% of the North American population. Childhood onset IBD is particularly aggressive, with disease often characterised by poor growth, severe unpredictable abdominal pain and frequent school absences. Treatment involves lifelong medications, which do not always resolve symptoms and carry increased cumulative risks of infections, malignancy, or other adverse effects. Exercise has been suggested as a method of ameliorating some of the symptoms associated with IBD. To date, few studies have investigated the role of exercise and physical activity in paediatric IBD patients. Aims We conducted a systematic review assessing the role of exercise and physical activity in paediatric IBD. Methods This Level III systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. An electronic database search of Pubmed, Google Scholar, and Cochrane used the search terms “(physical activity or exercise), (Inflammatory Bowel Disease), and (children or paediatric)”. Of the 1458 articles identified during the two rounds of review, only 21 articles met final inclusion criteria. Results Three main themes emerged from the review: 1) prescriptive exercise and physical activity ameliorated symptoms IBD and improved physical well-being, 2) patients who actively engage in exercise and physical activity show improved markers of inflammation and decreased future risk of disease, 3) exercise and physical activity improves the mental health and well-being of paediatric IBD patients. The results recommended 30–60 minutes, 6 times per week of mild to moderate aerobic exercise activity. It was noted that vigorous and high intensity exercise was well-tolerated by most IBD patients. Further, exercise prescription should be tailored to individual needs. Conclusions Exercise and physical activity improves mental and physical health and well-being of paediatric IBD patients, including decreasing the risk of future disease exacerbation in patients with mild to moderate disease activity. Clinicians and practitioners should consider actively prescribing exercise and physical activity to IBD patients as part of a standard treatment algorithm. Funding Agencies None

scholarly journals Physical activity and fatigue in adults with inflammatory bowel disease (IBD): a systematic review

2019 ◽  
Vol 17 (9) ◽  
pp. 16-21
Author(s):  
Shellie J Radford ◽  
Helen Janiszewski ◽  
Gordon W Moran
Keyword(s):  
Physical Activity ◽  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
English Language ◽  
Data Extraction ◽  
Activity Levels ◽  
Related Quality ◽  
Health Related ◽  
Inflammatory Bowel ◽  
The Impact

Background: Fatigue is frequently reported in inflammatory bowel disease (IBD). In IBD patients, physical activity levels have been shown to have an impact on, and be impacted by, disease activity. Yet, to date, there have been no systematic reviews considering the impact of physical activity on levels of IBD fatigue. This study aims to investigate whether physical activity has the potential to improve levels of IBD fatigue in adults with IBD. Methods: Systematic database search (CINAHL, Embase, PsychInfo, PsycARTICLES, AMED, Medline) and hand searching were conducted on 3 March 2019. Searches were restricted to ‘human’, ‘adult’, ‘primary research’ and ‘English language’ publications. No time limit was set. Quality appraisal and data extraction was undertaken by at least two reviewers. Results: The searches yielded 32 publications; two studies were included in the review. Physical activity was found to be inhibited by higher fatigue levels, lowering health-related quality of life (HRQoL), but also as a means of reducing fatigue, subsequently improving HRQoL. Conclusion: Results identified relationships between IBD fatigue and physical activity. However, further research is warranted, as exploring this information would allow better understanding of IBD fatigue and inform future work on possible fatigue interventions in IBD.

Gut microbiota pattern in relation to diet, physical activity and malnutrition in patients with inflammatory bowel disease: cases-control study

2019 ◽  
Author(s):  
Isabel Cornejo-Pareja ◽  
Beatriz Garcia-Munoz ◽  
Eduardo Romero-Perez ◽  
Eduardo Garcia-Fuentes ◽  
S Tapia-Paniagua ◽  
...  
Keyword(s):  
Physical Activity ◽  
Inflammatory Bowel Disease ◽  
Gut Microbiota ◽  
Bowel Disease ◽  
Inflammatory Bowel ◽  
Control Study
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