Association between physical activity with disease activity and functional disability in patients with inflammatory bowel disease.
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Gendard Maud, Seksik Philippe, Stefanescu Carmen, Meyer Antoine, Nachury Maria, Nancey Stéphane, Savoye Guillaume, Allez Matthieu, Laharie David, Serrero Mélanie, Franchimont Denis, Mathieu Nicolas, Fumery Mathurin, Vuitton Lucine, Nahon Stéphane, Gilletta Cyrielle, Rouillon Cléa, Nuzzo Alexandre, Berre Catherine Le, Caron Bénédicte, Buisson Anthony, Amil Morgane, Charkaoui Maëva, Cadiot Guillaume, Caillo Ludovic, Simon Marion, Reenaers Catherine, Hébuterne Xavier, Plastaras Laurianne, Atanasiu Calina, Kwiatek Sandy, Uzzan Mathieu, Pelletier Anne-Laure, Benezech Alban, Vidon Mathias, Goutorbe Felix, Geyl Sophie, Cellier Christophe, Montuclard Céline, Moussata Driffa, Altwegg Romain, Amiot Aurélien, GETAID-physical-activity-in-IBD study group
Аннотация
PATIENTS AND METHODS: A descriptive cross-sectional study included consecutive patients with Crohn's disease (CD), ulcerative colitis (UC). PA was assessed using the short International Physical Activity Questionnaire. PA was classified as low, medium or high PA. PA was also assessed according to WHO recommendations. IBD activity was evaluated using PRO-2, while IBD-related disability was assessed with the IBD-disk questionnaire.
RESULTS: Among a total of 2514 patients (1715 CD), only 28.8% met the WHO recommendations on PA (49.8% had low PA, 35.2% had medium PA, and 15.0% had high PA). Medium and high PA levels were associated with a higher rate of patient-reported clinical remission in patients with CD (OR 1.30 [1.08-1.57] for medium PA, and 1.33 [1.03-1.72] for high PA vs. low PA; p-trend=0.02) but not in those with UC. Higher PA levels were associated with less IBD-related disability in both CD, and UC.
CONCLUSION: In a large cohort of IBD patients, moderate and high PA was associated with higher rates of clinical remission in patients with CD and lower IBD-related disability in both CD and UC patients.