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Physical activity during video capsule endoscopy correlates with shorter bowel transit time
Peter P Stanich1, Joshua Peck1, Christopher Murphy1
1Section of Capsule Endoscopy, Division of Gastroenterology, Hepatology and Nutrition, The Ohio State University Wexner Medical Center, Columbus, Ohio, United States.
Endoscopy International Open
|September 20, 2017
Summary
Increased physical activity during video capsule endoscopy (VCE) speeds up bowel transit but does not improve study completion rates. Higher BMI was linked to better VCE completion and faster transit.
Area of Science:
- Gastroenterology
- Medical Devices
- Clinical Trials
Background:
- Video capsule endoscopy (VCE) relies on natural bowel motility for propulsion.
- Incomplete VCE studies are often attributed to insufficient physical activity.
Purpose of the Study:
- To prospectively investigate the association between physical activity and VCE bowel transit.
- To determine if physical activity impacts VCE completion rates.
Main Methods:
- 100 ambulatory outpatients undergoing VCE were enrolled.
- Pedometer data measured physical activity (step count).
- Logistic regression and Cox proportional hazards models analyzed VCE completion and transit times.
Main Results:
- Increased physical activity (step count) was significantly associated with shorter total, gastric, and small-bowel transit times.
- Physical activity was not significantly associated with VCE completion.
- Higher body mass index (BMI) was associated with VCE completion and shorter transit times.
Conclusions:
- Physical activity accelerates VCE transit but does not guarantee study completion.
- BMI is a novel clinical factor associated with VCE completion and transit efficiency.
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