在IBD患者中对身体活动和炼的基于人口的评估
Sydney Chochinov1,2, Casandra Dolovich1,3, Gia Ly1
1University of Manitoba IBD Clinical and Research Centre.
Journal of clinical gastroenterology
|July 7, 2025
概括
在炎症性肠病 (IBD) 中,身体活动 (PA) 水平与疾病活动和疲劳有关. 有活跃IBD或较高疲劳的个体报告了较低的PA,突出了定制炼计划的必要性.
科学领域:
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
- 运动科学 运动科学
背景情况:
- 炎症性肠病 (IBD) 影响着大量人口,身体活动 (PA) 和炼对整体健康至关重要.
- 了解PA和运动模式,限制,以及它们与IBD患者的疾病活动和疲劳的相关性,对于有针对性的干预措施至关重要.
研究的目的:
- 评估IBD患者的体力活动 (PA) 和炼情况.
- 为了确定IBD患者在进行PA/运动时所面临的局限性.
- 确定加拿大人口样本中PA水平,活跃疾病状态和疲劳之间的相关性.
主要方法:
- 使用曼尼托巴大学IBD研究注册表进行了横截面调查研究.
- 收集的数据包括社会人口统计数据,PA/运动习惯 (国际体育活动问卷 - IPAQ),炎症性肠病症状目录 (IBDSI) 和修改疲劳影响量表 (MFIS).
- 使用双变量和逻辑回归分析来检查PA,疾病活性和疲劳之间的关联.
主要成果:
- 在1257名参与者中,分析了1094人,显示42.5%的人不活跃,32.0%的人中度活跃,25.5%的人高度活跃.
- 患有活跃IBD (IBDSI) 和增加疲劳 (MFIS) 的个人表现出更高的参与较低PA水平的几率.
- 克罗恩氏病患者比性结肠炎患者更有可能不活动; 性结肠炎的女性和吸烟者也表现出较低的PA.
结论:
- 研究结果表明,活跃IBD,疲劳和减少体力活动水平之间存在显著的关联.
- 显然需要为被诊断为IBD的个人制定个性化的PA和炼指南.
- 未来的研究应该纳入客观的PA措施,以获得对不同成年年龄组的全面了解.
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