在炎症性肠病患者中,身体活动与疾病活动和功能障碍之间的关联
Maud Gendard1, Philippe Seksik2, Carmen Stefanescu3
1Department of gastro-enterology, Nîmes University Hospital, Nîmes, France.
身体活动 (PA) 可以改善炎症性肠病 (IBD) 的结果. 中度至高的PA与克罗恩病 (CD) 的更好的缓解率和CD和性结肠炎 (UC) 患者的残疾减少有关.
科学领域:
- 胃肠病学 胃肠病学
- 临床研究 临床研究
- 公共卫生 公共卫生
背景情况:
- 身体活动 (PA) 和炎症性肠病 (IBD) 活动之间的关系尚未得到充分理解.
- IBD包括克罗恩病 (CD) 和性结肠炎 (UC),这些是影响胃肠道的慢性炎症状况.
研究的目的:
- 在一大群IBD患者中调查身体活动水平与疾病活动和残疾之间的关联.
- 为了确定身体活动是否会影响CD和UC中患者报告的结果.
主要方法:
- 一项涉及2514名IBD患者 (1715名CD患者) 的横截面研究.
- 使用国际体育活动问卷评估体育活动,并将其分为低,中或高.
- 使用PRO-2和IBD盘问卷分别测量IBD活动和残疾.
主要成果:
- 只有28.8%的患者符合世卫组织PA建议,49.8%的患者报告PA低.
- 中等和高的PA水平与CD患者患者报告的临床缓解增加相关 (p-trend=0.02).
- 在CD和UC患者中,更高的PA与IBD相关的残疾减少有关.
结论:
- 中等到高的体力活动与克罗恩病患者的临床缓解率更高有关.
- 增加体力活动与克罗恩病和性结肠炎的IBD相关残疾减少有关.
- 这些发现表明PA可能是IBD管理的有益辅助疗法.
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