BACKGROUND The place regular physical activity(PA)should occupy in managing patients with inflammatory bowel diseases(IBD)is unclear.AIM To assess PA levels and barriers in a southern Italian IBD population.METHODS IB...BACKGROUND The place regular physical activity(PA)should occupy in managing patients with inflammatory bowel diseases(IBD)is unclear.AIM To assess PA levels and barriers in a southern Italian IBD population.METHODS IBD patients with non-severe disease activity[assessed with partial Mayo score for ulcerative colitis(UC)and Harvey-Bradshaw index for Crohn’s disease]were approached to receive an anonymous online questionnaire to assess PA levels using the International Physical Activity Questionnaire(IPAQ)and to assess disease activity as patient-reported outcomes 2(PRO-2)and finally to assess habits,beliefs and barriers in conducting regular PA.Clinical,anthropometric and demographic data of patients were also collected.PA was expressed as continuous units of resting metabolic rate(Met)in min/wk.Three PA groups were identified:Inactive(<700 Met min/wk),sufficiently active(700-2500 Met min/wk)and health enhancing PA(HEPA)(i.e.,HEPA active,>2500 Met min/wk)patients.RESULTS Included patients(219)showed overall PA levels of 834.5 Met min/wk,with a large proportion(94,42.9%)classified as inactive while only a minority(9,4.1%)as health-enhancing PA.Patients without dyslipidaemia(P<0.0001)or on biologics therapy(P=0.022)showed better IPAQ scores in moderate activities.UC PRO-2 correlated negatively with IPAQ intense activities scores(τ=-0.156,P=0.038).PRO-2 did not show notable sensitivity/specificity in predicting IPAQ inactivity(AUC<0.6).IBD activity did not differ between active and inactive patients(P>0.05).Active patients expressed the need to discuss PA with their gastroenterologist.Some barriers(e.g.,diagnosis of IBD and fear of flare-ups after PA)are significantly more reported by inactive patients.CONCLUSION A significant rate of physical inactivity was recorded in this setting.IPAQ showed good feasibility.PA should be an element of discussion in IBD visits assessed quickly with non-invasive questionnaires.展开更多
<strong>Objective</strong><span style="font-size:10pt;font-family:;" "=""><span style="font-family:Verdana;font-size:12px;">: Determine the Test reliability a...<strong>Objective</strong><span style="font-size:10pt;font-family:;" "=""><span style="font-family:Verdana;font-size:12px;">: Determine the Test reliability and the objective validity of the International Physical Activity Questionnaire (IPAQ). </span><b><span style="font-family:Verdana;font-size:12px;">Methods</span></b></span><span style="font-family:Verdana;">:</span><span style="font-family:Verdana;"> IPAQ was evaluated for test-retest reliability within 6</span><span style="font-size:10pt;font-family:;" "=""> </span><span style="font-family:Verdana;">-</span><span style="font-size:10pt;font-family:;" "=""> </span><span style="font-size:10pt;font-family:;" "=""><span style="font-family:Verdana;font-size:12px;">8 days of its first administration. Criterion validity was tested comparing IPAQ data with those from an activity meter (Intelligent Device for Energy Expenditure and Activity, IDEEA). </span><b><span style="font-family:Verdana;font-size:12px;">Results</span></b><span style="font-family:Verdana;font-size:12px;">: The test-retest correlation (n = 71) for items of IPAQ ranged from r = 0.63 to r = 0.74 and w</span></span><span style="font-family:Verdana;">as </span><span style="font-family:Verdana;">r = 0.79 for the total weekly PA in MET*min per week. Average PA (in MET*min/week) measured with the IDEEA meter, decreased from normal (15</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;">840), to 14</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;">278 in overweight</span><span style="font-size:10pt;font-family:;" "=""> </span><span style="font-family:Verdana;">(BMI</span><span style="font-size:10pt;font-family:;" "=""> </span><span style="font-family:Verdana;">></span><span style="font-size:10pt;font-family:;" "=""> </span><span style="font-family:Verdana;">25-</span><span style="font-size:10pt;font-family:;" "=""> </span><span style="font-family:Verdana;"><</span><span style="font-size:10pt;font-family:;" "=""> </span><span style="font-family:Verdana;">30) and further to 12</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;">803 in obese subjects (>30. BMI). The weekly energy expenditure measured by IDEEA correlated significantly (r = 0</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">61,</span><span style="font-size:10pt;font-family:;" "=""> </span><span style="font-size:10pt;font-family:;" "=""><span style="font-family:Verdana;font-size:12px;">r</span><sup><span style="font-family:Verdana;font-size:12px;">2</span></sup><span style="font-family:Verdana;font-size:12px;"> = 0.38) with the IPAQ data, providing an objective criterion for validity of IPAQ. The mean values of weekly PA estimated from IPAQ (in MET*min/week) differed significantly in the high (15</span></span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;">690) vs. the low (11</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;">398) activity groups but not between the moderate (12</span><span style="font-family:Verdana;">,</span><span style="font-size:10pt;font-family:;" "=""><span style="font-family:Verdana;font-size:12px;">056) compared to the low PA group. The IPAQ criteria used to categorize subjects as moderately active, erred by including too many low PA subjects. IDEEA measurements in sedentary subjects overestimated their energy expenditure. </span><b><span style="font-family:Verdana;font-size:12px;">Conclusions</span></b><span style="font-family:Verdana;font-size:12px;">: IPAQ can be reliably used to distinguish low and high PA groups and yields relatively low estimates (−</span></span><span style="font-family:Verdana;">18%) of weekly PA in these groups compared to those measured with the activity meter. Stricter criteria are needed to distinguish moderate from low PA groups. Overweight and obese subjects showed significantly lower levels of PA than normal BMI subjects.</span><span style="font-size:10pt;font-family:;" "=""> </span><span style="font-family:Verdana;">IDEEA overestimates low levels of PA.</span>展开更多
基金The study was conducted in compliance with the Declaration of Helsinki and received approval from the Ethics Committee of the University of Campania Luigi Vanvitelli(protocol number 7892,15 March 2023).
文摘BACKGROUND The place regular physical activity(PA)should occupy in managing patients with inflammatory bowel diseases(IBD)is unclear.AIM To assess PA levels and barriers in a southern Italian IBD population.METHODS IBD patients with non-severe disease activity[assessed with partial Mayo score for ulcerative colitis(UC)and Harvey-Bradshaw index for Crohn’s disease]were approached to receive an anonymous online questionnaire to assess PA levels using the International Physical Activity Questionnaire(IPAQ)and to assess disease activity as patient-reported outcomes 2(PRO-2)and finally to assess habits,beliefs and barriers in conducting regular PA.Clinical,anthropometric and demographic data of patients were also collected.PA was expressed as continuous units of resting metabolic rate(Met)in min/wk.Three PA groups were identified:Inactive(<700 Met min/wk),sufficiently active(700-2500 Met min/wk)and health enhancing PA(HEPA)(i.e.,HEPA active,>2500 Met min/wk)patients.RESULTS Included patients(219)showed overall PA levels of 834.5 Met min/wk,with a large proportion(94,42.9%)classified as inactive while only a minority(9,4.1%)as health-enhancing PA.Patients without dyslipidaemia(P<0.0001)or on biologics therapy(P=0.022)showed better IPAQ scores in moderate activities.UC PRO-2 correlated negatively with IPAQ intense activities scores(τ=-0.156,P=0.038).PRO-2 did not show notable sensitivity/specificity in predicting IPAQ inactivity(AUC<0.6).IBD activity did not differ between active and inactive patients(P>0.05).Active patients expressed the need to discuss PA with their gastroenterologist.Some barriers(e.g.,diagnosis of IBD and fear of flare-ups after PA)are significantly more reported by inactive patients.CONCLUSION A significant rate of physical inactivity was recorded in this setting.IPAQ showed good feasibility.PA should be an element of discussion in IBD visits assessed quickly with non-invasive questionnaires.
文摘<strong>Objective</strong><span style="font-size:10pt;font-family:;" "=""><span style="font-family:Verdana;font-size:12px;">: Determine the Test reliability and the objective validity of the International Physical Activity Questionnaire (IPAQ). </span><b><span style="font-family:Verdana;font-size:12px;">Methods</span></b></span><span style="font-family:Verdana;">:</span><span style="font-family:Verdana;"> IPAQ was evaluated for test-retest reliability within 6</span><span style="font-size:10pt;font-family:;" "=""> </span><span style="font-family:Verdana;">-</span><span style="font-size:10pt;font-family:;" "=""> </span><span style="font-size:10pt;font-family:;" "=""><span style="font-family:Verdana;font-size:12px;">8 days of its first administration. Criterion validity was tested comparing IPAQ data with those from an activity meter (Intelligent Device for Energy Expenditure and Activity, IDEEA). </span><b><span style="font-family:Verdana;font-size:12px;">Results</span></b><span style="font-family:Verdana;font-size:12px;">: The test-retest correlation (n = 71) for items of IPAQ ranged from r = 0.63 to r = 0.74 and w</span></span><span style="font-family:Verdana;">as </span><span style="font-family:Verdana;">r = 0.79 for the total weekly PA in MET*min per week. Average PA (in MET*min/week) measured with the IDEEA meter, decreased from normal (15</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;">840), to 14</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;">278 in overweight</span><span style="font-size:10pt;font-family:;" "=""> </span><span style="font-family:Verdana;">(BMI</span><span style="font-size:10pt;font-family:;" "=""> </span><span style="font-family:Verdana;">></span><span style="font-size:10pt;font-family:;" "=""> </span><span style="font-family:Verdana;">25-</span><span style="font-size:10pt;font-family:;" "=""> </span><span style="font-family:Verdana;"><</span><span style="font-size:10pt;font-family:;" "=""> </span><span style="font-family:Verdana;">30) and further to 12</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;">803 in obese subjects (>30. BMI). The weekly energy expenditure measured by IDEEA correlated significantly (r = 0</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">61,</span><span style="font-size:10pt;font-family:;" "=""> </span><span style="font-size:10pt;font-family:;" "=""><span style="font-family:Verdana;font-size:12px;">r</span><sup><span style="font-family:Verdana;font-size:12px;">2</span></sup><span style="font-family:Verdana;font-size:12px;"> = 0.38) with the IPAQ data, providing an objective criterion for validity of IPAQ. The mean values of weekly PA estimated from IPAQ (in MET*min/week) differed significantly in the high (15</span></span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;">690) vs. the low (11</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;">398) activity groups but not between the moderate (12</span><span style="font-family:Verdana;">,</span><span style="font-size:10pt;font-family:;" "=""><span style="font-family:Verdana;font-size:12px;">056) compared to the low PA group. The IPAQ criteria used to categorize subjects as moderately active, erred by including too many low PA subjects. IDEEA measurements in sedentary subjects overestimated their energy expenditure. </span><b><span style="font-family:Verdana;font-size:12px;">Conclusions</span></b><span style="font-family:Verdana;font-size:12px;">: IPAQ can be reliably used to distinguish low and high PA groups and yields relatively low estimates (−</span></span><span style="font-family:Verdana;">18%) of weekly PA in these groups compared to those measured with the activity meter. Stricter criteria are needed to distinguish moderate from low PA groups. Overweight and obese subjects showed significantly lower levels of PA than normal BMI subjects.</span><span style="font-size:10pt;font-family:;" "=""> </span><span style="font-family:Verdana;">IDEEA overestimates low levels of PA.</span>