Abstract
Background
The aim of this study was to assess PA patterns among children and adolescents with inflammatory bowel disease (IBD).
Methods
Sixty participants with IBD (42 Crohn’s disease [CD], 10 ulcerative colitis [UC], and 8 IBD—unclassified [IBD-U], 30 male patients) in remission (n = 45) or with mild disease (n = 15) were compared with 60 healthy age- and sex-matched controls. Each participant wore a triaxial accelerometer during 4 consecutive days for objective daily PA quantification.
Results
Overall, there was no significant difference in daily PA patterns between patients with IBD and healthy controls, with 31.7% of patients with IBD and 38.3% of healthy controls fulfilling the recommendation of 60 min of moderate-to-vigorous physical activity (MVPA) daily (NS). Male patients with IBD spent significantly less time in MVPA compared with matched healthy controls (mean difference, 16.2 min day−1; p < 0.05). No difference was observed for female patients with IBD. No difference in sedentary pattern between male patients with IBD and controls was found.
Conclusions
Children and adolescents with inactive or mildly active IBD have similar PA patterns compared with healthy controls, except for male patients who have reduced moderate-to-vigorous PA. By far, most patients with IBD do not fulfill the MVPA recommendations for health benefits.
Impact
-
There is few data on PA patterns in pediatric patients with IBD.
-
Methodological issues to assess PA limit the strengths of these studies.
-
Pediatric IBD patients with inactive or mildly active IBD have similar physical activity patterns compared with healthy controls, except for male patients who have reduced moderate-to-vigorous PA.
-
Most patients with IBD do not fulfill the MVPA recommendations for health benefits.
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Acknowledgements
The authors thank the participants for enrolling in the study. There is no funding to support this study.
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Each author of this article significantly contributed to the study, especially J.V., L.B., D.L., F.G., S.C. and D.T. designed research; J.V., L.B., and S.C. conducted research; J.V. and J.L. analyzed the data; J.V., F.G., and D.T. wrote the paper; J.L. analyzed the data and performed statistical analysis; J.V. had primary responsibility for final content. All authors read and approved the final manuscript.
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Before beginning the study, its objectives were carefully explained to each participant and their parents/guardian. Written informed assent was obtained from the participant and consent from the parents (or guardian) by the study physician.
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Vanhelst, J., Béghin, L., Turck, D. et al. Daily physical activity patterns in children and adolescents with inflammatory bowel disease. Pediatr Res 90, 847–852 (2021). https://doi.org/10.1038/s41390-020-01313-5
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DOI: https://doi.org/10.1038/s41390-020-01313-5
