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Impact of pediatric inflammatory bowel disease diagnosis on exercise and sports participation: Patient and parent perspectives

BACKGROUND: Inflammatory bowel disease (IBD) may limit physical activity due to intestinal or extraintestinal manifestations, fatigue, or exercise perception. We sought to evaluate the influence of IBD diagnosis on exercise and sports participation in a pediatric population. We compared patient-repo...

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Autores principales: Marchioni Beery, Renée M, Li, Enju, Fishman, Laurie N
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6710172/
https://www.ncbi.nlm.nih.gov/pubmed/31496627
http://dx.doi.org/10.3748/wjg.v25.i31.4493
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author Marchioni Beery, Renée M
Li, Enju
Fishman, Laurie N
author_facet Marchioni Beery, Renée M
Li, Enju
Fishman, Laurie N
author_sort Marchioni Beery, Renée M
collection PubMed
description BACKGROUND: Inflammatory bowel disease (IBD) may limit physical activity due to intestinal or extraintestinal manifestations, fatigue, or exercise perception. We sought to evaluate the influence of IBD diagnosis on exercise and sports participation in a pediatric population. We compared patient-reported and parent-reported perspectives. AIM: To evaluate the influence of IBD diagnosis on exercise and sports participation in a pediatric population. METHODS: Consecutive IBD outpatients (aged 10-18 years) and their parents completed parallel voluntary surveys. A validated, patient-reported functional activity scale, the Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS) was used to assess children’s activity levels. RESULTS: There were 149 completed surveys (75% response rate) with mean participant age of 16.5 years [standard deviation (SD) = 4.0] and mean age at IBD diagnosis of 11.8 years (SD = 3.4). Most patients (77%) were diagnosed within 12 mo of symptom onset. Current athletic participation was reported in 65% across 65 sports. Participation was greatest before (40%) rather than after (32%) IBD diagnosis, with no reported change in 28%. IBD negatively impacted play/performance in 45% but did not change play/performance in 44%. IBD treatment improved patients’ desire to exercise (70%) and subjective capacity for aerobic exercise (72%). Patients and parents agreed that IBD subjects demonstrate normal capacity for aerobic exercise (0.40, 95%CI: 0.22-0.58) and that treatment improved both participatory desire (0.33, 95%CI: 0.12-0.54) and capacity for aerobic exercise (0.52, 95%CI: 0.31-0.71). Almost all (99%) viewed exercise as healthy, and most encouraged its practice. IBD patients demonstrated normal mean HSS Pedi-FABS scores. CONCLUSION: After pediatric IBD diagnosis, most patients continue exercise and sports, with mean activity levels comparable to American youth. Treatment positively impacts participatory desire and aerobic capacity. Patients favor the role of exercise in IBD.
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spelling pubmed-67101722019-09-06 Impact of pediatric inflammatory bowel disease diagnosis on exercise and sports participation: Patient and parent perspectives Marchioni Beery, Renée M Li, Enju Fishman, Laurie N World J Gastroenterol Observational Study BACKGROUND: Inflammatory bowel disease (IBD) may limit physical activity due to intestinal or extraintestinal manifestations, fatigue, or exercise perception. We sought to evaluate the influence of IBD diagnosis on exercise and sports participation in a pediatric population. We compared patient-reported and parent-reported perspectives. AIM: To evaluate the influence of IBD diagnosis on exercise and sports participation in a pediatric population. METHODS: Consecutive IBD outpatients (aged 10-18 years) and their parents completed parallel voluntary surveys. A validated, patient-reported functional activity scale, the Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS) was used to assess children’s activity levels. RESULTS: There were 149 completed surveys (75% response rate) with mean participant age of 16.5 years [standard deviation (SD) = 4.0] and mean age at IBD diagnosis of 11.8 years (SD = 3.4). Most patients (77%) were diagnosed within 12 mo of symptom onset. Current athletic participation was reported in 65% across 65 sports. Participation was greatest before (40%) rather than after (32%) IBD diagnosis, with no reported change in 28%. IBD negatively impacted play/performance in 45% but did not change play/performance in 44%. IBD treatment improved patients’ desire to exercise (70%) and subjective capacity for aerobic exercise (72%). Patients and parents agreed that IBD subjects demonstrate normal capacity for aerobic exercise (0.40, 95%CI: 0.22-0.58) and that treatment improved both participatory desire (0.33, 95%CI: 0.12-0.54) and capacity for aerobic exercise (0.52, 95%CI: 0.31-0.71). Almost all (99%) viewed exercise as healthy, and most encouraged its practice. IBD patients demonstrated normal mean HSS Pedi-FABS scores. CONCLUSION: After pediatric IBD diagnosis, most patients continue exercise and sports, with mean activity levels comparable to American youth. Treatment positively impacts participatory desire and aerobic capacity. Patients favor the role of exercise in IBD. Baishideng Publishing Group Inc 2019-08-21 2019-08-21 /pmc/articles/PMC6710172/ /pubmed/31496627 http://dx.doi.org/10.3748/wjg.v25.i31.4493 Text en ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Observational Study
Marchioni Beery, Renée M
Li, Enju
Fishman, Laurie N
Impact of pediatric inflammatory bowel disease diagnosis on exercise and sports participation: Patient and parent perspectives
title Impact of pediatric inflammatory bowel disease diagnosis on exercise and sports participation: Patient and parent perspectives
title_full Impact of pediatric inflammatory bowel disease diagnosis on exercise and sports participation: Patient and parent perspectives
title_fullStr Impact of pediatric inflammatory bowel disease diagnosis on exercise and sports participation: Patient and parent perspectives
title_full_unstemmed Impact of pediatric inflammatory bowel disease diagnosis on exercise and sports participation: Patient and parent perspectives
title_short Impact of pediatric inflammatory bowel disease diagnosis on exercise and sports participation: Patient and parent perspectives
title_sort impact of pediatric inflammatory bowel disease diagnosis on exercise and sports participation: patient and parent perspectives
topic Observational Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6710172/
https://www.ncbi.nlm.nih.gov/pubmed/31496627
http://dx.doi.org/10.3748/wjg.v25.i31.4493
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