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, 58 (2), 202-212

THE EFFECT OF DAILY PHYSICAL ACTIVITY ON THE ACTIVITY OF INFLAMMATORY BOWEL DISEASES IN THERAPY-FREE PATIENTS

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THE EFFECT OF DAILY PHYSICAL ACTIVITY ON THE ACTIVITY OF INFLAMMATORY BOWEL DISEASES IN THERAPY-FREE PATIENTS

Dubravka Holik et al. Acta Clin Croat.

Abstract

It has been suggested that various environmental factors play a very important role in the etiology of inflammatory bowel diseases (IBDs) and that they have a significant effect on the course of these diseases. The aim of this study was to investigate the effect of daily physical activity on the activity of IBDs in therapy-free patients. This cross-sectional population based study was conducted in eastern Croatia from January to June 2016. The study included 312 patients, mean age 49.9±15.0 years, 53.2% of males and 46.8% of females; there were 63.4% of ulcerative colitis (UC) and 36.6% of Crohn's disease (CD) patients. Sociodemographic characteristics of patients, data on their daily physical activity and type of therapy taken were collected through a specifically designed and validated questionnaire, while the activity of UC and CD was evaluated using the Mayo index and Harvey-Bradshaw index. The study showed that 24.0% of patients were not taking therapy. Daily physical activity was connected to IBD in study patients when taking both diseases collectively (Fisher exact test; p<0.001), as well as to the inactivity of CD (Fisher exact test; p=0.001) and UC (Fisher exact test; p=0.006), when observing each disease separately. Daily physical activity was connected to the inactivity of IBDs in patients not taking therapy. It is necessary to educate all IBD patients about the importance of physical activity in order to control their disease.

Keywords: Colitis, ulcerative; Croatia; Crohn’s disease; Exercise; Inflammatory bowel diseases.

Figures

Fig. 1
Fig. 1
Effect of daily physical activity on inflammatory bowel disease (IBD) in therapy-free patients (p<0.001; Fisher exact test).
Fig. 2
Fig. 2
Effect of daily physical activity on inflammatory bowel disease (IBD) in therapy-free patients and patients without a family history (p<0.001; Fisher exact test).
Fig. 3
Fig. 3
Effect of daily physical activity on Crohn’s disease activity in therapy-free patients (p<0.001; Fisher exact test).
Fig. 4
Fig. 4
Effect of daily physical activity on ulcerative colitis activity in therapy-free patients (p=0.004; Fisher exact test).

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