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Associations between physical activity, resilience, and quality of life in people with inflammatory bowel disease

Abstract

Aim

Research has shown that moderate-to-vigorous physical activity (MVPA) is associated with higher health-related quality of life (HRQOL) in healthy individuals. Recent studies have suggested that low- to moderate-intensity physical activity can be beneficial to HRQOL in people with inflammatory bowel diseases (IBD); however, studies investigating associations between MVPA and HRQOL in this population are lacking. PURPOSE: To understand the relationships among walking, MVPA, resilience, and HRQOL in people with IBD.

Methods

People with IBD (n = 242) completed questions about physical activity, resilience and HRQOL. Pearson product-moment correlations and multiple regression analyses were used to identify associations between physical activity and HRQOL. Analysis of covariance was used to compare HRQOL over quartiles of walking and MVPA with demographic variables as covariates.

Results

Both walking and MVPA were independently associated with physical (β = 0.21 and β = 0.26, respectively; p ≤ 0.001) but not mental HRQOL (p > 0.05). Higher volumes of MVPA were significantly associated with physical HRQOL (quartile 1 40.3 ± 9.0 vs. quartile 4 47.4 ± 9.0; p < 0.001) while higher volumes of walking were associated with both physical and mental HRQOL (p ≤ 0.01).

Conclusions

The findings suggest that engaging in higher volumes of MVPA above 150 min/week and walking, particularly above 60 min/week, are associated with improved HRQOL in people with IBD. Research would benefit from investigating participation in MVPA as a coping strategy, in a longitudinal manner, to determine which modes of activity may be most beneficial to people with IBD.

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Abbreviations

HRQOL:

Health-related quality of life

IBD:

Inflammatory bowel disease

MVPA:

Moderate-to-vigorous physical activity

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Acknowledgements

This study was financially supported by the Gatorade Sports Science Institute Student Award program.

Funding

This study was funded by the Gatorade Sports Science Institute Student Award Program.

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Affiliations

Authors

Contributions

KT, PS, OB, MW and CV conceived and designed the research study. KT and CV obtained funding for the study. KT collected all data, and KT and CV analyzed the data. KT and CV wrote the manuscript. PS, OB, and MW provided critical revision of the manuscript for important intellectual content. All authors read and approved the manuscript.

Corresponding author

Correspondence to Katrina Taylor.

Ethics declarations

Conflict of interest

Katrina Taylor received the Gatorade Sports Science Institute Student Award. All remaining authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in the studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Communicated by Fabio Fischetti.

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Taylor, K., Scruggs, P.W., Balemba, O.B. et al. Associations between physical activity, resilience, and quality of life in people with inflammatory bowel disease. Eur J Appl Physiol 118, 829–836 (2018). https://doi.org/10.1007/s00421-018-3817-z

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Keywords

  • Walking
  • Moderate-to-vigorous physical activity
  • Crohn’s disease
  • Ulcerative colitis