Department of Pediatrics, McMaster University, Hamilton, ON,Canada.
Division of Pediatric Gastroenterology, McMaster University, Hamilton, ON,Canada.
Pediatr Exerc Sci. 2023 Jul 24;35(4):239-248. doi: 10.1123/pes.2022-0012. Print 2023 Nov 1.
Children with inflammatory bowel disease (IBD) experience extraintestinal side effects including altered body composition, impaired muscle strength, and aerobic capacity. Exercise training may remedy these issues.
To assess the feasibility, safety, participant satisfaction, and efficacy of a training program for youth with IBD.
Children with IBD completed 16 weeks of training (2 supervised + 1 home sessions per week). Feasibility was assessed by tracking recruitment, adherence, and compliance rates. Safety was assessed by tracking symptoms and adverse events. Posttraining interviews gauged satisfaction. Circulating inflammatory markers, body composition, muscle strength, aerobic fitness, and habitual physical activity were measured at baseline, midtraining (8 wk), and posttraining.
Eleven youth were recruited and 10 completed the study. Participants adhered to 28 (1) of 32 prescribed supervised sessions and 8 (4) of 16 prescribed home sessions. There were no adverse events, and overall feedback on training was positive. Posttraining, we observed an increase in lean mass (+2.4 [1.1] kg), bone density (+0.0124 [0.015] g·cm-2), aerobic fitness (+2.8 [5.7] mL·kg LM-1· min-1), and vigorous physical activity levels (+13.09 [8.95] min·h-1) but no change in inflammation or muscle strength.
Supervised exercise training is feasible, safe, and effective for youth with IBD and should be encouraged.
患有炎症性肠病（IBD）的儿童会出现肠道外副作用，包括身体成分改变、肌肉力量和有氧能力受损。运动训练可能会改善这些问题。
评估针对 IBD 青少年的训练计划的可行性、安全性、参与者满意度和疗效。
IBD 患儿完成 16 周的训练（每周 2 次监督+1 次家庭训练）。通过跟踪招募、依从性和遵守率评估可行性。通过跟踪症状和不良事件评估安全性。培训后访谈评估满意度。在基线、训练中期（8 周）和训练后测量循环炎症标志物、身体成分、肌肉力量、有氧健身和习惯性体力活动。
招募了 11 名青少年，其中 10 名完成了研究。参与者坚持参加了 32 次规定的监督训练中的 28 次（1 次）和 16 次规定的家庭训练中的 8 次（4 次）。没有发生不良事件，整体训练反馈良好。训练后，我们观察到瘦体重增加（+2.4 [1.1]kg）、骨密度增加（+0.0124 [0.015]g·cm-2）、有氧健身增加（+2.8 [5.7]mL·kg·LM-1·min-1）和剧烈体力活动水平增加（+13.09 [8.95]min·h-1），但炎症或肌肉力量没有变化。
监督运动训练对 IBD 青少年是可行、安全且有效的，应予以鼓励。
