Gravina Antonietta Gerarda, Pellegrino Raffaele, Palladino Giovanna, Imperio Giuseppe, Ventura Andrea, Cipullo Marina, Coppola Annachiara, Federico Alessandro
Hepatogastroenterology Division, Department of Precision Medicine, University of Campania Luigi Vanvitelli, 80138, Via Luigi de Crecchio, Naples, Italy.
Hepatogastroenterology Division, Department of Precision Medicine, University of Campania Luigi Vanvitelli, 80138, Via Luigi de Crecchio, Naples, Italy.
Gastroenterol Hepatol. 2025 Feb;48(2):502203. doi: 10.1016/j.gastrohep.2024.502203. Epub 2024 May 8.
Normal quality of life is an ultimate target in the therapeutic approach to inflammatory bowel diseases (IBD), encompassing Crohn's disease (CD) and ulcerative colitis (UC) in the context of which regular physical activity (PA) is often a chimeric parameter that is not standardized in terms of quality/quantity. The study aimed to profile a sample of IBD patients about the relationship between PA-partner status and social network support.
A post hoc analysis of the "BE-FIT-IBD" study was set up by stratifying the data of PA with that of partner status and the support that the patient's social network (i.e., relatives, friends) provided in inciting the patient to practice regular PA.
In the 219 patients included, there was a greater tendency for patients with stable partners to view the risk of reactivation/worsening of IBD as a barrier to conducting regular PA (p<0.0001). Single patients considered PA more as a protective factor (p=0.045). Patients without a PA-supporting social network retained IBD-related treatment as a PA barrier (p=0.016) and PA as a risk for IBD complications (p=0.01), with less confidence that PA could improve the course of IBD (p<0.001). Rectal syndrome was an IBD-related barrier more represented in patients with PA-deterring social network (p<0.0001).
These factors are potential targets for recovering the IBD patient's adherence to regular PA.
正常生活质量是炎症性肠病（IBD）治疗方法的最终目标，IBD包括克罗恩病（CD）和溃疡性结肠炎（UC），在此背景下，规律的体育活动（PA）常常是一个在质量/数量方面未标准化的难以实现的参数。本研究旨在剖析IBD患者样本中PA-伴侣状况与社会网络支持之间的关系。
通过将PA数据与伴侣状况数据以及患者社交网络（即亲属、朋友）在激励患者进行规律PA方面提供的支持数据进行分层，对“BE-FIT-IBD”研究进行事后分析。
在纳入的219例患者中，有稳定伴侣的患者更倾向于将IBD复发/恶化的风险视为进行规律PA的障碍（p<0.0001）。单身患者更多地将PA视为一种保护因素（p=0.045）。没有PA支持性社交网络的患者将IBD相关治疗视为PA的障碍（p=0.016），并将PA视为IBD并发症的风险因素（p=0.01），对PA能够改善IBD病程的信心较低（p<0.001）。直肠综合征在有PA阻碍性社交网络的患者中是更常见的IBD相关障碍（p<0.0001）。
这些因素是恢复IBD患者对规律PA依从性的潜在目标。
