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- An integrative review of physical activity in adults with inflammatory bowel disease
- Suja P Davis, Patricia B. Crane, Linda P. Bolin, Lee Ann Johnson
- Intest Res 2022;20(1):43-52. Published online January 22, 2021
- DOI: https://doi.org/10.5217/ir.2020.00049
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Abstract
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ePub - Adults with inflammatory bowel disease (IBD) search for self-management strategies to manage their symptoms and improve their quality of life (QOL). Physical activity (PA) is one of the self-management strategies widely adopted by adults with IBD. This integrative review aimed to synthesize the evidence on health outcomes of PA in adults with IBD as well as to identify the barriers to engaging in PA. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), published literature was searched to identify the articles that addressed PA in adults with IBD. Twenty-eight articles met the inclusion criteria. Many of the reviewed studies used the terms of PA and exercise interchangeably. Walking was the most common PA reported in the studies. The findings from the majority of the reviewed studies supported the benefits of moderate-intensity exercise/PA among adults with IBD. The reviewed studies noted the following positive health outcomes of PA: improvement in QOL, mental health, sleep quality, gastrointestinal symptoms, fatigue and cardiorespiratory fitness. More importantly, participation in PA reduced the risk for development of IBD and the risk for future active disease. The findings from the reviewed studies highlighted the following barriers to engage in PA: fatigue, joint pain, abdominal pain, bowel urgency, active disease and depression.
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Citations
Citations to this article as recorded by
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BMC Gastroenterology.2025;[Epub] CrossRef - A Population-Based Assessment of Physical Activity and Exercise in Persons With IBD
Sydney Chochinov, Casandra Dolovich, Gia Ly, Adebanke Oketola, Samuel Narvey, Maitreyi Raman, Sandra Webber, Charles N. Bernstein
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World Chinese Journal of Digestology.2024; 32(5): 339. CrossRef - Unresolved conundrum of the role of physical activity in irritable bowel disease: What next?
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Ayokunle T Abegunde, Daniela Goyes, Umer Farooq, Amy H Luke, Elizabeth Huggins, Richard S Cooper, Lara R Dugas
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World Journal of Gastroenterology.2023; 29(41): 5668. CrossRef - Effects of yoga in inflammatory bowel diseases and on frequent IBD-associated extraintestinal symptoms like fatigue and depression
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- 17,538 View
- 498 Download
- 32 Web of Science
- 35 Crossref
- IBD
- Optimizing the multidimensional aspects of the patient-physician relationship in the management of inflammatory bowel disease
- Deborah Chew, Wong Zhiqin, Norhayati Ibrahim, Raja Affendi Raja Ali
- Intest Res 2018;16(4):509-521. Published online October 25, 2018
- DOI: https://doi.org/10.5217/ir.2018.00074
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Abstract
PDFPubReaderePub
- The patient-physician relationship has a pivotal impact on the inflammatory bowel disease (IBD) outcomes. However, there are many challenges in the patient-physician relationship; lag time in diagnosis which results in frustration and an anchoring bias against the treating gastroenterologist, the widespread availability of medical information on the internet has resulted in patients having their own ideas of treatment, which may be incongruent from the treating physicians’ goals resulting in patient physician discordance. Because IBD is an incurable disease, the goal of treatment is to sustain remission. To achieve this, patients may have to go through several lines of treatment. The period of receiving stepping up, top down or even accelerated stepping up medications may result in a lot of frustration and anxiety for the patient and may compromise the patient-physician relationship. IBD patients are also prone to psychological distress that further compromises the patient-physician relationship. Despite numerous published data regarding the medical and surgical treatment options available for IBD, there is a lack of data regarding methods to improve the therapeutic patient-physician relationship. In this review article, we aim to encapsulate the challenges faced in the patient-physician relationship and ways to overcome in for an improved outcome in IBD.
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Citations
Citations to this article as recorded by- Management of inflammatory bowel disease: a holistic approach beyond pharmacotherapy
Najwa F. Mourad, Jana G. Hashash, Viraj C. Kariyawasam, Fadi H. Mourad
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Therapeutic Advances in Gastroenterology.2022;[Epub] CrossRef - Ulcerative Colitis Narrative Global Survey Findings: The Impact of Living With Ulcerative Colitis—Patients’ and Physicians’ View
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- Management of inflammatory bowel disease: a holistic approach beyond pharmacotherapy
- 19,274 View
- 150 Download
- 6 Web of Science
- 6 Crossref
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