Psychological wellbeing and physical activity in children and adolescents with inflammatory bowel disease compared to healthy controls

BMC Gastroenterology

Research Article

Markus Gerber¹  Corinne Legeret²  Raoul I. Furlano²  Edith Holsboer-Trachsler³  Nadeem Kalak³  Serge Brand⁴  Laura Mählmann⁵ 

[1] Department of Sport, Exercise and Health, Sport Science Section, University of Basel, Basel, Switzerland;Pediatric Gastroenterology & Nutrition, University Children’s Hospital Basel, Basel, Switzerland;Psychiatric Clinics of the University of Basel, Centre for Affective, Stress and Sleep Disorders, University of Basel, Wilhelm Klein-Strasse 27, Ch-4012, Basel, Switzerland;Psychiatric Clinics of the University of Basel, Centre for Affective, Stress and Sleep Disorders, University of Basel, Wilhelm Klein-Strasse 27, Ch-4012, Basel, Switzerland;Department of Sport, Exercise and Health, Sport Science Section, University of Basel, Basel, Switzerland;Substance Abuse Prevention Research Center; Sleep Disorders Research Center, Psychiatry Department, Kermanshah University of Medical Sciences, Kermanshah, Iran;Psychiatric Clinics of the University of Basel, Centre for Affective, Stress and Sleep Disorders, University of Basel, Wilhelm Klein-Strasse 27, Ch-4012, Basel, Switzerland;United Nations University - Maastricht Economic and Social Research Institute on Innovation and Technology (UNU-MERIT), Maastricht University, Maastricht, The Netherlands;

关键词: Inflammatory bowel diseases;    Pediatrics;    Anthropometric dimensions;    Psychological wellbeing;    Physical activity;    Blood values;    Healthy controls;   

DOI  :  10.1186/s12876-017-0721-7

 received in 2016-09-05, accepted in 2017-11-30,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundChildren and adolescents with inflammatory bowel disease (IBD) report impairments in daily activities, social interactions and coping. Findings regarding psychological functioning are inconsistent, while limited information is available on objectively assessed physical activity (PA). The aims of the present study were therefore to compare anthropometric dimensions, blood values, psychological functioning and PA of children and adolescents with IBD with healthy controls.MethodsForty-seven children and adolescents took part in the study. Of these, 23 were diagnosed with IBD (mean age: 13.88 years, 44% females). The IBD group was divided into a medically well adjusted “remission-group” (n = 14; IBD-RE) and a group with an “active state” of disease (n = 8; IBD-AD). Healthy controls (n = 24; HC) were age- and gender-matched. Participants’ anthropometric data, blood values and objective PA were assessed. Further, participants completed questionnaires covering socio-demographic data and psychological functioning.ResultsParticipants with IBD-AD showed higher erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) values, haemoglobin, and leukocyte values. IBD-AD had poorer psychological functioning and lower PA (average steps per day) compared to IBD-RE and HC. No mean differences were found between IBD-RE and HC.ConclusionsThe pattern of results suggests that effective medical treatment of IBD in children and adolescents is associated with favorable physiological parameters, psychological dimensions and PA. Psychological counselling of children and adolescents in an active state of IBD seem to be advised in addition to standard treatment schedules.Trial registrationNCT NCT02264275; Registered 8 October 2014.

【 授权许可】

CC BY   
© The Author(s). 2017