Sa1877 – Individualised, Unsupervised Exercise Program Achieves High Levels of Compliance and Improvements in Patient Reported Outcomes - a Prospective Cohort Study in Patients with Ibd

Effects of structured exercise programmes on physiological and psychological outcomes in adults with inflammatory bowel disease (IBD): A systematic review and meta-analysis

“…Reasons for exclusion from the meta-analysis were: uncontrolled trials (n = 6) [ 29 , 30 , 33 , 43 – 45 ], outcome measures (n = 2) [ 46 , 47 ] and a cross-over RCT design (n = 1) [ 27 ]. The latter study was excluded from the meta-analysis as guidance for incorporating cross-over trials into a meta-analysis could not be followed, in accordance with the Cochrane Handbook (Section 16.4.5), for the subsequent reasons: (1) it could not be demonstrated that the results approximate those from a paired analysis, as data was reported as median and interquartile ranges and not listed as a method of analysis for cross-over trials (Section 16.4.4), (2) a second approach including only data from the first period could not be performed as this was not reported and (3) to impute standard deviations to attempt to approximate a paired analysis was not achievable as only medians had been reported, which are often use because the data are skewed (Section 7.7.3.5).…”

“…Included studies comprised of 637 participants (36% males), with the sample size ranging from 9 to 82 per intervention, 0 to 57 per control group and from 9 to 107 per study. Seven studies [ 27 , 29 – 31 , 33 , 45 , 47 , 52 ] included both CD and UC participants, six [ 31 , 32 , 43 , 44 , 46 , 48 ] included CD participants only and one [ 49 ] included UC participants only. Study participants were described as in remission [ 27 , 30 , 47 , 49 ], with an inactive to mildly active disease [ 28 , 29 , 31 – 33 , 43 , 48 , 52 ], mild to moderately active disease [ 46 ] and two studies did not specify disease status [ 44 , 45 ].…”

“…Four studies delivered a supervised and unsupervised intervention [ 28 , 32 , 33 , 49 ], with two encouraging unsupervised exercise participation throughout [ 32 , 49 ] and one encouraging participants to follow a similar exercise regime following the supervised training period [ 28 ]. Programmes were delivered in a home-based setting [ 29 , 31 , 46 – 48 ], University exercise science facility [ 28 , 32 , 43 ], University gym [ 27 ] or not specifically reported [ 30 , 33 , 49 , 52 ]. The providers of the intervention included study investigators [ 28 , 32 , 52 ], physiotherapists [ 30 ], qualified instructors [ 27 , 33 , 45 , 47 , 49 ] or not reported [ 46 ].…”

“…Six (40%) of the studies required no equipment to deliver the intervention [ 29 , 31 , 47 , 49 , 52 ], five used specialised exercise machines [ 27 , 28 , 30 , 44 , 45 ], heart rate monitors were used in two studies [ 43 , 48 ] and resistance bands or tubing were used in two studies [ 32 , 46 ].…”

“…Motivational strategies within the exercise interventions included: written instructional exercise booklets [ 29 , 31 , 32 , 46 , 47 , 49 ] or as a smartphone application [ 31 , 33 ], support meetings [ 46 ], online videos [ 33 ], telephone support and motivation calls [ 32 , 47 ] and goal setting [ 32 ].…”