Physical activity and fatigue in adults with Inflammatory Bowel Disease (IBD): a systematic review

Radford, Shellie J.; Janiszewski, Helen; Moran, Gordon W.

Abstract

Background: Fatigue is frequently reported in inflammatory bowel disease (IBD). IBD has been shown to have an impact on, and be impacted by, physical activity levels in IBD patients, Yet, to date, there have been no systematic reviews considering the impact of physical activity on levels of IBD fatigue.

Aim: This aim of this review is to explore the current body of knowledge of what kind of physical activity interventions are available to treat IBD fatigue.

Methods: Systematic database searchs (CINAHL, EMBASE, PsychInfo, PsycARTICLES, AMED, Medline) and hand searching were conducted on 03/03/2019. Searches were restricted to ‘human’, ‘adult’, ‘primary research’ and ‘English language’
publications. No time limit was set. Quality appraisal and data extraction was undertaken by at least 2 reviewers.

Results: searches yielded 32 publications; 2 studies were included in the review. Physical activity is inhibited by higher fatigue levels, lowering HRQoL, but also as a means of reducing fatigue, subsequently improving HRQoL.

Conclusion: There was very little data eligible for inclusion in this review, and it was not of a high quality. The findings of the review suggest that physical activity may be beneficial for IBD fatigue, but this cannot be definitively stated. Evidence suggests physical activity is safe to undertake in active disease, therefore better-quality studies
are needed in this area.

Citation

Radford, S. J., Janiszewski, H., & Moran, G. W. (2019). Physical activity and fatigue in adults with Inflammatory Bowel Disease (IBD): a systematic review. Gastrointestinal Nursing, 17(9), 16-21. https://doi.org/10.12968/gasn.2019.17.9.16

• Journal Article Type: Article
• Acceptance Date: Jul 18, 2019
• Online Publication Date: Nov 20, 2019
• Publication Date: Nov 2, 2019
• Deposit Date: Jul 22, 2019
• Publicly Available Date: May 3, 2020
• Journal: Gastrointestinal Nursing
• Print ISSN: 1479-5248
• Electronic ISSN: 2052-2835
• Publisher: Mark Allen Healthcare
• Peer Reviewed: Peer Reviewed
• Volume: 17
• Issue: 9
• Pages: 16-21
• DOI: https://doi.org/10.12968/gasn.2019.17.9.16
• Keywords: Inflammatory Bowel Disease; Fatigue; Physical activity; Quality of life; Crohn's Disease; Ulcerative Colitis
• Public URL: https://nottingham-repository.worktribe.com/output/2329017
• Publisher URL: https://www.magonlinelibrary.com/doi/full/10.12968/gasn.2019.17.9.16
• Additional Information: This document is the Accepted Manuscript version of a Published Work that appeared in final form in Gastrointestinal Nursing copyright ©2019 MA Healthcare, after peer review and technical editing by the publisher. To access the final edited and published work see https://www.magonlinelibrary.com/doi/full/10.12968/gasn.2019.17.9.16
• Contract Date: Jul 22, 2019