ArticleDigestive diseases (Basel, Switzerland)2026
Physical Activity Is Inversely Associated with Clinical Exacerbation in Patients with Crohn's Disease in Remission: A Prospective Cohort Study.
Article in Digestive diseases (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
<p>Introduction: Physical activity (PA) is associated with improved quality of life in patients with Crohn's disease (CD). However, evidence of its impact on the clinical course of the disease remains limited. We aimed to evaluate the association between PA and relapse incidence in patients with CD in clinical remission and its association with patient-reported outcome measures.
methodsA prospective cohort study of adult patients with CD in clinical remission was followed-up for 1 year or until relapse. At baseline, participants completed PA and nutritional questionnaires, and a patient-reported outcomes measurement information system. Multivariable Cox proportional hazards models assessed the association between PA and relapse risk, adjusted for confounders including fecal calprotectin.
resultsA total of 106 patients (mean age 37.9 ± 13.9 years) were followed-up for 9.9 ± 3.2 months, during which 23 (21.7%) experienced clinical relapse. PA at least twice a week was associated with a lower risk of relapse (HR = 0.26, 95% CI 0.09-0.79). Specifically, only aerobic activity was significantly associated with a reduced risk of relapse (HR = 0.31, 95% CI 0.10-0.95). High-resistance PA was significantly associated with better quality of life parameters, including pain interference (p = 0.013), sleep disturbance (p = 0.040), physical function (p = 0.029), and social roles (p = 0.020), while aerobic PA showed benefit in physical function (p = 0.016).
conclusionsPA in general, and specifically aerobic PA, is associated with a lower risk of relapse in patients with CD in remission, while resistance PA is associated with a better quality of life. These findings highlight the importance of incorporating PA into CD management in remission state. </p>.
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