Journal of Crohn's and Colitis, 2018, 1–1 doi:10.1093/ecco-jcc/jjy026 Letter to the Editor Letter to the Editor Jacob Lambdin, Anthony Rowe, Marie Borum George Washington University Medical Center, Division of Gastroenterology and Liver Diseases, Washington, DC, USA Corresponding author: Marie Borum, MD, EdD, MPH, George Washington University Health Center, Division of Gastroenterology and Liver Diseases, 2150 Pennsylvania Avenue, Suite #3-405, Washington, DC 20037, USA. Email: Mborum@mfa.gwu.edu We have read with great interest the letter to the editor by Lykouras foundation for future research. Increased efforts should be made to 1 2 et al. as well as the response to that letter by Reboredo et al. We assess and recommend physical activity in all IBD patients to opti- appreciate the study performed by Lykouras et al. and agree with mize outcomes. the hypothesis proposed by Reboredo et al. that the difference in cardiopulmonary exercise testing [CPET] observed between patients Funding with and without inflammatory bowel disease [IBD] is likely due to changes in the skeletal muscle. Although it is becoming increas- There is no funding for this work. ingly clear that physical exercise has an important role to play in the management and prevention of inflammatory bowel diseases, it Conflict of Interest is unclear if physicians are incorporating this information into their regular practice. The authors have no conflicts of interest or connections which may bias this We performed a chart review of consecutive patients with inflam - work. matory bowel disease, seen during a 6-month period. Patient age, gender, and disease type were obtained. Charts were reviewed for Author Contributions any documentation of discussion pertaining to physical activity or exercise regimens. Records of 268 patients [118 men, 150 women; JL performed the conception and design of the study, analysis, and interpret- mean age 43] were reviewed. Of these, 158 had Crohn’s disease, 109 ation of data, drafting the article or revising it critically for important intellec- had ulcerative colitis [UC], and one had indeterminate colitis; 98 tual content, and final approval of the version to be submitted. AR performed the conception and design of the study, analysis and interpretation of data, [36.57%] patients [30 males, 68 females; 57 Crohn’s disease, 41 UC] drafting the article or revising it critically for important intellectual content, had a discussion about physical activity. There was a significant dif - and final approval of the version to be submitted. MB performed the con - ference [p = 0.0125] in the proportion of females [68/150; 45.33%] ception and design of the study, analysis and interpretation of data, drafting discussing exercise with physicians compared with males [30/118; the article or revising it critically for important intellectual content, and final 25.42%]. There was no significant difference [ p = 0.7978] in the rate approval of the version to be submitted. of exercise discussion based upon disease type. Physical activity can positively influence outcomes in IBD. This study reveals that exercise is infrequently discussed with IBD References patients by gastroenterologists. Notably, physicians discussed exer- 1. Lykouras D, Karkoulias K, Triantos C. Physical exercise in patients with cise more frequently with their female patients than with their male inflammatory bowel disease. J Crohns Colitis 2017;11:1024. patients. Although this study is limited due to small sample size, sin- 2. Reboredo M, Pinheriro B, Chebli J. Physical exercise programmes in gle institutional design, and reliance upon documentation, it offers a patients with inflammatory bowel disease. J Crohns Colitis 2017;11:1286. Copyright © 2018 European Crohn’s and Colitis Organisation (ECCO). Published by Oxford University Press. All rights reserved. For permissions, please email: firstname.lastname@example.org Downloaded from https://academic.oup.com/ecco-jcc/advance-article-abstract/doi/10.1093/ecco-jcc/jjy026/4911522 by Ed 'DeepDyve' Gillespie user on 07 June 2018
Journal of Crohn's and Colitis – Oxford University Press
Published: Feb 27, 2018
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