Feasibility Assessment of Cardiovascular Endurance Training for the Symptomatic Improvement of Irritable Bowel Syndrome Patients With a Sedentary and Non-active Lifestyle.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Change of IBS Symptom severity
研究概览
简要总结
This exploratory study's primary objective is the changes of irritable bowel syndrome (IBS) symptom severity by cardiovascular endurance training (CET) in relation to the baseline sedentary or non-active lifestyle. Secondary endpoints focus on the mechanisms associated with these changes.
These mechanisms relate to dietary adaptations, changes in anxiety, depressive comorbidity, somatisation, alterations in the gut microbiome or metabolome, body composition and measures of cardiovascular fitness. Virtually all IBS guidelines mention lifestyle modifications as a management option.
Research on the role of physical activity remains underassessed as compared to the other interventions. Therefore, an exploratory proof-of-concept study will investigate the influence of regular physical exercise on symptoms in a small group of IBS patients. This study will gather data on putative underlying mechanisms related to dietary factors, faecal microbiome and metabolome, mental well-being, body composition and cardiovascular fitness.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged 18 - 60 years;
- •Fulfilling the ROME IV criteria for Irritable bowel syndrome (IBS);
- •Moderate symptom severity as defined by a IBS-Symptom Severity Scale > 175;
- •Sedentary lifestyle defined as SIT-Q-7D > 8h/day;
- •Physically inactive defined as < 150min/week on the IPAQ score
排除标准
- •Cardiorespiratory disorder hampering participation in a program of physical exercise as evidenced by the sport + keuringsartsen (SKA) questionnaire.
- •Clinical suspicion of an organic disorder different from IBS (patients can be included when this disorder had been excluded);
- •Known inflammatory bowel disorder;
- •Known intestinal motility disorder;
- •Alcohol (defined as more than 14 U per week) or other substance abuse;
- •Active psychiatric disorder;
- •Known systemic or auto-immune disorder with implication for the GI system;
- •Prior abdominal surgery (with the exception of appendectomy or cholecystectomy more than 6 months ago);
- •Any prior diagnosis of cancer other than basocellular carcinoma;
- •Current chemotherapy;
- •History of gastro-enteritis in the past 8 weeks;
- •Change in diet in the past 8 weeks;
- •Dietary supplements unless taken at a stable dose for more than 8 weeks;
- •Antibiotics, pre-, pro-, post-biotics or any combination during the past 8 weeks;
- •Treatment with neuromodulators (one neuromodulator taken at a stable dose for more than 12 weeks is allowed);
- •Treatment with spasmolytic agents, opioids, loperamide, gelatine tannate or mucoprotect-ants during the past 8 weeks.
研究组 & 干预措施
Intervention arm
IBS subjects fulfilling the eligibility criteria will follow a structured and personalised cardiovascular endurance training (CET).
干预措施: Cardiovascular endurance training (Other)
结局指标
主要结局
Change of IBS Symptom severity
时间窗: from baseline to 12 weeks
this will be assessed after patients have done a cardiovascular endurance training
次要结局
- Change of IBS Symptom severity(from baseline to 6 weeks)