MedPath

Health-related Physical Fitness in Patients with Inflammatory Bowel Disease

Completed
Conditions
Ulcerative Colitis
Crohn Disease
Inflammatory Bowel Diseases
Interventions
Diagnostic Test: Health-related physical fitness assessment
Registration Number
NCT05482932
Lead Sponsor
Maastricht University Medical Center
Brief Summary

Rationale: Existing literature suggests an impaired health-related physical fitness (HRPF) (i.e., body composition, aerobic capacity, muscular strength, muscular endurance, and flexibility) in patients with inflammatory bowel disease (IBD). However, previous studies did not assess HRPF with the 5- component multidimensional concept. HRPF is not routinely screened for and measured within the IBD population in clinical practice. The lack of a simple screening tool and assessment method for HRPF validated for the IBD population hinders the ability to distinguish patients with IBD with adequate physical fitness from those who might benefit from physical exercise interventions targeting specific components. Gold standard measures are too expensive and too complex to implement in daily practice and therefore a screening tool and a simpler assessment battery for HRPF validated in patients with IBD are needed. It is necessary to obtain more objective insights into the specific components of HRPF affected in patients with IBD, and its association with patient-, disease-, and treatment-related factors in order to implement systematic screening in routine care and subsequently offer tailored physical exercise interventions.

Objective: The main objective of this study is to validate a simple screening tool and a best-practice assessment battery for the different components of HRPF against gold standard measures. Secondary objectives are to objectively assess the incidence of specific components affected in patients with IBD compared to healthy control subjects and to explore the association between these components of HRPF affected and patient-, disease-, and treatment-related factors.

Detailed Description

The study involves one or two study visits for patients with IBD and only one study visit for healthy volunteers. During the first study visit, all participants (n=200) will perform the tests of the assessment battery for HRPF and complete several questionnaires. A representative subgroup of patients with IBD will undergo the gold standard measurements for HRPF during a second study visit. Furthermore, total physical activity measured by accelerometry will be measured in this subgroup of patients.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
200
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Healthy volunteers without IBDHealth-related physical fitness assessment150 healthy volunteers (without IBD)
Patients with IBDHealth-related physical fitness assessment150 patients with IBD; either Ulcerative Colitis (N=75) or Crohns disease (N=75)
Primary Outcome Measures
NameTimeMethod
Veterans-Specific Activity QuestionnaireStudy visit 1, at time of inclusion (cross sectional study design)

Outcome: estimated METs

Sum of 4 skinfold thicknessessStudy visit 1, at time of inclusion (cross sectional study design)

Outcome: % body fat, fat mass, fat free mass

Duke Activity Status IndexStudy visit 1, at time of inclusion (cross sectional study design)

Outcome: estimated VO2peak

Mid upper arm circumferenceStudy visit 1, at time of inclusion (cross sectional study design)

Outcome: cm

sit-and-reach testStudy visit 1, at time of inclusion (cross sectional study design)

Outcome: cm

Biodex 4 Pro dynamometry (Only applicable for first 50 included patients with IBD)Study visit 2, 7 to 14 days after inclusion (cross sectional study design)

Outcome: peak torque

Waist circumferenceStudy visit 1, at time of inclusion (cross sectional study design)

Outcome: cm

Handgrip enduranceStudy visit 1, at time of inclusion (cross sectional study design)

Outcome: seconds to task failure (sec)

1 minute sit-to-stand testStudy visit 1, at time of inclusion (cross sectional study design)

Outcome: repetitions

Bioelectrical impedance analysisStudy visit 1, at time of inclusion (cross sectional study design)

Outcome: % body fat, fat mass, fat free mass

Cardiopulmonary exercise test (Only applicable for first 50 included patients with IBD)Study visit 2, 7 to 14 days after inclusion (cross sectional study design)

Outcome: VO2max/VO2peak)

Steep ramp test (peak work rate)Study visit 1, at time of inclusion (cross sectional study design)

Outcome: peak work rate

Handgrip strengthStudy visit 1, at time of inclusion (cross sectional study design)

Outcome: kg

Handheld dynamometryStudy visit 1, at time of inclusion (cross sectional study design)

Outcome: peak torque

Deuterium oxide dilution (Only applicable for first 50 included patients with IBD)Study visit 2, 7 to 14 days after inclusion (cross sectional study design)

Outcome: % body fat, fat mass, fat free mass).

Secondary Outcome Measures
NameTimeMethod
Total physical activity measured with accelerometer (Only applicable for first 50 included patients with IBD)7 days (between 1st and 2nd study visit)

Outcome: total physical activity, number of steps and intensity, time spent in posture and intensity

International Physical Activity QuestionnaireStudy visit 1, at time of inclusion (cross sectional study design)

Outcome: MET min/week

Checklist Individual StrengthStudy visit 1, at time of inclusion (cross sectional study design)

Outcome: fatigue

Trial Locations

Locations (1)

Maastricht University Medical Center +

🇳🇱

Maastricht, Limburg, Netherlands

© Copyright 2025. All Rights Reserved by MedPath