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Aerobic Exercise Training in Children and Adolescents with Inflammatory Bowel Disease: Influence on psychological Functioning, Sleep and Physical Performance

Published online by Cambridge University Press:  23 March 2020

L. Maehlmann ,
M. Gerber ,
R.I. Furlano ,
C. Légeret ,
N. Kalak ,
D. Sadeghi Bahmani ,
E. Holsboer-Trachsler  and
S. Brand
L. Maehlmann
Affiliation:
Psychiatric University Hospital, Center for Affective- Stress and Sleep Disorders, Basel, Switzerland
M. Gerber
Affiliation:
University of Basel, Department of Sport, Exercise and Health, Division of Sport and Psychosocial Health, Basel, Switzerland
R.I. Furlano
Affiliation:
University Children's Hospital Basel, Paediatric Gastroenterology & Nutrition, Basel, Switzerland
C. Légeret
Affiliation:
University Children's Hospital Basel, Paediatric Gastroenterology & Nutrition, Basel, Switzerland
N. Kalak
Affiliation:
Psychiatric University Hospital, Center for Affective- Stress and Sleep Disorders, Basel, Switzerland
D. Sadeghi Bahmani
Affiliation:
Psychiatric University Hospital, Center for Affective- Stress and Sleep Disorders, Basel, Switzerland
E. Holsboer-Trachsler
Affiliation:
Psychiatric University Hospital, Center for Affective- Stress and Sleep Disorders, Basel, Switzerland
S. Brand
Affiliation:
Psychiatric University Hospital, Center for Affective- Stress and Sleep Disorders, Basel, Switzerland

Abstract

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Background and aims

Patients with inflammatory bowel disease (IBD) report increased mental health issues, poorer sleep quality and less engagement in physical activity (PA). Standard treatment consists of immune modulating pharmaceuticals, though evidence is growing that aerobic exercise training (AET) might serve as adjuvant option to reduce disease symptoms and improve mental health. The aim of the present study was to investigate possible AET effects on psychological functioning, depressive symptoms, sleep and PA behavior in paediatric patients with IBD.

Methods

Twenty-one paediatric patients with IBD and 23 gender and age-matched healthy controls (HC) were assessed. The IBD group was split into a “remission-group” (IBD-RE; n = 14) and an “active disease group” (IBD-AD; n = 7). All participants completed an 8-week AET exergame intervention reaching 60–80% of maximal heart rate for 5 days per week. At baseline and after 8 weeks, psychological functioning, depressive symptoms, objective sleep EEG, subjective sleep and objective and subjective PA were assessed.

Results

AET significantly improved the exercise capacity of all participants. Self-reported fitness and daily PA behavior significantly increased in IBD-AD, but not in IBD-RE and HC. No improvements were observed for psychological functioning, depressive symptoms and subjective or objective sleep dimensions. Descriptively, the IBD-AD group reported lower psychological functioning and poorer subjective sleep quality.

Conclusions

Results suggest that children and adolescents in an active disease state were at increased risk to descriptively report lower scores of psychological functioning and sleep. Further, an exergaming intervention has the potential to improve exercise capacity, self-reported fitness and daily PA.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster walk: Child and adolescent psychiatry–part 1
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S124
Copyright
Copyright © European Psychiatric Association 2017
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