{"id":2431,"date":"2023-01-24T13:46:53","date_gmt":"2023-01-24T12:46:53","guid":{"rendered":"https:\/\/angh.net\/abstracts\/impact-dune-activite-physique-reguliere-sur-la-qualite-de-vie-des-patients-suivis-sur-une-mici\/"},"modified":"2023-01-24T13:46:53","modified_gmt":"2023-01-24T12:46:53","slug":"impact-dune-activite-physique-reguliere-sur-la-qualite-de-vie-des-patients-suivis-sur-une-mici","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/impact-dune-activite-physique-reguliere-sur-la-qualite-de-vie-des-patients-suivis-sur-une-mici\/","title":{"rendered":"Impact d\u2019une activit\u00e9 physique r\u00e9guli\u00e8re sur la qualit\u00e9 de vie des patients suivis sur une MICI"},"content":{"rendered":"

2022<\/strong><\/p>\n

Marine Jeay, Gilles Macaigne, Fr\u00e9d\u00e9ric Heluwaert, Florence Skinazi, Emmanuel Cuillerier \u2026. ,Anne Buisson, Alain Olympie, Pierre Lahmek, St\u00e9phane Nahon<\/em><\/p>\n

Gastroent\u00e9rologie <\/strong>– \u00a02022-05-06 –\u00a0CO –<\/p>\n

________________________________<\/p>\n

Introduction : Le b\u00e9n\u00e9fice d\u2019une activit\u00e9 physique (AP) r\u00e9guli\u00e8re et adapt\u00e9e (APA) est d\u00e9montr\u00e9 au cours des maladies chroniques et peut faire l\u2019objet d\u2019une prescription m\u00e9dicale. Cependant l\u2019APA est peu connue de nos patients. L\u2019objectif de cette enqu\u00eate \u00e9tait de d\u00e9crire les facteurs associ\u00e9s \u00e0 la pratique d\u2019une AP dans une cohorte de patients suivis pour une MICI, ainsi que son impact sur leur qualit\u00e9 de vie.
\nPatients et M\u00e9thodes : Un questionnaire explorant l\u2019activit\u00e9 physique et ses cons\u00e9quences sur la MICI et la qualit\u00e9 de vie a \u00e9t\u00e9 propos\u00e9 aux patients suivis pour une MICI via les r\u00e9seaux sociaux de l\u2019Association Fran\u00e7ois Aupetit et en consultation dans des centres hospitaliers. Les r\u00e9ponses \u00e9taient renseign\u00e9es sur internet de fa\u00e7on anonyme par les patients entre juin et octobre 2021. L\u2019intensit\u00e9 de l\u2019AP \u00e9tait \u00e9valu\u00e9e par le score IPAQ (l\u00e9g\u00e8re, mod\u00e9r\u00e9e et intense), la fatigue par le score FACIT (plus le score est \u00e9lev\u00e9 moins la fatigue est importante) et l\u2019anxi\u00e9t\u00e9-d\u00e9pression par le score HAD. Nous avons \u00e9tudi\u00e9 en analyse multivari\u00e9e les facteurs associ\u00e9s \u00e0 une activit\u00e9 mod\u00e9r\u00e9e \u00e0 intense sur : la MICI, la qualit\u00e9 de vie mais aussi les b\u00e9n\u00e9fices en relation avec l\u2019AP et les freins \u00e0 sa pratique.
\nR\u00e9sultats : 538 patients dont 382 femmes (71%), \u00e2g\u00e9s en moyenne de 37,7 \u00b111,2 ans ont r\u00e9pondu \u00e0 cette enqu\u00eate ; 298 (55%) \u00e9taient suivis pour une maladie de Crohn, 187 (35%) se consid\u00e9raient en pouss\u00e9e. 350 (65%) \u00e9taient trait\u00e9s par bioth\u00e9rapie. 145 (27%) avaient une atteinte articulaire associ\u00e9e.
\nEn analyse univari\u00e9e, la pratique d\u2019une AP mod\u00e9r\u00e9e ou intense \u00e9tait associ\u00e9e \u00e0 un score FACIT plus \u00e9lev\u00e9 (p<0,001), un score de d\u00e9pression plus bas (p<0,001), et la sensation d\u2019\u00eatre en bonne sant\u00e9 (p<0,001). Un tabagisme actif d\u2019au moins 5 paquets-ann\u00e9es (PA) \u00e9tait associ\u00e9 \u00e0 une AP l\u00e9g\u00e8re (p<0,01). Ni les sympt\u00f4mes de la MICI, ni une atteinte articulaire n\u2019\u00e9taient associ\u00e9s \u00e0 une AP l\u00e9g\u00e8re. De m\u00eame, un traitement par bioth\u00e9rapie ou un ant\u00e9c\u00e9dent de chirurgie digestive n\u2019influaient pas l\u2019AP. \nEn analyse multivari\u00e9e, le fait de se consid\u00e9rer en bonne sant\u00e9 (OR 1,86 ; IC95% [1,10 ; 3,15] ; p=0,022), une fatigue moins importante (OR 1,02 ; IC95% [1,004 ; 1,044] ; p=0,019) et un niveau d\u2019\u00e9tudes sup\u00e9rieures (OR 1,93 ; IC95% [1,24 ; 3,00] ; p=0,004) \u00e9taient associ\u00e9es significativement \u00e0 une AP mod\u00e9r\u00e9e \u00e0 intense.\nApr\u00e8s une s\u00e9ance d\u2019AP, les trois principaux param\u00e8tres rapport\u00e9s comme \u00e9tant am\u00e9lior\u00e9s \u00e9taient l\u2019\u00e9tat \u00e9motionnel (81%), le sommeil (68%), et la fatigue (54%). Une diminution des douleurs abdominales et articulaires \u00e9tait signal\u00e9e chez respectivement 31% et 29% des patients et 37% d\u2019entre eux estimaient que leur transit \u00e9tait am\u00e9lior\u00e9. \nParmi les facteurs pouvant limiter la pratique d\u2019une AP, les principaux identifi\u00e9s \u00e9taient : la fatigue chez respectivement 76% des patients en pouss\u00e9e et 47% en r\u00e9mission, les douleurs abdominales et la diarrh\u00e9e chez 64% des patients en pouss\u00e9e. 38% des patients en pouss\u00e9e estimaient que le manque d\u2019acc\u00e8s aux sanitaires limitait leur AP. Un manque de motivation \u00e9tait un frein chez 54% des patients en pouss\u00e9e et 33% des patients en r\u00e9mission. Enfin, le manque de moyen financier \u00e9tait identifi\u00e9 chez 20% des patients. 84% des patients n\u2019avaient jamais entendu parler de l\u2019APA et 60% d\u2019entre eux se disaient favorables \u00e0 un accompagnement dans un programme d\u2019APA notamment en groupe. \nConclusion : \nDans cette large enqu\u00eate, la pratique d\u2019une AP mod\u00e9r\u00e9e \u00e0 intense chez les patients suivis pour une MICI \u00e9tait associ\u00e9e \u00e0 un score de d\u00e9pression plus bas et une fatigue moins importante qu\u2019en cas d\u2019AP l\u00e9g\u00e8re. Par ailleurs, les patients ayant une AP r\u00e9guli\u00e8re ressentaient une am\u00e9lioration de leur \u00e9tat de sant\u00e9. Certains facteurs en limitent la pratique : le manque de motivation, la n\u00e9cessit\u00e9 de conseils adapt\u00e9s : ceux-ci pouvant \u00eatre rem\u00e9di\u00e9s par la mise en place de programmes d\u2019APA. L\u2019APA appara\u00eet donc comme un outil \u00e0 associer aux th\u00e9rapies m\u00e9dicamenteuses dans la prise en charge des MICI.\n<\/p>\n","protected":false},"excerpt":{"rendered":"

2022 Marine Jeay, Gilles Macaigne, Fr\u00e9d\u00e9ric Heluwaert, Florence Skinazi, Emmanuel Cuillerier \u2026. ,Anne Buisson, Alain Olympie, Pierre Lahmek, St\u00e9phane Nahon Gastroent\u00e9rologie – \u00a02022-05-06 –\u00a0CO – ________________________________ Introduction : Le b\u00e9n\u00e9fice d\u2019une activit\u00e9 physique (AP) r\u00e9guli\u00e8re et adapt\u00e9e (APA) est d\u00e9montr\u00e9 au cours des maladies chroniques et peut faire l\u2019objet d\u2019une prescription m\u00e9dicale. Cependant l\u2019APA est […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[4],"tags":[35],"class_list":["post-2431","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-35"],"yoast_head":"\nImpact d\u2019une activit\u00e9 physique r\u00e9guli\u00e8re sur la qualit\u00e9 de vie des patients suivis sur une MICI - Abstracts des congr\u00e8s de l'ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/impact-dune-activite-physique-reguliere-sur-la-qualite-de-vie-des-patients-suivis-sur-une-mici\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Impact d\u2019une activit\u00e9 physique r\u00e9guli\u00e8re sur la qualit\u00e9 de vie des patients suivis sur une MICI - 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