P1194Assessment of physical activity in Paediatric Inflammatory Bowel Disease

Background Inflammatory Bowel Disease (IBD) is a chronic condition with a rising incidence among children and adolescents, impacting growth, development, and quality of life. Regular physical activity (PA) is associated with clinical and psychosocial benefits and is routinely encouraged during the follow-up of paediatric patients. However, the levels of PA among young adults with a paediatric-onset diagnosis of IBD remain poorly characterised. Methods We performed a prospective study that assessed PA levels in patients born up to 31 December 2002 who had previously been followed at our Paediatric Gastroenterology Unit. The International Physical Activity Questionnaire (IPAQ – short version) was applied through phone contact, and a descriptive analysis was performed. Results The initial sample included 198 patients; 130 completed the survey. The median current age was 24 years (22–29), with 58 females. Regarding diagnosis, 91 had Crohn’s Disease, 37 Ulcerative Colitis, and 2 Indeterminate Colitis. At the time of the survey, ten patients had mild active disease, eight were in clinical remission, and 112 were in both clinical and analytical remission. Twenty-one had undergone disease-related surgery. According to the IPAQ, 18 presented a high level of PA, 54 a moderate level, 53 a low level, and 5 reported no physical activity. Of the 5 who did not engage in PA, one had mild active disease and had undergone partial colectomy. The median sitting time was 420 min/day (7 h/day) on weekdays and 360 min/day (6 h/day) at weekends. Conclusion The majority of participants were in clinical and/or analytical remission (92.3%), of whom 55% showed moderate to high levels of PA. Early and continuous promotion of healthy lifestyle habits, including regular physical activity, should be integrated into the lifelong follow-up of these patients and encouraged in an individualised manner, tailored to their clinical condition, in order to minimise the impact of inactivity on their overall health. Conflict of interest: Dr. Amorim, Rita: No conflict of interest Lopes de Magalhães, Teresa: No conflict of interest Sousa, Beatriz: No conflict of interest Moreira, Tatiana: No conflict of interest Pinto Pais, Isabel: No conflict of interest Espinheira, Maria do Céu: No conflict of interest Trindade, Eunice Claudia Moreno: None