Stepping it up: Physical activity is associated with a lower incidence of prolonged gastric transit time in capsule endoscopy
Background and Aim Physical activity has been proposed as a potential factor influencing capsule endoscopy (CE) gastric transit time (GTT). However, there is no reported factual evidence confirming this association. We aimed to prospectively assess the effect of physical activity in the first hour o...
Gespeichert in:
| Veröffentlicht in: | Journal of gastroenterology and hepatology 2023-03, Vol.38 (3), p.404-409 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 409 |
|---|---|
| container_issue | 3 |
| container_start_page | 404 |
| container_title | Journal of gastroenterology and hepatology |
| container_volume | 38 |
| creator | Macedo Silva, Vítor Lima Capela, Tiago Freitas, Marta Arieira, Cátia Xavier, Sofia Boal Carvalho, Pedro Rosa, Bruno Moreira, Maria João Cotter, José |
| description | Background and Aim
Physical activity has been proposed as a potential factor influencing capsule endoscopy (CE) gastric transit time (GTT). However, there is no reported factual evidence confirming this association. We aimed to prospectively assess the effect of physical activity in the first hour of CE in the occurrence of prolonged GTT.
Methods
This is a prospective study including consecutive patients undergoing CE. For each patient, a step counter was attached to the CE register. The number of steps during the first hour of the procedure was registered. The main outcome was prolonged GTT (CE remaining in the stomach for > 1 h). Outcomes were adjusted for possible confounders by multivariate analysis.
Results
We included 100 patients, 60% undergoing small bowel CE and 40% colon CE. The mean number of steps in the first hour was significantly lower in patients with prolonged GTT (2009 ± 1578 steps) comparatively with those without prolonged GTT (3597 ± 1889 steps) (P |
| doi_str_mv | 10.1111/jgh.16074 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2738490181</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2785191297</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3134-4ca984acf12a0030b4a2ca09757f68105465f6a4349d62518af85af5a0d72ac23</originalsourceid><addsrcrecordid>eNp10c1L5DAYx_GwrDjjy2H_gSWwl_VQfdImbbM3EV8ZUFDP5TFNZzJ0mm6S7tCD_7vRuh4Ec8nlw5cHfoT8YHDM4jtZL1fHLIeCfyNzxjkkrOD5dzKHkolEZkzOyJ73awDgUIhdMstyDjLN5Zw83wfd96ZbUhPo0P-hd6vRG4UtRRXMPxNGajxF760yGHRNtyasKNLWbrWjplOm1p3S1Da0d7a13TKaJfrgjKLBYedjN5iNjpYq7P3Qaqq72npl-_GA7DTYen34_u-Tx4vzh7OrZHF7eX12ukhUxjKecIWy5KgaliJABk8cU4UgC1E0eclA8Fw0OfKMyzpPBSuxKQU2AqEuUlRptk9-T914499B-1BtjFe6bbHTdvBVWmQll8BKFumvT3RtB9fF66IqBZMslUVUR5NSznrvdFP1zmzQjRWD6nWTKm5SvW0S7c_34vC00fWH_D9CBCcT2JpWj1-XqpvLqyn5AttWlig</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2785191297</pqid></control><display><type>article</type><title>Stepping it up: Physical activity is associated with a lower incidence of prolonged gastric transit time in capsule endoscopy</title><source>MEDLINE</source><source>Wiley Online Library All Journals</source><creator>Macedo Silva, Vítor ; Lima Capela, Tiago ; Freitas, Marta ; Arieira, Cátia ; Xavier, Sofia ; Boal Carvalho, Pedro ; Rosa, Bruno ; Moreira, Maria João ; Cotter, José</creator><creatorcontrib>Macedo Silva, Vítor ; Lima Capela, Tiago ; Freitas, Marta ; Arieira, Cátia ; Xavier, Sofia ; Boal Carvalho, Pedro ; Rosa, Bruno ; Moreira, Maria João ; Cotter, José</creatorcontrib><description>Background and Aim
Physical activity has been proposed as a potential factor influencing capsule endoscopy (CE) gastric transit time (GTT). However, there is no reported factual evidence confirming this association. We aimed to prospectively assess the effect of physical activity in the first hour of CE in the occurrence of prolonged GTT.
Methods
This is a prospective study including consecutive patients undergoing CE. For each patient, a step counter was attached to the CE register. The number of steps during the first hour of the procedure was registered. The main outcome was prolonged GTT (CE remaining in the stomach for > 1 h). Outcomes were adjusted for possible confounders by multivariate analysis.
Results
We included 100 patients, 60% undergoing small bowel CE and 40% colon CE. The mean number of steps in the first hour was significantly lower in patients with prolonged GTT (2009 ± 1578 steps) comparatively with those without prolonged GTT (3597 ± 1889 steps) (P < 0.001). On multivariate analysis including significant confounders, steps in the first hour were an independent predictor of prolonged GTT (P = 0.018).
Single‐handedly, the number of steps taken in the first hour had a good acuity for predicting prolonged GTT (area under the curve = 0.74; P < 0.001), with an optimal cut‐off of 2000 steps (sensitivity 81.3% and specificity 70%).
Conclusions
Physical activity during the first hour of CE significantly decreased the occurrence of prolonged GTT. These findings pave the way for further definition of clear instructions to give to patients undergoing CE.</description><identifier>ISSN: 0815-9319</identifier><identifier>EISSN: 1440-1746</identifier><identifier>DOI: 10.1111/jgh.16074</identifier><identifier>PMID: 36409269</identifier><language>eng</language><publisher>Australia: Wiley Subscription Services, Inc</publisher><subject>Acuity ; capsule endoscopy ; Capsule Endoscopy - methods ; Endoscopy ; Exercise ; Gastrointestinal Transit ; Humans ; Incidence ; Multivariate analysis ; Physical activity ; prolonged gastric transit time ; Prospective Studies ; quality in capsule endoscopy ; Stomach</subject><ispartof>Journal of gastroenterology and hepatology, 2023-03, Vol.38 (3), p.404-409</ispartof><rights>2022 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.</rights><rights>2023 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3134-4ca984acf12a0030b4a2ca09757f68105465f6a4349d62518af85af5a0d72ac23</cites><orcidid>0000-0001-6214-0584 ; 0000-0002-7811-1101 ; 0000-0003-2885-0720 ; 0000-0001-8001-9067 ; 0000-0001-7381-5532 ; 0000-0002-1782-6373 ; 0000-0002-8010-4410 ; 0000-0002-3442-3939 ; 0000-0002-2921-0648</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjgh.16074$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjgh.16074$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36409269$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Macedo Silva, Vítor</creatorcontrib><creatorcontrib>Lima Capela, Tiago</creatorcontrib><creatorcontrib>Freitas, Marta</creatorcontrib><creatorcontrib>Arieira, Cátia</creatorcontrib><creatorcontrib>Xavier, Sofia</creatorcontrib><creatorcontrib>Boal Carvalho, Pedro</creatorcontrib><creatorcontrib>Rosa, Bruno</creatorcontrib><creatorcontrib>Moreira, Maria João</creatorcontrib><creatorcontrib>Cotter, José</creatorcontrib><title>Stepping it up: Physical activity is associated with a lower incidence of prolonged gastric transit time in capsule endoscopy</title><title>Journal of gastroenterology and hepatology</title><addtitle>J Gastroenterol Hepatol</addtitle><description>Background and Aim
Physical activity has been proposed as a potential factor influencing capsule endoscopy (CE) gastric transit time (GTT). However, there is no reported factual evidence confirming this association. We aimed to prospectively assess the effect of physical activity in the first hour of CE in the occurrence of prolonged GTT.
Methods
This is a prospective study including consecutive patients undergoing CE. For each patient, a step counter was attached to the CE register. The number of steps during the first hour of the procedure was registered. The main outcome was prolonged GTT (CE remaining in the stomach for > 1 h). Outcomes were adjusted for possible confounders by multivariate analysis.
Results
We included 100 patients, 60% undergoing small bowel CE and 40% colon CE. The mean number of steps in the first hour was significantly lower in patients with prolonged GTT (2009 ± 1578 steps) comparatively with those without prolonged GTT (3597 ± 1889 steps) (P < 0.001). On multivariate analysis including significant confounders, steps in the first hour were an independent predictor of prolonged GTT (P = 0.018).
Single‐handedly, the number of steps taken in the first hour had a good acuity for predicting prolonged GTT (area under the curve = 0.74; P < 0.001), with an optimal cut‐off of 2000 steps (sensitivity 81.3% and specificity 70%).
Conclusions
Physical activity during the first hour of CE significantly decreased the occurrence of prolonged GTT. These findings pave the way for further definition of clear instructions to give to patients undergoing CE.</description><subject>Acuity</subject><subject>capsule endoscopy</subject><subject>Capsule Endoscopy - methods</subject><subject>Endoscopy</subject><subject>Exercise</subject><subject>Gastrointestinal Transit</subject><subject>Humans</subject><subject>Incidence</subject><subject>Multivariate analysis</subject><subject>Physical activity</subject><subject>prolonged gastric transit time</subject><subject>Prospective Studies</subject><subject>quality in capsule endoscopy</subject><subject>Stomach</subject><issn>0815-9319</issn><issn>1440-1746</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10c1L5DAYx_GwrDjjy2H_gSWwl_VQfdImbbM3EV8ZUFDP5TFNZzJ0mm6S7tCD_7vRuh4Ec8nlw5cHfoT8YHDM4jtZL1fHLIeCfyNzxjkkrOD5dzKHkolEZkzOyJ73awDgUIhdMstyDjLN5Zw83wfd96ZbUhPo0P-hd6vRG4UtRRXMPxNGajxF760yGHRNtyasKNLWbrWjplOm1p3S1Da0d7a13TKaJfrgjKLBYedjN5iNjpYq7P3Qaqq72npl-_GA7DTYen34_u-Tx4vzh7OrZHF7eX12ukhUxjKecIWy5KgaliJABk8cU4UgC1E0eclA8Fw0OfKMyzpPBSuxKQU2AqEuUlRptk9-T914499B-1BtjFe6bbHTdvBVWmQll8BKFumvT3RtB9fF66IqBZMslUVUR5NSznrvdFP1zmzQjRWD6nWTKm5SvW0S7c_34vC00fWH_D9CBCcT2JpWj1-XqpvLqyn5AttWlig</recordid><startdate>202303</startdate><enddate>202303</enddate><creator>Macedo Silva, Vítor</creator><creator>Lima Capela, Tiago</creator><creator>Freitas, Marta</creator><creator>Arieira, Cátia</creator><creator>Xavier, Sofia</creator><creator>Boal Carvalho, Pedro</creator><creator>Rosa, Bruno</creator><creator>Moreira, Maria João</creator><creator>Cotter, José</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6214-0584</orcidid><orcidid>https://orcid.org/0000-0002-7811-1101</orcidid><orcidid>https://orcid.org/0000-0003-2885-0720</orcidid><orcidid>https://orcid.org/0000-0001-8001-9067</orcidid><orcidid>https://orcid.org/0000-0001-7381-5532</orcidid><orcidid>https://orcid.org/0000-0002-1782-6373</orcidid><orcidid>https://orcid.org/0000-0002-8010-4410</orcidid><orcidid>https://orcid.org/0000-0002-3442-3939</orcidid><orcidid>https://orcid.org/0000-0002-2921-0648</orcidid></search><sort><creationdate>202303</creationdate><title>Stepping it up: Physical activity is associated with a lower incidence of prolonged gastric transit time in capsule endoscopy</title><author>Macedo Silva, Vítor ; Lima Capela, Tiago ; Freitas, Marta ; Arieira, Cátia ; Xavier, Sofia ; Boal Carvalho, Pedro ; Rosa, Bruno ; Moreira, Maria João ; Cotter, José</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3134-4ca984acf12a0030b4a2ca09757f68105465f6a4349d62518af85af5a0d72ac23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Acuity</topic><topic>capsule endoscopy</topic><topic>Capsule Endoscopy - methods</topic><topic>Endoscopy</topic><topic>Exercise</topic><topic>Gastrointestinal Transit</topic><topic>Humans</topic><topic>Incidence</topic><topic>Multivariate analysis</topic><topic>Physical activity</topic><topic>prolonged gastric transit time</topic><topic>Prospective Studies</topic><topic>quality in capsule endoscopy</topic><topic>Stomach</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Macedo Silva, Vítor</creatorcontrib><creatorcontrib>Lima Capela, Tiago</creatorcontrib><creatorcontrib>Freitas, Marta</creatorcontrib><creatorcontrib>Arieira, Cátia</creatorcontrib><creatorcontrib>Xavier, Sofia</creatorcontrib><creatorcontrib>Boal Carvalho, Pedro</creatorcontrib><creatorcontrib>Rosa, Bruno</creatorcontrib><creatorcontrib>Moreira, Maria João</creatorcontrib><creatorcontrib>Cotter, José</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of gastroenterology and hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Macedo Silva, Vítor</au><au>Lima Capela, Tiago</au><au>Freitas, Marta</au><au>Arieira, Cátia</au><au>Xavier, Sofia</au><au>Boal Carvalho, Pedro</au><au>Rosa, Bruno</au><au>Moreira, Maria João</au><au>Cotter, José</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stepping it up: Physical activity is associated with a lower incidence of prolonged gastric transit time in capsule endoscopy</atitle><jtitle>Journal of gastroenterology and hepatology</jtitle><addtitle>J Gastroenterol Hepatol</addtitle><date>2023-03</date><risdate>2023</risdate><volume>38</volume><issue>3</issue><spage>404</spage><epage>409</epage><pages>404-409</pages><issn>0815-9319</issn><eissn>1440-1746</eissn><abstract>Background and Aim
Physical activity has been proposed as a potential factor influencing capsule endoscopy (CE) gastric transit time (GTT). However, there is no reported factual evidence confirming this association. We aimed to prospectively assess the effect of physical activity in the first hour of CE in the occurrence of prolonged GTT.
Methods
This is a prospective study including consecutive patients undergoing CE. For each patient, a step counter was attached to the CE register. The number of steps during the first hour of the procedure was registered. The main outcome was prolonged GTT (CE remaining in the stomach for > 1 h). Outcomes were adjusted for possible confounders by multivariate analysis.
Results
We included 100 patients, 60% undergoing small bowel CE and 40% colon CE. The mean number of steps in the first hour was significantly lower in patients with prolonged GTT (2009 ± 1578 steps) comparatively with those without prolonged GTT (3597 ± 1889 steps) (P < 0.001). On multivariate analysis including significant confounders, steps in the first hour were an independent predictor of prolonged GTT (P = 0.018).
Single‐handedly, the number of steps taken in the first hour had a good acuity for predicting prolonged GTT (area under the curve = 0.74; P < 0.001), with an optimal cut‐off of 2000 steps (sensitivity 81.3% and specificity 70%).
Conclusions
Physical activity during the first hour of CE significantly decreased the occurrence of prolonged GTT. These findings pave the way for further definition of clear instructions to give to patients undergoing CE.</abstract><cop>Australia</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36409269</pmid><doi>10.1111/jgh.16074</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-6214-0584</orcidid><orcidid>https://orcid.org/0000-0002-7811-1101</orcidid><orcidid>https://orcid.org/0000-0003-2885-0720</orcidid><orcidid>https://orcid.org/0000-0001-8001-9067</orcidid><orcidid>https://orcid.org/0000-0001-7381-5532</orcidid><orcidid>https://orcid.org/0000-0002-1782-6373</orcidid><orcidid>https://orcid.org/0000-0002-8010-4410</orcidid><orcidid>https://orcid.org/0000-0002-3442-3939</orcidid><orcidid>https://orcid.org/0000-0002-2921-0648</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0815-9319 |
| ispartof | Journal of gastroenterology and hepatology, 2023-03, Vol.38 (3), p.404-409 |
| issn | 0815-9319 1440-1746 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2738490181 |
| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Acuity capsule endoscopy Capsule Endoscopy - methods Endoscopy Exercise Gastrointestinal Transit Humans Incidence Multivariate analysis Physical activity prolonged gastric transit time Prospective Studies quality in capsule endoscopy Stomach |
| title | Stepping it up: Physical activity is associated with a lower incidence of prolonged gastric transit time in capsule endoscopy |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-15T11%3A37%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Stepping%20it%20up:%20Physical%20activity%20is%20associated%20with%20a%20lower%20incidence%20of%20prolonged%20gastric%20transit%20time%20in%20capsule%20endoscopy&rft.jtitle=Journal%20of%20gastroenterology%20and%20hepatology&rft.au=Macedo%20Silva,%20V%C3%ADtor&rft.date=2023-03&rft.volume=38&rft.issue=3&rft.spage=404&rft.epage=409&rft.pages=404-409&rft.issn=0815-9319&rft.eissn=1440-1746&rft_id=info:doi/10.1111/jgh.16074&rft_dat=%3Cproquest_cross%3E2785191297%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2785191297&rft_id=info:pmid/36409269&rfr_iscdi=true |