{"id":7686,"date":"2020-03-30T10:06:10","date_gmt":"2020-03-30T08:06:10","guid":{"rendered":"https:\/\/www.endoscopy-campus.com\/?post_type=ec-news&p=7686"},"modified":"2020-03-30T10:06:11","modified_gmt":"2020-03-30T08:06:11","slug":"healthy-lifestyle-recommended-for-general-public-associated-with-significant-survival-in-adult-onset-ibd","status":"publish","type":"ec-news","link":"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/healthy-lifestyle-recommended-for-general-public-associated-with-significant-survival-in-adult-onset-ibd\/","title":{"rendered":"Healthy Lifestyle Recommended for General Public Associated With Significant Survival in Adult-Onset IBD"},"content":{"rendered":"\n

Monika Fischer, MD, reviewing Lo CH, et al. Clin Gastroenterol Hepatol 2020 Mar 3.<\/strong><\/em><\/p>\n\n\n\n

Several studies in the non-IBD population have shown that a healthy lifestyle that includes vigorous physical activity, a normal body mass index, the Mediterranean diet, light alcohol consumption, and no history of smoking is associated with a longer life span. It is unclear whether the same \u201ccommon sense\u201d recommendations can help patients living with IBD to also achieve longevity, but finding the \u201cbest diet\u201d for IBD is a burning question. <\/p>\n\n\n\n

Using 2 different Nurses\u2019 Health studies and the Health Professionals Follow-up Study, researchers reviewed data from 363 patients with Crohn\u2019s disease during 4741 person-years (83 deaths) and 465 patients with ulcerative colitis during 6061 person-years (80 deaths). They estimated joint and individual associations between 5 healthy lifestyle factors after IBD diagnosis and mortality: (1) never smoked; (2) a body mass index of 18.5 to 24.9 kg\/m2; (3) vigorous physical activity (equivalent to 2 hours per week of jogging, running, biking, swimming, or playing tennis); (4) light alcohol intake (5-15 g\/d); and (5) an alternate Mediterranean diet score \u22654 (1 point was assigned to each of the following if intake was above the median: vegetables [excluding potatoes], fruits, nuts, whole grains, legumes, fish, and a monounsaturated-to-saturated fatty acid ratio; and 1 point was assigned if red and processed meat intake was below the median. <\/p>\n\n\n\n

Compared to patients with IBD and no healthy lifestyle factors, patients with IBD and 3 to 5 healthy lifestyle factors had a significant reduction in all-cause mortality (hazard ratio, 0.29; 95% confidence interval, 0.16\u20130.52; P<\/em>trend<.0001). The survival benefit was unaltered after adjustment for family history of IBD, immunomodulator use, and IBD-related surgery.<\/p>\n\n\n\n

<\/p>\n\n\n\n

<\/div>\n\n\n\n

COMMENT
This study gives us a powerful tool when counseling IBD patients. I find that patients with IBD are very motivated to make lifestyle modifications in order to improve their quality of life, prevent IBD-related complications, and avoid immunosuppressive therapy. While this study does not directly address the impact of a healthy lifestyle on these goals, per se, it reveals a very significant positive impact on longevity. The Mediterranean diet has recently emerged as a promising intervention in IBD, and this study strengthens the argument for it. <\/p><\/blockquote><\/figure>\n\n\n\n

<\/div>\n\n\n\n
\"\"<\/figure>
\n

Monika Fischer, MD, FASGE<\/p>\n<\/div><\/div>\n\n\n\n

<\/div>\n\n\n\n

CITATION(S )<\/h2>\n\n\n\n

Lo CH, Khalili H, Song M, et al. Healthy lifestyle is associated with reduced mortality in patients with inflammatory bowel diseases.\u00a0Clin Gastroenterol Hepatol<\/em>\u00a02020 Mar 3. (Epub ahead of print) (https:\/\/doi.org\/10.1016\/j.cgh.2020.02.047<\/a>) <\/p>\n","protected":false},"excerpt":{"rendered":"

Monika Fischer, MD, reviewing Lo CH, et al. Clin Gastroenterol Hepatol 2020 Mar 3. Several studies in the non-IBD population have shown that a healthy lifestyle that includes vigorous physical activity, a normal body mass index, the Mediterranean diet, light alcohol consumption, and no history of smoking is associated with a longer life span. It … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1790],"tags":[1966,1967,1875],"class_list":["post-7686","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-ibd","tag-adult-onset-ibd","tag-healthy-lifestyle","tag-ibd-2"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/7686","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=7686"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=7686"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=7686"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}