P579 Wearable Devices Can Predict Disease Activity in inflammatory bowel disease Patients

Sossenheimer, Philip H.; Yvellez, Olivia; Andersen, Michael J.; Pearl, Talia A.; Jurdi, Katia El; Rubin, Daniel; Mayampurath, Anoop

doi:10.1093/ecco-jcc/jjy222.703

Cited by 9 publications

(5 citation statements)

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“…144,145 In a prospective study at the University of Chicago, patients with IBD were given Fitbit devices and data on step count, heart rate, and sleep in addition to CRP and FC were collected. 146 The study showed that the number of daily steps was predictive of having an elevated CRP or FC measured within 7 days (AUC 0.70, 95% CI 0.65-0.75), 146 suggesting that physical activity, assessed by step count, may be a useful predictor of disease activity in IBD. Technologic advances have also allowed the development of wearable biosensors that can passively detect levels of CRP and interleukin-1b in sweat.…”

Section: Remote Monitoring With the Use Of Mobile-based Applications ...mentioning

confidence: 99%

Disease Monitoring in Inflammatory Bowel Disease: Evolving Principles and Possibilities

Plevris

Lees

2022

Gastroenterology

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Section: Remote Monitoring With the Use Of Mobile-based Applications ...mentioning

confidence: 99%

Disease Monitoring in Inflammatory Bowel Disease: Evolving Principles and Possibilities

Plevris

Lees

2022

Gastroenterology

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“…Disease activity was measured by clinical scores along with C-reactive protein (CRP) or faecal calprotectin. They found a significant decrease in physical activity (measured by daily steps) in the 7 days before an elevated CRP or fecal calprotectin [49]. HRV, a calculation of the small differences in time between heart beats, is a marker of vagal nerve activity.…”

Section: Wearable Devicesmentioning

confidence: 99%

The future of telemedicine and wearable technology in IBD

Rowan

Hirten

2022

Current Opinion in Gastroenterology

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Purpose of reviewTelemedicine has quickly become an essential part of modern healthcare, particularly in the management of chronic conditions like inflammatory bowel disease. The purpose of this review is to describe the current use of telehealth, mobile applications and wearable devices in inflammatory bowel disease and potential future applications.Recent findingsTelemedicine was increasingly used during the Coronavirus Disease 2019 pandemic. Virtual consultations allowed clinical care to continue despite pandemic-related restrictions without compromising the quality of care for patients with inflammatory bowel disease (IBD). It also benefits patients who would not have access to care due to financial or geographical barriers. Mobile applications allow patients with IBD to record disease activity among other metrics, allowing for earlier healthcare provider intervention. Wearable devices are increasingly being explored to monitor physiological indicators of disease activity and flare.SummaryTelehealth and remote patient monitoring has been successfully integrated into the care of IBD patients. The advantages of these modalities include better access to specialist care and remote noninvasive disease monitoring. Careful consideration must be given to patient privacy, data protection and equitable access. These modalities have enormous potential to improve patient care through accurate consistent data collection and even the prediction of disease activity.

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“…These self-report studies generally only assess leisure-time physical activity rather than total daily movement, sedentary and sleeping time [23]. To date, only one abstract has reported objective (i.e., device-based) walking and sleep time measurements in 39 patients with IBD [24]. Despite the importance of considering all behaviours occurring throughout a 24-hour day, to our knowledge, none have investigated sitting, lying down, steps, step cadence, or standing time in the context of IBD.…”

Section: Introductionmentioning

confidence: 99%

Device-Measured Walking and Standing are Associated with Improved Quality of Life, Mental Health, and Biochemical Markers in Patients with Ulcerative Colitis: A Pilot Study

2024

J Dig Dis Hepatol

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Background: Device-measured daily steps/step cadence and other prominent behaviours occurring throughout the 24-hour day (i.e., sitting, lying, standing) have not been examined in patients with ulcerative colitis (UC). The degree to which these behaviours are associated with mental health, quality of life and clinical outcomes in this population is unknown. Aims: To explore the associations between device-based walking, step cadence, and sedentary time and clinical outcomes among UC patients. Methods: Patients with UC wore an activPAL TM accelerometer for 7 days to measure daily steps, step cadence, lying, standing, and sitting time. Outcomes included total Mayo score (TMS), risk of depression (PHQ-8), risk of anxiety (GAD-7), and health-related quality of life [HRQoL (SF-12)] which included mental composite scores (MCS) and physical composite scores (PCS). Blood and stool samples were used to measure C-reactive protein (CRP) and fecal calprotectin (FCP). Results: Of 30 participants, thirteen (43.3%) had moderate to severe UC symptoms. The percentage of patients with moderate to severe depression and anxiety symptoms were 25.0% and 57.1%, respectively. Average daily steps were 7,869 3339. Step cadence ≥ 100 steps/min was positively associated with mental HRQoL and TMS, and inversely associated with FCP. Standing time was positively associated with TMS and inversely associated with depression, anxiety, and FCP. Faster walking was negatively correlated with CRP. Conclusion: This study identifies potential associations between device-measured brisk walking/running and periods of standing with HRQoL, mental health, and clinical outcomes. This study should be replicated in a larger sample to determine if these associations remain.

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P579 Wearable Devices Can Predict Disease Activity in inflammatory bowel disease Patients

Cited by 9 publications

References 0 publications

Disease Monitoring in Inflammatory Bowel Disease: Evolving Principles and Possibilities

Disease Monitoring in Inflammatory Bowel Disease: Evolving Principles and Possibilities

The future of telemedicine and wearable technology in IBD

Device-Measured Walking and Standing are Associated with Improved Quality of Life, Mental Health, and Biochemical Markers in Patients with Ulcerative Colitis: A Pilot Study

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