A246 EXAMINING BARRIERS TO PHYSICAL ACTIVITY IN PEDIATRIC INFLAMMATORY BOWEL DISEASE PATIENTS
Bibliographic record
Abstract
Abstract Background Inflammatory bowel disease (IBD) poses significant challenges to pediatric patients, affecting their physical and psychological well-being. Physical activity can be an essential component of managing IBD, yet its adoption among this population remains suboptimal. Understanding the factors that influence physical activity levels in youth with IBD, particularly barriers to engagement, is crucial. Aims (1) Describe physical activity levels in pediatric IBD, and (2) assess the relationship between physical activity and barriers to physical activity in youth with IBD. Methods We recruited patients between the ages of 7-17 years with a single confirmed diagnosis of IBD. Participants completed a barriers to physical activity questionnaire adapted from Zabinski et al. (2003). Each item was scored on a scale from 1 to 5, to yield a total barriers score and subdomain scores for body-related, convenience, resource, social, fitness, and disease-related barriers; each score presented as an average out of 5. Lower scores indicated lower barrier burden. Participants also wore accelerometers during waking hours for 7 consecutive days to quantify daily average total physical activity (TPA), light physical activity (LPA), and moderate-to-vigorous physical activity (MVPA). Descriptive statistics and multiple regression analyses were used to determine the relationship between physical activity and barriers to physical activity. Results Forty-nine youth completed the study (31% females; age: 14.77±1.98 years). Physical activity levels were low (TPA: 146.6±49.5 min/day; LPA: 104.2±33.4 min/day; MVPA: 42.4±21.2 min/day), with only 21% of participants meeting the 24-hour movement guidelines of 60 min/day of MVPA. Total and resource barriers both significantly predicted TPA (total: β=-47.76, p=0.004; resource: β=-48.30, pampersand:003C0.001), LPA (total: β=-29.01, p=0.01; resource: β=-29.68, pampersand:003C0.001), and MVPA (total: β=-18.75, p=0.01; resource: β=-18.62, pampersand:003C0.001). Fitness barriers significantly predicted TPA (β=-41.48, p=0.016) and MVPA (β=-22.01, p=0.008). Body-related, convenience, social, and disease-related barriers did not significantly predict TPA, LPA, or MVPA. Conclusions Our findings confirmed that youth with IBD are not engaging in enough physical activity. Importantly, we found those with higher total barrier, resource- and fitness-related barriers presented with 18-48 fewer minutes of daily physical activity. These findings highlight the need for tailored interventions aimed at reducing specific barriers to support physical activity participation in youth with IBD. Funding Agencies None
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".