P3597 - Sleep Quality and Physical Activity in Puerto Rican Hispanics with IBD

Yue-Sai Jao, MD¹, Nykoll Barreto, ², Farah A. Ramirez-Marrero, PhD², Stephan Torres-Jorge, MSc³, Sergio A. Burgos, MSc⁴, Diego J. Diaz-Mayor, MD⁵, Esther A. Torres, MD, MACG^6
1University of Puerto Rico School of Medicine, San Juan, Puerto Rico; ²University of Puerto Rico Rio Piedras Campus, San Juan, Puerto Rico; ³University of Puerto Rico Graduate School of Public Health, San Juan, Puerto Rico; ⁴Ponce Health Sciences University, Ponce, Puerto Rico; ⁵VA Caribbean Healthcare System, San Juan, Puerto Rico; ⁶University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico

Introduction: Physical inactivity and sleep disturbances play a detrimental role in overall health and quality of life. Physical activity (PA) and exercise are known to improve immunological response, psychological health, and nutritional status in patients with inflammatory bowel disease (IBD). This study aims to determine the association between accelerometry-based PA, sleep characteristics, quality of sleep, and quality of life among a Hispanic IBD population group in Puerto irco.

Methods: Adults with confirmed IBD diagnosis were recruited during a scheduled visit to an IBD clinic. Measurements of height and weight were registered. Participants wore an accelerometer (ActiGraph® GT3X+BT) on the non-dominant wrist during 8 consecutive days to assess PA and sleep time. Sleep disturbances were evaluated with the Pittsburg Sleep Quality Index (PSQI), in which a score of 5 or higher indicates poor sleep quality. Quality of life was assessed with the IBD Questionnaire (IBDQ), in which a score of less than 209 indicates poor quality of life. Chi-square and Fisher's test were used to describe each nominal variable. Wilcoxon-Mann-Whitney analyses and Spearman correlations were used to test effects and associations between variables. This study is approved by the MSC-IRB.

Results: A total of 49 subjects (25 males [51.02%] and 24 females [48-98%]) with IBD (mean age=42.7 + 15.2 y) were recruited. Average BMI was 26.2 kg/m2 (SD + 5.3), moderate.to.vigorous PA (MVPA) was 161.8 + 76.5 minutes/day, and sleep time was 5,8 + 1.3 hours/day. PSQI and IBDQ scores were available for 23 and 20 subjects respectively. Poor sleep was identified in 82.6%, and poor quality of life in 95%. Although there was a tendency for better sleep quality among those with higher MVPA, and higher MVPA among those in overweight category, the associations between these variables were not statistically significant. Also, there were no significant correlations between PSQI scores, IBDQ scores, BMI, accelerometry MVPA, and sleep time measurements.

Discussion: Our results show that Hispanic IBD patients in Puerto Rico were, in average, in the overweight BMI category, not physically inactive, did not sleep enough, had poor sleep quality, and poor quality of life. The tendency for poor sleep qualitry with less PA suggests a potential benefit of implementing a PA program as part of the clinical management of IBD patients in Puerto Rico. This is a preliminary report of an ongoing project, limiting the sample size.


Disclosures:


Yue-Sai Jao, MD¹, Nykoll Barreto, ², Farah A. Ramirez-Marrero, PhD², Stephan Torres-Jorge, MSc³, Sergio A. Burgos, MSc⁴, Diego J. Diaz-Mayor, MD⁵, Esther A. Torres, MD, MACG⁶. P3597 - Sleep Quality and Physical Activity in Puerto Rican Hispanics with IBD, ACG 2023 Annual Scientific Meeting Abstracts. Vancouver, BC, Canada: American College of Gastroenterology.