Cochrane · systematic review · CD012005

Interventions for fatigue in inflammatory bowel disease

Farrell, D, Artom, M, Czuber‐Dochan, W, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

GutAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
38
current version
GRADE rated
29
No studies
9
Included studies
NR
No studies 9 · 23.7%Ungraded 0 · 0%Very low 19 · 50%Low 10 · 26.3%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Electroacupuncture compared to no treatment for participants with quiescent IBD

Population: participants with quiescent IBD
5 questions
OutcomeEffectEvidenceStatus / GRADE
Fatigue
Electroacupuncture vs no treatment
no estimate extracted1 study · 27 participantsLow
Downgraded: imprecision
Quality of life
Electroacupuncture vs no treatment
no estimate extracted1 study · 27 participantsLow
Downgraded: imprecision
Adverse events
Electroacupuncture vs no treatment
no estimate extracted1 study · 34 participantsLow
Downgraded: imprecision
Serious adverse events
Electroacupuncture vs no treatment
no estimate extracted1 study · 34 participantsLow
Downgraded: imprecision
Withdrawal due to adverse events
Electroacupuncture vs no treatment
no estimate extracted1 study · 34 participantsLow
Downgraded: imprecision

Electroacupuncture compared to sham electroacupuncture for participants with quiescent IBD

Population: participants with quiescent IBD
5 questions
OutcomeEffectEvidenceStatus / GRADE
Fatigue
Electroacupuncture vs sham electroacupuncture
no estimate extracted1 study · 30 participantsLow
Downgraded: imprecision
Quality of life
Electroacupuncture vs sham electroacupuncture
no estimate extracted1 study · 30 participantsLow
Downgraded: imprecision
Adverse events
Electroacupuncture vs sham electroacupuncture
OR 0.32 [0.01, 8.27]1 study · 36 participantsLow
Downgraded: imprecision
Serious adverse events
Electroacupuncture vs sham electroacupuncture
no estimate extracted1 study · 36 participantsLow
Downgraded: imprecision
Withdrawal due to adverse events
Electroacupuncture vs sham electroacupuncture
OR 0.32 [0.01, 8.27]1 study · 36 participantsLow
Downgraded: imprecision

CBT with therapist support compared to fatigue information leaflet only for participants with IBD

Population: participants with IBD
6 questions
OutcomeEffectEvidenceStatus / GRADE
Fatigue
CBT with therapist support vs fatigue information leaflet only
no estimate extracted1 study · 18 participantsVery low
Downgraded: imprecision
Fatigue
CBT with therapist support vs fatigue information leaflet only
no estimate extracted1 study · 16 participantsVery low
Downgraded: imprecision
Quality of life
CBT with therapist support vs fatigue information leaflet only
no estimate extracted1 study · 19 participantsVery low
Downgraded: imprecision
Adverse events
CBT with therapist support vs fatigue information leaflet only
no estimate extractedNRNo studies
Serious adverse events
CBT with therapist support vs fatigue information leaflet only
no estimate extractedNRNo studies
Withdrawal due to adverse events
CBT with therapist support vs fatigue information leaflet only
no estimate extractedNRNo studies

Physical activity advice plus omega 3 compared to no physical activity advice plus omega 3 for participants with quiescent IBD

Population: participants with quiescent IBD
8 questions
OutcomeEffectEvidenceStatus / GRADE
Fatigue
Physical activity advice plus omega 3 vs no physical activity advice plus omega 3
no estimate extracted1 study · 25 participantsVery low
Downgraded: imprecision
Fatigue
Physical activity advice plus omega 3 vs no physical activity advice plus omega 3
no estimate extracted1 study · 25 participantsVery low
Downgraded: imprecision
Fatigue
Physical activity advice plus omega 3 vs no physical activity advice plus omega 3
no estimate extracted1 study · 25 participantsVery low
Downgraded: imprecision
Fatigue
Physical activity advice plus omega 3 vs no physical activity advice plus omega 3
no estimate extracted1 study · 25 participantsVery low
Downgraded: imprecision
Quality of life
Physical activity advice plus omega 3 vs no physical activity advice plus omega 3
no estimate extracted1 study · 25 participantsVery low
Downgraded: imprecision
Adverse events
Physical activity advice plus omega 3 vs no physical activity advice plus omega 3
no estimate extracted1 study · 25 participantsVery low
Downgraded: imprecision
Serious adverse events
Physical activity advice plus omega 3 vs no physical activity advice plus omega 3
no estimate extractedNRNo studies
Withdrawal due to adverse events
Physical activity advice plus omega 3 vs no physical activity advice plus omega 3
no estimate extractedNRNo studies

Physical activity advice plus placebo compared to no physical activity advice plus placebo for participants with quiescent IBD

Population: participants with quiescent IBD
7 questions
OutcomeEffectEvidenceStatus / GRADE
Fatigue
Physical activity advice plus placebo vs no physical activity advice plus placebo
no estimate extracted1 study · 27 participantsVery low
Downgraded: imprecision
Fatigue
Physical activity advice plus placebo vs no physical activity advice plus placebo
no estimate extracted1 study · 27 participantsVery low
Downgraded: imprecision
Fatigue
Physical activity advice plus placebo vs no physical activity advice plus placebo
no estimate extracted1 study · 27 participantsVery low
Downgraded: imprecision
Fatigue
Physical activity advice plus placebo vs no physical activity advice plus placebo
no estimate extracted1 study · 27 participantsVery low
Downgraded: imprecision
Adverse events:
Physical activity advice plus placebo vs no physical activity advice plus placebo
no estimate extracted1 study · 27 participantsVery low
Downgraded: imprecision
Serious adverse events ‐ not reported
Physical activity advice plus placebo vs no physical activity advice plus placebo
no estimate extractedNRNo studies
Withdrawal due to adverse events ‐ not reported
Physical activity advice plus placebo vs no physical activity advice plus placebo
no estimate extractedNRNo studies

Physical activity advice plus placebo compared to no physical activity advice plus omega 3 for participants with quiescent IBD

Population: participants with quiescent IBD
7 questions
OutcomeEffectEvidenceStatus / GRADE
Fatigue
Physical activity advice plus placebo vs no physical activity advice plus omega 3
no estimate extracted1 study · 29 participantsVery low
Downgraded: imprecision
Fatigue
Physical activity advice plus placebo vs no physical activity advice plus omega 3
no estimate extracted1 study · 29 participantsVery low
Downgraded: imprecision
Fatigue
Physical activity advice plus placebo vs no physical activity advice plus omega 3
no estimate extracted1 study · 29 participantsVery low
Downgraded: imprecision
Fatigue
Physical activity advice plus placebo vs no physical activity advice plus omega 3
no estimate extracted1 study · 29 participantsVery low
Downgraded: imprecision
Adverse events:
Physical activity advice plus placebo vs no physical activity advice plus omega 3
no estimate extracted1 study · 29 participantsVery low
Downgraded: imprecision
Serious adverse events ‐ not reported
Physical activity advice plus placebo vs no physical activity advice plus omega 3
no estimate extractedNRNo studies
Withdrawal due to adverse events ‐ not reported
Physical activity advice plus placebo vs no physical activity advice plus omega 3
no estimate extractedNRNo studies