We investigated the association between different risk indicators and
inflammatory bowel disease bowel in a case-control study based on the
population of Stockholm County during 1980-1984. Information on physic
al activity, oral contraceptives, some previous diseases and childhood
characteristics was collected using a postal questionnaire for 152 ca
ses of Crohn's disease, 145 cases of ulcerative colitis, and 305 contr
ols. The relative risk (RR) of Crohn's disease was inversely related t
o regular physical activity and estimated at 0.6 (95% CI : 0.4-0.9) an
d 0.5 (95% CI : 0.3-0.9) for weekly and daily exercise, respectively.
Having psoriasis prior to the inflammatory bowel disease was associate
d with an increased relative risk of Crohn's disease (RR = 2.9, 95% CI
: 1.1-7.9). Use of oral contraceptives was associated with an increas
ed RR of 1.7 for both Crohn's disease and ulcerative colitis. Crohn's
disease confined to the colon and total ulcerative colitis at diagnosi
s were most strongly associated with oral contraceptives.