Effectiveness of a New Exercise Program after Lower Limb Arterial Blood Flow Surgery in Patients with Peripheral Arterial Disease: A Randomized Clinical Trial

Jakubsevičienė, Edita; Vasiliauskas, Donatas Antanas; Velička, Linas; Kubilius, Raimondas; Milinavičienė, Eglė; Venclovienė, Jonė

doi:10.3390/ijerph110807961

Cited by 29 publications

(26 citation statements)

References 31 publications

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“…Quanto às taxas de abandono, foram relatadas por 11 entre os 23 estudos apresentaram dados sobre as taxas de abandono [25,28,31,[33][34][35][37][38][39]41,42]. A adesão às intervenções foi reportada em oito ECR, nos quais foi computado o número total de sessões realizadas no total previsto apresentados por porcentagem [25,[27][28][29][30]33,35,36].…”

Section: /11unclassified

“…Dezesseis ECR apresentaram como intervenção o treinamento de resistência [25-28, 30-32,34-38,41-45] ou treinamento aeróbico e de resistência [25]. A medida de força muscular representa um dos resultados medidos, e em três ECR [31,32,35] foi associada à intervenção no formato de exercício físico supervisionado por um profissional da área da saúde. Um ECR apresentou as vantagens da utilização do Tai Chi Chuan [45] como método de intervenção na melhoria da força muscular.…”

Section: /11unclassified

“…O indicador de qualidade no treinamento mais utilizado foi o teste de caminhada de seis minutos e Jakubseviciene et al [31], Bo et al [32], Chrysohoon et al [34], McDermott et al [44] e Fakhry et al [46] avaliaram pacientes pós evento cardiovascular cirúrgico e foi observada uma melhora significativa na caminhada livre de dor investigada durante o teste de esforço e os efeitos positivos do HIIT (high intense intermitent training) na função ventricular esquerda.…”

Section: /11unclassified

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Envelhecimento saudável e atividade física: uma revisão sistemática sobre os efeitos do exercício nas doenças cardiovasculares

Estrela¹,

Bauer

2017

Sci Med

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Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. AbStRActAims: To perform a systematic review of randomized controlled trials that assess the benefits of physical exercise (regular or competitive) for the health of the elderly and prevention of cardiovascular diseases. Methods: Publications in PubMed, Web of Science, Library of Congress, Cochrane, and in databases with records of clinical trials between 2005 and 2016, and also in the proceedings of major congresses on cardiovascular diseases in the elderly were investigated using the terms defined in accordance with the "patient, intervention, comparison, and outcome" methodology. The following key words were used: physical effort, exercise, exercise therapy, physical activity, physical fitness, resistance training, cardiovascular disease, C-reactive protein, dyslipidemia, heart failure, cardiac insufficiency, revascularization, cardiac stent and heart transplant. Only randomized clinical trials with individuals aged over 60 years were included. The articles were assessed independently by two reviewers.Results: A total of 3,672 studies were assessed and 24 that met the inclusion criteria were selected. Most of these studies had small sample sizes and showed physical exercise as health-promoting. Only 16 studies reported the relationship of adherence to physical exercise as a preventive factor against cardiovascular diseases. The outcome measures included quality of life, physical ability or fitness status, muscle strength, heart rate, psychological aspects, inflammatory and nutritional markers, and progression of cardiovascular diseases. There is strong evidence that aerobic exercise improves physical fitness, muscle strength, and the quality of life of elderly patients with cardiovascular disease. Conclusions:The benefits of exercise training for elderly patients with cardiovascular disease are well established, supporting the prescription of exercise training for their regular treatments. Interventions that use exercise need to be progressively included in cardiovascular treatment regimens, although the best exercise protocol for patients with cardiovascular disease is not yet fully established.

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Envelhecimento saudável e atividade física: uma revisão sistemática sobre os efeitos do exercício nas doenças cardiovasculares

Estrela¹,

Bauer

2017

Sci Med

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“…This will shorten convalescence and facilitate speedy social reintegration. A study by Jakubsevičiene et al proved that enrolment in such programmes yielded significant increases in walking distance and quality of life in the rehabilitation group compared to controls [14]. Unfortunately, in our case only half of the subjects from the male group and about a third of women were initially advised to undertake a home-based exercise program, mostly due to the advanced stages of the disease upon presentation.…”

Section: Discussionmentioning

confidence: 74%

Gender specific differences in peripheral artery disease and their impact on cardiovascular rehabilitation -the experience of a Romanian Rehabilitation Hospital

Comşa¹,

Pharmacy²,

Gușetu³

et al. 2018

Balneo

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Introduction. As the prevalence of peripheral artery disease (PAD) is increasing in developing countries, so are the healthcare and socio-economic costs it brings about. This particular form of atherosclerotic disease is very much age-dependent, and along with the increase in life-expectancy, the lasts decades have seen a sharp rise in PAD prevalence in women. Knowledge regarding genderspecific aspects of the disease are scarce. This has a negative effect on overall outcomes of female PAD patients. Aim. This research aimed to identify gender peculiarities of PAD and evaluate their impact on cardiovascular rehabilitation. Material and methods. This was a retrospective observational study of 104 PAD patients (73 men and 31 women) admitted in 2016 to the Cardiology department of the Rehabilitation Hospital Cluj-Napoca. Demographic, clinical and biological parameters were recorded, as well as the treatment/rehabilitation regimens prescribed. The subjects were divided into to groups according to gender. Statistical analysis was done using the student t-test for unequal variances, hi-square test and the stepwise method for multivariate analysis. Results. The female group had a higher prevalence of diabetes mellitus (45% vs 33%, p=ns), but men were more likely smokers (74% vs 51%-p=0.017). Women had higher median total cholesterol values (p=0.006) and lower HDL-cholesterol levels (p=0.033). More than half of the female patients were already experiencing symptoms of critical limb ischemia on admission (57%), while intermittent claudication was predominant with men (66%). Multivariate analysis identified identified female gender (p=0.028) and ABI (p<0.0001) as sole independent predictors for the severity of the disease. Revascularization using percutaneous techniques was the preferred option for women (35% vs 27%), while surgery was performed more often in men (38% vs 29%)-p=ns. Home-based exercise training was indicated on discharge for more than half of the male group while only 30% of women had physical rehabilitation as a first line of treatment. Discussion. Our research offered similar findings to older studies regarding the genderspecific profile of PAD women, showing they are less exposed to smoking but more likely to experience metabolic disorders. Women had higher rates of critical limb ischemia on admission, suggesting a more advanced disease. Because of a more stable disease in men, this category benefited to a greater extent from exercise training compared to women. Conclusion. Peripheral artery disease has specific gender-related differences that in women have an important impact on both diagnosis and management, impeding rehabilitation and full social reintegration.

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“…jazda na rowerze, trening siłowy i ćwiczenia z użyciem ergometru kończyn górnych) mogą być użyteczne, jeżeli pacjent nie może chodzić w ramach leczenia wysiłkiem, ponieważ wykazano, że są one również skuteczne [274]. Leczenie wysiłkiem jest niemoż-liwe u pacjentów z CLTI, ale można je rozważać po udanej rewaskularyzacji [275,276].…”

Section: Leczenie Wysiłkiem Fizycznymunclassified

2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS)

Aboyans¹,

Ricco²,

Bartelink³

et al. 2017

Kardiol Pol

230

241

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Effectiveness of a New Exercise Program after Lower Limb Arterial Blood Flow Surgery in Patients with Peripheral Arterial Disease: A Randomized Clinical Trial

Cited by 29 publications

References 31 publications

Envelhecimento saudável e atividade física: uma revisão sistemática sobre os efeitos do exercício nas doenças cardiovasculares

Envelhecimento saudável e atividade física: uma revisão sistemática sobre os efeitos do exercício nas doenças cardiovasculares

Gender specific differences in peripheral artery disease and their impact on cardiovascular rehabilitation -the experience of a Romanian Rehabilitation Hospital

2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS)

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