Graduated Compression Stockings Does Not Decrease Walking Capacity and Muscle Oxygen Saturation during 6-Minute Walk Test in Intermittent Claudication Patients

Cavalcante, Bruno Remígio; Ritti‐Dias, Raphael Mendes; Germano-Soares, Antônio Henrique; Domingues, Wagner Jorge Ribeiro; Saes, Glauco Fernandes; Duarte, Francisco Alberto de Moura; Cruz, Aline de Paula da; Wolosker, Nelson; Puech-Leão, Pedro; Cucato, Gabriel Grizzo; Zerati, Antônio Eduardo

doi:10.1016/j.avsg.2016.10.027

Cited by 10 publications

(7 citation statements)

References 15 publications

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“…The 6MWT was performed on a 30-meter long corridor, following the previously described protocol. 11 Briefly, patients were instructed to complete as many laps as possible. Patients were encouraged to “walk at the usual pace for six-minutes and cover as much ground as possible”.…”

Section: Methodsmentioning

confidence: 99%

Physical Activity Levels in Peripheral Artery Disease Patients

Gerage

Correia

Oliveira

et al. 2019

Arquivos Brasileiros De Cardiologia

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BackgroundIncreases in daily physical activity levels is recommended for patients with peripheral artery disease (PAD). However, despite this recommendation, little is known about the physical activity patterns of PAD patients.ObjectiveTo describe the physical activity patterns of patients with symptomatic peripheral artery (PAD) disease.MethodsThis cross-sectional study included 174 PAD patients with intermittent claudication symptoms. Patients were submitted to clinical, hemodynamic and functional evaluations. Physical activity was objectively measured by an accelerometer, and the time spent in sedentary, low-light, high-light and moderate-vigorous physical activities (MVPA) were obtained. Descriptive analysis was performed to summarize patient data and binary logistic regression was used to test the crude and adjusted associations between adherence to physical activity recommendation and sociodemographic and clinical factors. For all the statistical analyses, significance was accepted at p < 0.05.ResultsPatients spent in average of 640 ± 121 min/day, 269 ± 94 min/day, 36 ± 27 min/day and 15 ± 16 min/day in sedentary, low-light, high-light and MVPA, respectively. The prevalence of patients who achieved physical activity recommendations was 3.4%. After adjustment for confounders, a significant inverse association was observed between adherence to physical activity recommendation and age (OR = 0.925; p = 0.004), while time of disease, ankle brachial index and total walking distance were not associated with this adherence criteria (p > 0.05).ConclusionThe patterns of physical activity of PAD patients are characterized by a large amount of time spent in sedentary behaviors and a low engagement in MVPA. Younger patients, regardless of the clinical and functional factors, were more likely to meet the current physical activity recommendations.

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Section: Methodsmentioning

confidence: 99%

Physical Activity Levels in Peripheral Artery Disease Patients

Gerage

Correia

Oliveira

et al. 2019

Arquivos Brasileiros De Cardiologia

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“…Patients also performed an over-ground 6MWT along a 30-m-long corridor as previously described (16). Briefly, patients were encouraged to “walk at their usual pace for six minutes and cover as much ground as possible” and rest if necessary.…”

Section: Methodsmentioning

confidence: 99%

Relationship between gait speed and physical function in patients with symptomatic peripheral artery disease

Correia¹,

Cucato²,

Lanza³

et al. 2019

Clinics

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OBJECTIVE:The aim of the study was to analyze the relationship between gait speed and measurements of physical function in patients with symptomatic peripheral artery disease (PAD).METHODS:One hundred sixty-nine patients (age 66.6±9.4 years) with symptomatic PAD were recruited. Usual and fast gait speeds were assessed with a 4-meter walk test. Objective (balance, sit-to-stand, handrip strength, and six-minute walk test) and subjective (WIQ - Walking Impairment Questionnaire and WELCH - Walking Estimated-Limitation Calculated by History) measurements of physical function were obtained. Crude and adjusted linear regression analyses were used to confirm significant associations.RESULTS:Usual and fast gait speeds were significantly correlated with all objective and subjective physical function variables examined (r<0.55, p<0.05). In the multivariate model, usual gait speed was associated with six-minute walking distance (β=0.001, p<0.001), sit-to-stand test score (β=-0.005, p=0.012), and WIQ stairs score (β=0.002, p=0.006) adjusted by age, ankle brachial index, body mass index, and gender. Fast gait speed was associated with six-minute walking distance (β=0.002, p<0.001), WIQ stairs score (β=0.003, p=0.010), and WELCH total score (β=0.004, p=0.026) adjusted by age, ankle brachial index, body mass index, and gender.CONCLUSION:Usual and fast gait speeds assessed with the 4-meter test were moderately associated with objective and subjective measurements of physical function in symptomatic PAD patients.

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“…137 An interesting paper was published in 2017 showing that, in patients affected by intermittent claudication, GCS did not decrease the limb oxygenation and the walking capacity, so pointing out the potential benefit in properly selected mixed ulcer patients. 138 3. Venous thrombosis.…”

Section: Ulcer Healing and Recurrence A Fundamental Paper Bymentioning

confidence: 99%

Global guidelines trends and controversies in lower limb venous and lymphatic disease

et al. 2019

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Guidelines are fundamental in addressing everyday clinical indications and in reporting the current evidence-based data of related scientific investigations. At the same time, a spatial and temporal issue can limit their value. Indeed, variability in the recommendations can be found both among the same nation different scientific societies and among different nations/continents. On the other side, Garcia already published in 2014 data showing how, after three years in average, one out of five recommendations gets outdated (Martinez Garcia LM, Sanabria AJ, Garcia Alvarez E, et al. The validity of recommendations from clinical guidelines: a survival analysis. CMAJ 2014;186(16):1211–1219). The present document reports a narrative literature revision on the major international recommendations in lower limb venous and lymphatic disease management, focusing on the different countries’ guidelines, trends and controversies from all the continents, while identifying new evidence-based data potentially influencing future guidelines. World renowned experts’ opinions are also provided. The document has been written following the recorded round tables scientific discussions held at the vWINter international meeting (22–26 January 2019; Cortina d’Ampezzo, Italy) and the pre- and post-meeting literature search performed by the leading experts.

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Graduated Compression Stockings Does Not Decrease Walking Capacity and Muscle Oxygen Saturation during 6-Minute Walk Test in Intermittent Claudication Patients

Cited by 10 publications

References 15 publications

Physical Activity Levels in Peripheral Artery Disease Patients

Physical Activity Levels in Peripheral Artery Disease Patients

Relationship between gait speed and physical function in patients with symptomatic peripheral artery disease

Global guidelines trends and controversies in lower limb venous and lymphatic disease

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