Motivators and Barriers to Walking in Older Adults With Peripheral Artery Disease

Bentley, Angela; Kelechi, Teresa J.

doi:10.3928/00989134-20170908-01

Cited by 7 publications

(7 citation statements)

References 36 publications

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“…However, few patients have effectively achieved the recommended physical activity levels. In this context, identifying barriers to physical activity practice has been considered important in order to find potential factors that can affect physical activity practice in PAD patients Bentley & Kelechi, 2018;Cavalcante et al, 2015;Galea, Bray, & Ginis, 2008).…”

Section: Introductionmentioning

confidence: 99%

Barriers and Levels of Physical Activity in Patients With Symptomatic Peripheral Artery Disease: Comparison Between Women and Men

Sousa¹,

Correia²,

Farah³

et al. 2019

Journal of Aging and Physical Activity

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This cross-sectional study compared physical activity levels and barriers between 212 men and women with symptomatic peripheral artery disease. Physical activity was objectively measured by an accelerometer. Barriers to physical activity were obtained using a validated questionnaire. Women reported higher amounts of light physical activity (p < .001) and lower moderate–vigorous physical activity (p < .001) than men. Women more often reported barriers such as “not having anyone to accompany” (p = .006), “lack of money” (p = .018), “fear of falling or worsening the disease” (p = .010), “lack of security” (p = .015), “not having places to sit when feeling leg pain” (p = .021), and “difficulty in getting to a place to practice physical activity” (p = .015). In conclusion, women with symptomatic peripheral artery disease presented with lower amounts of moderate–vigorous activity and more barriers to activity than men. Strategies to minimize the barriers, including group actives and nonpainful exercises, are recommended for women with peripheral artery disease.

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Section: Introductionmentioning

confidence: 99%

Barriers and Levels of Physical Activity in Patients With Symptomatic Peripheral Artery Disease: Comparison Between Women and Men

Sousa¹,

Correia²,

Farah³

et al. 2019

Journal of Aging and Physical Activity

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“…One previous review[ 25 ] has been conducted to provide generic understanding of barriers and facilitators to walking in PAD. PAD is an overarching construct and includes a range of symptom severity from asymptomatic to severe critical limb ischemia with ulceration and gangrene.…”

Section: Introductionmentioning

confidence: 99%

Barriers and enablers to walking in individuals with intermittent claudication: A systematic review to conceptualize a relevant and patient-centered program

et al. 2018

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BackgroundWalking limitation in patients with peripheral arterial disease (PAD) and intermittent claudication (IC) contributes to poorer disease outcomes. Identifying and examining barriers to walking may be an important step in developing a comprehensive patient-centered self-management intervention to promote walking in this population.AimTo systematically review the literature regarding barriers and enablers to walking exercise in individuals with IC.MethodsA systematic review was conducted utilizing integrative review methodology. Five electronic databases and the reference lists of relevant studies were searched. Findings were categorized into personal, walking activity related, and environmental barriers and enablers using a social cognitive framework.ResultsEighteen studies including quantitative (n = 12), qualitative (n = 5), and mixed method (n = 1) designs, and reporting data from a total of 4376 patients with IC, were included in the review. The most frequently reported barriers to engaging in walking were comorbid health concerns, walking induced pain, lack of knowledge (e.g. about the disease pathology and walking recommendations), and poor walking capacity. The most frequently reported enablers were cognitive coping strategies, good support systems, and receiving specific instructions to walk. Findings suggest additionally that wider behavioral and environmental obstacles should be addressed in a patient-centered self-management intervention.ConclusionsThis review has identified multidimensional factors influencing walking in patients with IC. Within the social cognitive framework, these factors fall within patient level factors (e.g. comorbid health concerns), walking related factors (e.g. claudication pain), and environmental factors (e.g. support systems). These factors are worth considering when developing self-management interventions to increase walking in patients with IC. Systematic review registration CRD42018070418.

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“…These include pain, fatigue, fear of falling, the presence of comorbid conditions such as diabetes and cardiovascular diseases, etc. (Bentley and Kelechi 2018).…”

Section: Key Research Findingsmentioning

confidence: 99%

Peripheral Artery Disease

Dang

2020

Encyclopedia of Gerontology and Population Aging

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Lower extremity artery disease; Peripheral arterial disease; Peripheral vascular disease Definition The term "peripheral artery disease (PAD)" is often used for lower extremity artery disease (LEAD), characterized by acute or chronic obstruction of lower extremity arteries with a spectrum of symptoms from none to critical limb ischemia (Halliday and Bax 2018). Notably, the terms "peripheral arterial disease" and "peripheral vascular disease" are less specific and encompass all artery diseases other than coronary arteries and the aorta, e.g., renal artery, carotid artery, and superior mesenteric artery.

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Motivators and Barriers to Walking in Older Adults With Peripheral Artery Disease

Cited by 7 publications

References 36 publications

Barriers and Levels of Physical Activity in Patients With Symptomatic Peripheral Artery Disease: Comparison Between Women and Men

Barriers and Levels of Physical Activity in Patients With Symptomatic Peripheral Artery Disease: Comparison Between Women and Men

Barriers and enablers to walking in individuals with intermittent claudication: A systematic review to conceptualize a relevant and patient-centered program

Peripheral Artery Disease

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