Physical Activity Levels in Peripheral Artery Disease Patients

Gerage, Aline Mendes; Correia, Marília de Almeida; Oliveira, Paulo Mesquita Longano de; Palmeira, Aline Cabral; Domingues, Wagner Jorge Ribeiro; Zeratti, Antônio Eduardo; Puech-Leão, Pedro; Wolosker, Nelson; Ritti‐Dias, Raphael Mendes; Cucato, Gabriel Grizzo

doi:10.5935/abc.20190142

Cited by 36 publications

(49 citation statements)

References 32 publications

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“…' DISCUSSION IC is the clinical manifestation of PAD that typically hinders patients' usual activities by decreasing their ability to walk daily (15,16) and consequently reduce their quality of life (17). The initial treatment of IC is often clinical because, with conservative treatment, most patients experience improvement or stability in their clinical manifestations combined with a low risk of amputation.…”

Section: ' Resultsmentioning

confidence: 99%

Symptoms of anxiety and depression and their relationship with barriers to physical activity in patients with intermittent claudication

Ragazzo

Puech-Leão

Wolosker

et al. 2021

Clinics

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OBJECTIVES: Although the practice of physical exercise in patients with intermittent claudication (IC) is often encouraged, adherence is low. The difficulty in performing physical training may be related to the psychological characteristics of patients with claudication. To verify the association between anxiety and depression symptoms and barriers to physical exercise and walking capacity in patients with IC. METHODS: One-hundred and thirteen patients with a clinical diagnosis of IC were included in the study. Patients underwent clinical evaluation by a vascular surgeon, answered the Beck Depression Inventory, and Beck Anxiety Inventory tests were applied by the psychologist. The patients performed the 6-minute test and reported their barriers to physical activity practice in a questionnaire. RESULTS: Patients with signs of depression had a shorter pain-free walking distance ( p =0.015) and total walking distance ( p =0.035) compared to patients with no signs of depression. Pain-free walking distance ( p =0.29) and total walking distance ( p =0.07) were similar between patients with and without signs of anxiety. Patients with symptoms of moderate to severe depression reported more barriers to physical activity practice compared to patients without signs of depression. CONCLUSION: Symptoms of anxiety and depression are prevalent among patients with peripheral arterial occlusive disease (PAD). Depression symptoms are associated with personal barriers to exercise, while anxiety symptoms are not. The main barriers to physical activity among patients with IC are exercise-induced pain and the presence of other diseases.

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Section: ' Resultsmentioning

confidence: 99%

Symptoms of anxiety and depression and their relationship with barriers to physical activity in patients with intermittent claudication

Ragazzo

Puech-Leão

Wolosker

et al. 2021

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“…Women were less likely to exceed VT during the 6-minute walk test than men, indicating that ground walking is performed at a lower relative intensity by women than by men. This is surprising given previous studies 27,28 have shown that women with symptomatic PAD have lower walking capacity, 29,30 are less physically active 29,30 and report more barriers to practicing physical activity compared to men. 31 In addition, women present more adverse calf muscle characteristics and lower VO 2 peak than men.…”

Section: Discussionmentioning

confidence: 83%

“…As mulheres tiveram menos probabilidade de exceder o LV durante o teste de caminhada de 6 minutos do que os homens, indicando realização em menor intensidade relativa pelas mulheres do que pelos homens. Isso é surpreendente dado que estudos anteriores 27 , 28 demonstraram que mulheres com DAP sintomática apresentam menor capacidade de deambulação, 29 , 30 são menos ativas fisicamente 29 , 30 e relatam mais obstáculos à prática de atividade física em comparação aos homens. 31 Além disso, as mulheres têm mais características adversas nos músculos da panturrilha e menor pico de VO 2 que os homens.…”

Section: Discussionunclassified

Intensidade de Exercício durante o Teste de Caminhada de 6 Minutos em Pacientes com Doença Arterial Periférica

et al. 2020

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Background: Non-supervised ground walking has been recommended for patients with symptomatic peripheral artery disease (PAD). However, the magnitude of the effort required by this activity and the characteristics of patients whose ground walking is more intense are unclear.Objectives: To determine whether ground walking exceeds the ventilatory threshold (VT), a recognized marker of exercise intensity, in patients with symptomatic PAD. Methods: Seventy patients (61.4% male and aged 40 to 85 years old) with symptomatic PAD were recruited. Patients performed a graded treadmill test for VT determination. Then, they were submitted to a 6-minute walk test so the achievement of VT during ground ambulation could be identified. Multiple logistic regression was conducted to identify predictors of VT achievement during the 6-minute walk test. The significance level was set at p < 0.05 for all analyses.Results: Sixty percent of patients achieved VT during the 6-minute walk test. Women (OR = 0.18 and 95%CI = 0.05 to 0.64) and patients with higher cardiorespiratory fitness (OR = 0.56 and 95%CI = 0.40 to 0.77) were less likely to achieve VT during ground walking compared to men and patients with lower cardiorespiratory fitness, respectively. Conclusion: More than half of patients with symptomatic PAD achieved VT during the 6-minute walk test. Women and patients with higher cardiorespiratory fitness are less likely to achieve VT during the 6-minute walk test, which indicates that ground walking may be more intense for this group. This should be considered when prescribing ground walking exercise for these patients.

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“…Dari penelitian tersebut disebutkan bahwa ABI yang rendah berhubungan dengan IMT yang tinggi (Bąk, et al, 2016). Studi lainnya menunjukkan bahwa kebiasaan responden dengan aktifitas yang sedenter sering ditemukan pada pasien PAD di Brazil (Gerage, et al, 2019). Penelitian yang mengkaji hubungan IMT dengan ABI pada etnis Jawa yang merupakan etnis terbesar di Indonesia belum pernah dilaporkan.…”

Section: Pendahuluanunclassified

Hubungan Indeks Massa Tubuh (IMT) dengan Ankle Brachial Index (ABI) pada Pasien Diabetes Mellitus Tipe 2 Etnis Jawa

Tursinawati

Kartikadewi

Nuriyah

et al. 2020

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<p>Diabetes mellitus (DM) often give a macrovascular complication such as Peripheral arterial disease (PAD). Ankle-brachial index (ABI) is a sensitive and specific examination for PAD. Obesity can be a risk factor of PAD. Obesity can be classified by the BMI (Body Mass Index) classification. The purpose of this research is to analyze the relationship of BMI with ABI in Type 2 DM (T2DM) patients of Javanese ethnicity. This study was an observational analytic research with case-control design and used a purposive sampling technique. There were 40 case samples and 40 control samples. Data analysis used the Independent T-test and Chi-square test. There was a significant differences on age (p=0,000), METs (p-value=0,003), and ABI (p-value=0,002) between the two groups. In the DM group was found that most abnormal ABIs were found in the higher BMI, even though there was no significant correlation by the statistic (p-value=0,255). BMI contributed less to the ABI value of Javanese ethnic T2DM patients.</p>

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Physical Activity Levels in Peripheral Artery Disease Patients

Cited by 36 publications

References 32 publications

Symptoms of anxiety and depression and their relationship with barriers to physical activity in patients with intermittent claudication

Symptoms of anxiety and depression and their relationship with barriers to physical activity in patients with intermittent claudication

Intensidade de Exercício durante o Teste de Caminhada de 6 Minutos em Pacientes com Doença Arterial Periférica

Hubungan Indeks Massa Tubuh (IMT) dengan Ankle Brachial Index (ABI) pada Pasien Diabetes Mellitus Tipe 2 Etnis Jawa

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