Time and reliability issues associated with automatic vs. manual measurements of Ankle to Brachial pressure Index (ABI) following heavy load exercise

Congnard, Florian; Bruneau, Alfred; Ábrahám, Pierre; Colas-Ribas, Christophe; Picquet, Jean; Noury-Desvaux, Bénédicte

doi:10.1016/j.jsams.2014.10.007

Cited by 4 publications

(4 citation statements)

References 27 publications

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“…Using automatic devices allowed us to get rid of interindividual variability 29 and to reduce the time of measurement. 30 In conclusion, the present study provides, for the first time, objective evidence that the 'physiological' change in ABI increases with age. This reinforces the belief that the decrease in ABI at rest with age observed in general population studies likely results from the increased prevalence of participants with subclinical PAD.…”

Section: Discussionsupporting

confidence: 51%

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Ankle to brachial systolic pressure index at rest increases with age in asymptomatic physically active participants

Congnard

Ábrahám

Vincent

et al. 2015

BMJ Open Sport Exerc Med

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BackgroundIt is commonly acknowledged that the ability to use the ankle–brachial index (ABI), a reliable way to diagnose atherosclerosis, decreases with age in the general population. The aim of this study was to determine the relationship between resting ABI and age in different populations.Methods674 physically active participants with (active high risk, ACTHR) or without (active low risk, ACTLR) cardiovascular risk factors or/and sedentary (SED) subjects, aged 20–70 years. Systolic arterial pressure was recorded at rest and simultaneously with automatic sphygmomanometers at the arms and ankles. ABI was calculated as the ratio of the lowest, highest or mean ankle pressure to the highest arm pressure.ResultsProportion of ABImin<0.90 was 10.3% in SEDHR subjects versus 0.5% and 1.2%, respectively, in ACTHR and ACTLR groups. The averaged ABI value of each group was in the normal range in all groups (ABI>0.90) but was significantly lower in SEDHR compared with all active participants (p<0.001). Regression lines from ABImean versus age could lead to approximately +0.05 every 15 years of age in apparently healthy active participants (ACTLR).ConclusionABI at rest increases with the increase in age in the groups of low-risk asymptomatic middle-aged trained adults. The previously reported decrease in ABI with age is found only in SEDHR subjects, and is very likely to rely on the increased prevalence of asymptomatic arterial disease in this group. The increase of ABI with age is consistent with the ‘physiological’ stiffness observed in ageing arteries even in the absence of ‘pathological’ atherosclerotic lesions.Trial registration numberNIH clinicaltrial.gov: NCT01812343.

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Section: Discussionsupporting

confidence: 51%

“…It should be kept in mind that the variability of manual recording is high and depends on the observer experience. Using automatic devices allowed us to get rid of interindividual variability29 and to reduce the time of measurement 30…”

Section: Discussionmentioning

confidence: 99%

Ankle to brachial systolic pressure index at rest increases with age in asymptomatic physically active participants

Congnard

Ábrahám

Vincent

et al. 2015

BMJ Open Sport Exerc Med

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“…Our aim was to homogenize the technique between the different centers in order to limit interobserver variability. There are contradictory publications with regard to using automatic measures of lower limb pressures at rest, but in the post‐exercise period, sphygmomanometers ensure simultaneous and quicker measurements . This is important as simultaneous measurements improve the detection of minor lesions after heavy load exercise compared to nonsimultaneous recordings …”

Section: Discussionmentioning

confidence: 99%

“…For the automatic ABI analysis at rest and also at post‐exercise, in the assumed normal population, ABI value was calculated as the average value of the two limb divided by the average value of the two arms. We previously showed that test‐retest reliability of automatic measurement after heavy load exercise was high with the standard error of measurement being 0.05 and coefficient of variation being 4.3% . Figure illustrates the measurement conditions for the test.…”

Section: Methodsmentioning

confidence: 99%

Post‐exercise ankle blood pressure and ankle to brachial index after heavy load bicycle exercise

Godet

Bruneau

Vielle³

et al. 2018

Scandinavian Med Sci Sports

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The American Heart Association (AHA) recommendations for diagnosing peripheral artery disease (PAD) after exercise are a decrease >20% of ankle brachial index (ABI) or >30 mm Hg of ankle systolic blood pressure (ASBP) from resting values. We evaluated ABI and ASBP values during incremental maximal exercise in physically active and asymptomatic patients. Patients (n = 726) underwent incremental bicycle tests with pre- and post-exercise recording of all four limbs arterial pressures simultaneously. Univariate and multivariate analyses were performed to define the correlation between post-exercise ABI with various clinical factors, including age. Thereafter, the population was divided into groups of age: less than 40 (G < 40), from 40 to 44 (G40/44) from 45 to 49 (G45/49), from 50 to 54 (G50/54), from 55 to 59 (G55/59), from 60 to 64 (G60/64), and 65 and above (G ≥ 65) years. Results are mean ± SD. * is two-tailed P < .05 for ANOVA with Dunnett's post-hoc test from G40. Changes from rest in ASBP were -3 ± 22 (G < 40), -2 ± 20 (G40/44), 4 ± 22* (G45/49), 10 ± 25* (G50/54), 18 ± 21* (G55/59), 23 ± 27* (G60/64), and 16 ± 22* (G ≥ 65) mm Hg. Decreases from rest in ABI were 32 ± 9 (G < 40), 33 ± 9 (G40/44), 29 ± 8 (G45/49), 27 ± 10* (G50/54), 24 ± 7* (G55/59), 22 ± 12* (G60/64), and 21 ± 12* (G ≥ 65) % of resting ABI. Maximal incremental exercise results in ABI and ASBP changes are mostly dependent on age. The AHA limits for post-exercise ABI are inadequate following maximal incremental bicycle testing. Future studies detecting PAD in active patients should account for the effect of age.

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A cost-effective smartphone-based device for ankle-brachial index (ABI) detection

Yuan

Huang

Wan

et al. 2021

Computer Methods and Programs in Biomedicine

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Time and reliability issues associated with automatic vs. manual measurements of Ankle to Brachial pressure Index (ABI) following heavy load exercise

Cited by 4 publications

References 27 publications

Ankle to brachial systolic pressure index at rest increases with age in asymptomatic physically active participants

Ankle to brachial systolic pressure index at rest increases with age in asymptomatic physically active participants

Post‐exercise ankle blood pressure and ankle to brachial index after heavy load bicycle exercise

A cost-effective smartphone-based device for ankle-brachial index (ABI) detection

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