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

2019 ◽  
Vol 27 (5) ◽  
pp. 719-724
Author(s):  
Adilson Santos Andrade de Sousa ◽  
Marilia A. Correia ◽  
Breno Quintella Farah ◽  
Glauco Saes ◽  
Antônio Eduardo Zerati ◽  
...  
Keyword(s):  
Physical Activity ◽  
Peripheral Artery Disease ◽  
Fear Of Falling ◽  
Vigorous Physical Activity ◽  
Leg Pain ◽  
Activity Levels ◽  
Peripheral Artery ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Artery Disease

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.

Effect of frailty on physical activity levels and walking capacity in patients with peripheral artery disease: A cross-sectional study

2021 ◽  
Author(s):  
Breno Quintella Farah ◽  
Mayara Ferreira Santos ◽  
Gabriel Grizzo Cucato ◽  
Hélcio Kanegusuku ◽  
Luciana Maria Malosá Sampaio ◽  
...  
Keyword(s):  
Physical Activity ◽  
Peripheral Artery Disease ◽  
Cross Sectional Study ◽  
Activity Levels ◽  
Sectional Study ◽  
Peripheral Artery ◽  
Cross Sectional ◽  
Walking Capacity ◽  
Physical Activity Levels ◽  
Artery Disease

Sustained physical activity in peripheral artery disease: Associations with disease severity, functional performance, health-related quality of life, and subsequent serious adverse events in the LITE randomized clinical trial

2021 ◽  
pp. 1358863X2198943
Author(s):  
Joshua T Slysz ◽  
W. Jack Rejeski ◽  
Diane Treat-Jacobson ◽  
Lydia A Bazzano ◽  
Daniel E Forman ◽  
...  
Keyword(s):  
Physical Activity ◽  
Clinical Trial ◽  
Adverse Events ◽  
Peripheral Artery Disease ◽  
Longitudinal Analyses ◽  
Peripheral Artery ◽  
Serious Adverse Events ◽  
Cross Sectional ◽  
Sf 36 ◽  
Artery Disease

This study investigated cross-sectional associations of peripheral artery disease (PAD) severity (defined by the ankle–brachial index (ABI)) and amounts of daily sustained physical activity (PA) (defined as > 100 activity counts per minute lasting 5 consecutive minutes or more). This study also investigated associations of amounts of daily sustained PA with 6-minute walk (6MW) distance and the Short Form-36 physical functioning domain (SF-36 PF) score in cross-sectional analyses and with serious adverse events (SAEs) in longitudinal analyses of people with PAD. PA was measured continuously for 10 days using a tri-axial accelerometer at baseline in 277 participants with PAD randomized to the LITE clinical trial. In regression analyses, each 0.15 lower ABI value was associated with a 5.67% decrease in the number of daily bouts of sustained PA (95% CI: 3.85–6.54; p < 0.001). Every additional bout of sustained PA per day was associated with a 4.56-meter greater 6MW distance (95% CI: 2.67–6.46; p < 0.0001), and a 0.81-point improvement in SF-36 PF score (95% CI: 0.34–1.28; p < 0.001). Participants with values of daily bouts of sustained PA below the median had higher rates of SAEs during follow-up, compared to participants above the median (41% vs 24%; p = 0.002). In conclusion, among participants with PAD, lower ABI values were associated with fewer bouts of daily sustained PA. A greater number of bouts of daily sustained PA were associated with better 6MW performance and SF-36 PF score, and, in longitudinal analyses, lower rates of SAEs. Clinicaltrials.gov ID: NCT02538900.

scholarly journals Differences in Physical Activity between Patients with Peripheral Artery Disease and Healthy Subjects

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Sumiko Shiba ◽  
Akiko Shiba ◽  
Atsutoshi Hatada
Keyword(s):  
Physical Activity ◽  
Intermittent Claudication ◽  
Peripheral Artery Disease ◽  
Activity Level ◽  
Leg Pain ◽  
Walking Distance ◽  
Moderate Intensity ◽  
Peripheral Artery ◽  
The Subject ◽  
Artery Disease

Objectives. Peripheral artery disease (PAD) is a significant prognostic marker of poor long-term survival due to limited physical activity associated with various functional problems, such as intermittent claudication. A physically active lifestyle has the potential to modify peripheral artery risk factors and promote general health. While low daily physical activity levels have been recognized in the population of PAD, the exact level has yet to be quantified due to lack of research. The aim of the present study was to compare physical activity level (PAL) and time spent at activities of different intensity levels between patients with PAD and healthy individuals. The study subjects were 10 patients with PAD and 10 age-matched healthy control subjects. We measured the time spent at light, moderate, or vigorous physical activity using triaxial accelerometer and calculated PAL. Intermittent claudication onset distance and maximum walking distance were defined as the distance walked at which the subject first reported leg pain and the distance at which the subject was unable to continue walking because of leg pain, respectively. Results. Our results showed (i) lower PAL in patients with PAD compared with the controls; (ii) while there was no significant difference in the high-intensity activity between the two groups, the light- and moderate-intensity activities of the PAD group were significantly lower than the controls, the time spent at moderate-intensity activity was approximately 50% less; and (iii) among patients with PAD, low PAL did not correlate directly with intermittent claudication. Conclusions. PAD patients limit the amount of their physical activity, especially light and moderate intensities. Our study highlights the importance of spending more time walking in daily life.

scholarly journals Intermittent claudication among smokers

1970 ◽  
Vol 31 (3) ◽  
pp. 21-26
Author(s):  
T. R. Yathish ◽  
N. Annamallai ◽  
V. Shankar
Keyword(s):  
Intermittent Claudication ◽  
Peripheral Artery Disease ◽  
Population Level ◽  
Lower Limbs ◽  
Leg Pain ◽  
Institute Of Medicine ◽  
Peripheral Artery ◽  
Cross Sectional ◽  
Artery Disease ◽  
Questionnaire Method

Introduction: Peripheral artery disease with intermittent claudication is an important cause of morbidity and mortality. Cigarette smoking is thought to be major risk factor. Currently, up to 2% of all deaths are attributable to peripheral artery disease and its complication. The economic burden associated with peripheral artery disease is also substantial. There are still significant gaps in the current understanding of the epidemiology and burden of peripheral artery disease at the population level. Methods: The aim of this study was to study intermittent claudication through survey by questionnaire method and to study risk factors of tobacco by evaluating the relationship between smokers and intermittent claudication using well accepted Rose intermittent claudication and smoking questionnaire method. This observational, descriptive, cross-sectional study was conducted in the teaching hospital of R.L. Jalappa Hospital of Sri Devaraj Urs medical college, Tamaka, Kolar, Karnataka, India during January 2004 to July 2004. A total of 130 adult men above the age of 30 years who visited the hospital with pain in the lower limbs constituted the materials for the present study. They were categorized into smokers and non-smokers. Each case was examined for lower limbs in detail and their findings were noted. Results: Participants in the group with leg pain on exertion and rest were nearly 92. Among 90 smokers, 80 had the classic symptom of intermittent claudication which started in the third decade of life whereas out of 40 non-smokers, only 12 had intermittent claudication which started after the fifth decade of life. Conclusions: Smoking not only results in early onset of intermittent claudication but also increases the risk of development of intermittent claudication by more than 80%. Keywords: Intermittent claudication, rose intermittent claudication and smoking questionnaire, smoking DOI: 10.3126/joim.v31i3.2991 Journal of Institute of Medicine, December, 2009; 31(3) 21-26

scholarly journals Physical Activity Levels in Peripheral Artery Disease Patients

2019 ◽  
Author(s):  
Aline Mendes Gerage ◽  
Marilia de Almeida Correia ◽  
Paulo Mesquita Longano de Oliveira ◽  
Aline Cabral Palmeira ◽  
Wagner Jorge Ribeiro Domingues ◽  
...  
Keyword(s):  
Physical Activity ◽  
Peripheral Artery Disease ◽  
Activity Levels ◽  
Peripheral Artery ◽  
Physical Activity Levels ◽  
Artery Disease

scholarly journals Angiogenin—A Proposed Biomarker for Cardiovascular Disease—Is Not Associated With Long-Term Survival in Patients With Peripheral Artery Disease

Angiology ◽  
2021 ◽  
pp. 000331972110043
Author(s):  
Clemens Höbaus ◽  
Gerfried Pesau ◽  
Bernhard Zierfuss ◽  
Renate Koppensteiner ◽  
Gerit-Holger Schernthaner
Keyword(s):  
Peripheral Artery Disease ◽  
Cox Regression ◽  
Ankle Brachial Index ◽  
Limb Ischemia ◽  
Cross Sectional Study ◽  
Enzyme Linked Immunosorbent Assay ◽  
Peripheral Artery ◽  
Cross Sectional ◽  
Term Survival ◽  
Artery Disease

We evaluated angiogenin as a prospective biomarker in peripheral artery disease (PAD) patients with and without claudication symptoms. A pilot study suggested an elevation of angiogenin in critical limb ischemia. However, in PAD patients, the predictive value of angiogenin has not yet been evaluated. For this purpose, 342 patients with PAD (age: 69 ± 10 years, 34.5% women) were followed-up for 7 years in a cross-sectional study. Angiogenin was measured by enzyme-linked immunosorbent assay. All-cause and cardiovascular mortality were analyzed by Cox regression. Angiogenin levels were higher in men ( P = .001) and were associated with patient waist-to-hip ratio ( P < .001), fasting triglycerides ( P = .011), and inversely with estimated glomerular filtration rate ( P = .009). However, angiogenin showed no association with age, characteristics of diabetes, markers of lipid metabolism, or C-reactive protein. Angiogenin did not correlate with markers of angiogenesis such as vascular endothelial growth factor, angiopoietin-2, or tie-2. Furthermore, angiogenin was not associated with PAD Fontaine stages or with patient ankle-brachial index in addition to all-cause mortality (hazard ratio [HR] = 1.09 [95% CI: 0.89-1.34]) or cardiovascular morality (HR = 1.05 [0.82-1.35]). These results suggest that angiogenin does not provide further information regarding outcome prediction in patients with PAD.

scholarly journals Influence of Peripheral Artery Disease and Statin Therapy on Apolipoprotein Profiles

2013 ◽  
Vol 2013 ◽  
pp. 1-7
Author(s):  
Andrew W. Gardner ◽  
Petar Alaupovic ◽  
Donald E. Parker ◽  
Polly S. Montgomery ◽  
Omar L. Esponda ◽  
...  
Keyword(s):  
Physical Activity ◽  
Myocardial Infarction ◽  
Statin Therapy ◽  
Peripheral Artery Disease ◽  
Apolipoprotein B ◽  
Ldl Cholesterol ◽  
Risk Profile ◽  
Peripheral Artery ◽  
Artery Disease ◽  
Plasma Apolipoprotein

Apolipoprotein B is a stronger predictor of myocardial infarction than LDL cholesterol, and it is inversely related to physical activity and modifiable with exercise training. As such, apolipoprotein measures may be of particular relevance for subjects with PAD and claudication. We compared plasma apolipoprotein profiles in 29 subjects with peripheral artery disease (PAD) and intermittent claudication and in 39 control subjects. Furthermore, we compared the plasma apolipoprotein profiles of subjects with PAD either treated (n=17) or untreated (n=12) with statin medications. For the apolipoprotein subparticle analyses, subjects with PAD had higher age-adjusted Lp-B:C (P<0.05) and lower values of Lp-A-I:A-II (P<0.05) than controls. The PAD group taking statins had lower age-adjusted values for apoB (P<0.05), Lp-A-II:B:C:D:E (P<0.05), Lp-B:E + Lp-B:C:E (P<0.05), Lp-B:C (P<0.05), and Lp-A-I (P<0.05) than the untreated PAD group. Subjects with PAD have impaired apolipoprotein profiles than controls, characterized by Lp-B:C and Lp-A-I:A-II. Furthermore, subjects with PAD on statin medications have a more favorable risk profile, particularly noted in multiple apolipoprotein subparticles. The efficacy of statin therapy to improve cardiovascular risk appears more evident in the apolipoprotein sub-particle profile than in the more traditional lipid profile of subjects with PAD and claudication. This trial is registered with ClinicalTrials.govNCT00618670.

scholarly journals Objectively Measured Physical Activity and Sedentary Time among Children and Adolescents in Morocco: A Cross-Sectional Study

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Issad Baddou ◽  
Asmaa El Hamdouchi ◽  
Imane El Harchaoui ◽  
Kaoutar Benjeddou ◽  
Naima Saeid ◽  
...  
Keyword(s):  
Physical Activity ◽  
Children And Adolescents ◽  
Cardiovascular Health ◽  
Sedentary Time ◽  
Vigorous Physical Activity ◽  
Physical Activity Guideline ◽  
Activity Levels ◽  
Cross Sectional ◽  
Physical Activity Levels ◽  
Objectively Measured

Background. Regular physical activity in childhood and adolescent plays an important role in reducing the risk of cardiovascular health diseases, diabetes, and obesity in adulthood. However, little is known about physical activity levels (PA) and sedentary time among children and adolescents in Morocco. Objective. To examine gender, type of day, and age grade differences in objectively measured sedentary time, physical activity levels, and physical activity guideline attainment among children and adolescents in Morocco. Method. 172 children/adolescents (mean age = 10.92 ± 1.55 years, 49.4% are boys) were recruited for this study and wore a tri-axial accelerometer (GT3X+) for 7 consecutive days. Time spent in sedentary, PA levels, and daily steps were measured and compared according to gender, age grade, and the type of day (weekdays/weekends). Results. In weekdays children/adolescents spent more time in sedentary than weekends (p < 0.001). Boys were eight times more likely to meet the recommendation for at least 60 min of moderate to vigorous physical activity per day than girls (OR: 8.569; 95% [CI]: 4.23–17.32), p < 0.001. Conclusion. These findings highlight the need for effective and sustainable strategies and programs aiming to promote physical activity and to reduce sedentary behavior among children and adolescents in Morocco.

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