The Effect of Supervised Exercise Therapy on Physical Activity and Ambulatory Activities in Patients with Intermittent Claudication

被引：20

作者：

Fokkenrood, H. J. P. ^{[1
,2
]}

Lauret, G. J. ^{[1
,2
]}

Verhofstad, N. ^{[1
]}

Bendermacher, B. L. W. ^{[3
]}

Scheltinga, M. R. M. ^{[4
,5
]}

Teijink, J. A. W. ^{[1
,2
]}

机构：

[1] Catharina Hosp, Dept Vasc Surg, NL-5602 ZA Eindhoven, Netherlands

[2] Maastricht Univ, CAPHRI Res Sch, NL-6200 MD Maastricht, Netherlands

[3] Canisius Ziekenhuis, Dept Vasc Surg, NL-6500 GS Nijmegen, Netherlands

[4] Maxima Med Ctr, Dept Vasc Surg, NL-5500 MB Veldhoven, Netherlands

[5] Maastricht Univ, CARIM Res Sch, NL-6200 MD Maastricht, Netherlands

来源：

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY | 2015年 / 49卷 / 02期

关键词：

Activity monitor; Peripheral arterial disease; Physical activity; Supervised exercise; ALL-CAUSE MORTALITY; PERIPHERAL ARTERY-DISEASE; SF-36 HEALTH SURVEY; CARDIOVASCULAR-DISEASE; COST-EFFECTIVENESS; SYSTEM ACCURACY; ADULTS; RISK; INTERVENTION; VALIDATION;

D O I：

10.1016/j.ejvs.2014.11.002

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Objective/Background: Intermittent claudication (IC) is associated with a reduction in physical activity (PA) and a more rapid functional decline leading to a higher mortality rate compared with healthy individuals. Supervised exercise therapy (SET) is known to increase the walking capacity of patients with IC. However, it is unclear whether SET increases PA. The aim of this study was to investigate the effect of SET on PA levels and ambulatory activities in patients with IC. Methods: Patients newly diagnosed with IC were requested to wear an activity monitor 1 week prior to and 1 week immediately after 3 months of SET. The primary outcome was the percentage of patients meeting the minimum recommendations of PA (American College of Sports Medicine [ACSM]/American Heart Association [AHA] recommendation for public health of >= 67 metabolic equivalents [METs]/min/day, in bouts of >= 10 min) at baseline and after 3 months of SET. Additionally, daily PA level (METs/min), duration of ambulatory activities, daily number of steps, pain free walking distance (PFWD), maximal walking distance (MWD), and Short Form Health Survey (SF-36) health surveys were compared before and after SET. Results: Data from 41 participants were available for analysis. A higher number of participants met the ACSM minimum recommendation for PA at the 3 month follow up (baseline: 43%; 3 months: 63%; p = .003). Despite significant increases in PFWD (baseline: 210 m; 3 months: 390 m; p = .001), MWD (baseline: 373 m; 3 months: 555 m; p = .002) and physical functioning score (SF-36) following SET, no increase in the mean daily PA level was found (395 +/- 220 vs. 411 +/- 228 METs/min; p = .43). Furthermore, the total number of steps and time spent in ambulatory activities did not change following SET. Conclusion: Three months of SET for IC leads to more patients meeting the ACSM/AHA public health minimum recommendations for PA. Assessment of PA could be incorporated as an outcome parameter in future research comparing different treatment modalities for peripheral arterial disease. (C) 2014 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.

引用

页码：184 / 191

页数：8