Monitored Daily Ambulatory Activity, Inflammation, and Oxidative Stress in Patients With Claudication

被引:27
作者
Gardner, Andrew W. [1 ,2 ]
Parker, Donald E. [3 ]
Montgomery, Polly S. [1 ]
Blevins, Steve M. [4 ]
Teague, April M. [5 ]
Casanegra, Ana I. [6 ]
机构
[1] Univ Oklahoma, Hlth Sci Ctr, Donald W Reynolds Dept Geriatr Med, Reynolds Oklahoma Ctr Aging, Oklahoma City, OK 73117 USA
[2] Vet Affairs Med Ctr, Oklahoma City, OK 73104 USA
[3] Univ Oklahoma, Hlth Sci Ctr, Dept Biostat & Epidemiol, Oklahoma City, OK 73117 USA
[4] Univ Oklahoma, Hlth Sci Ctr, Dept Med, Gen Internal Med Sect, Oklahoma City, OK USA
[5] Univ Oklahoma, Hlth Sci Ctr, CMRI Diabet & Metab Res Program, Oklahoma City, OK 73117 USA
[6] Univ Oklahoma, Hlth Sci Ctr, Dept Med, Cardiovasc Sect, Oklahoma City, OK 73117 USA
关键词
claudication; C-reactive protein; oxidized low-density lipoprotein; peripheral artery disease; PERIPHERAL ARTERIAL-DISEASE; C-REACTIVE PROTEIN; PHYSICAL-ACTIVITY; LOWER-EXTREMITY; EXERCISE; MORTALITY;
D O I
10.1177/0003319713489769
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
We determined the association between daily ambulatory activity and markers of inflammation and oxidative stress in patients with peripheral artery disease (PAD) and claudication. Patients with PAD (n = 134) limited by claudication were studied. Patients took 3275 +/- 1743 daily strides for 273 +/- 112 minutes each day, and their average daily cadence was 11.7 +/- 2.7 strides/min. High-sensitivity C-reactive protein was significantly and negatively associated with the total number of daily strides (P<.001), total daily ambulatory time (P<.01), peak activity index (P<.01), daily average cadence (P <.05), and the maximum cadences for 60 minutes (P<.05), 30 minutes (P <.05), 20 minutes (P <.05), and 5 minutes (P<.01). Oxidized low-density lipoprotein and soluble vascular cell adhesion molecule 1 were not significantly associated with any of the ambulatory measures (P>05). We conclude that higher levels of community-based, daily ambulatory activity are associated with lower levels of inflammation but are not associated with markers of oxidative stress.
引用
收藏
页码:491 / 496
页数:6
相关论文
共 29 条
[1]   Review of mortality and cardiovascular event rates in patients enrolled in clinical trials for claudication therapies [J].
Brass, Eric P. ;
Hiatt, William R. .
VASCULAR MEDICINE, 2006, 11 (03) :141-145
[2]  
Callaway CW., 1988, ANTHROPOMETRIC STAND, P39
[3]   MORTALITY OVER A PERIOD OF 10 YEARS IN PATIENTS WITH PERIPHERAL ARTERIAL-DISEASE [J].
CRIQUI, MH ;
LANGER, RD ;
FRONEK, A ;
FEIGELSON, HS ;
KLAUBER, MR ;
MCCANN, TJ ;
BROWNER, D .
NEW ENGLAND JOURNAL OF MEDICINE, 1992, 326 (06) :381-386
[4]   THE ISCHEMIC WINDOW - A METHOD FOR THE OBJECTIVE QUANTITATION OF THE TRAINING EFFECT IN EXERCISE THERAPY FOR INTERMITTENT CLAUDICATION [J].
FEINBERG, RL ;
GREGORY, RT ;
WHEELER, JR ;
SNYDER, SO ;
GAYLE, RG ;
PARENT, FN ;
PATTERSON, RB .
JOURNAL OF VASCULAR SURGERY, 1992, 16 (02) :244-250
[5]   Does exercise reduce inflammation? Physical activity and C-reactive protein among US adults [J].
Ford, ES .
EPIDEMIOLOGY, 2002, 13 (05) :561-568
[6]   Patterns of ambulatory activity in subjects with and without intermittent claudication [J].
Gardner, Andrew W. ;
Montgomery, Polly S. ;
Scott, Kristy J. ;
Afaq, Azhar ;
Blevins, Steve M. .
JOURNAL OF VASCULAR SURGERY, 2007, 46 (06) :1208-1214
[7]   Efficacy of Quantified Home-Based Exercise and Supervised Exercise in Patients With Intermittent Claudication A Randomized Controlled Trial [J].
Gardner, Andrew W. ;
Parker, Donald E. ;
Montgomery, Polly S. ;
Scott, Kristy J. ;
Blevins, Steve M. .
CIRCULATION, 2011, 123 (05) :491-498
[8]   Reliability of transcutaneous oximeter electrode heating power during exercise in patients with intermittent claudication [J].
Gardner, AW .
ANGIOLOGY, 1997, 48 (03) :229-235
[9]   EXERCISE REHABILITATION PROGRAMS FOR THE TREATMENT OF CLAUDICATION PAIN - A METAANALYSIS [J].
GARDNER, AW ;
POEHLMAN, ET .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1995, 274 (12) :975-980
[10]  
GARDNER AW, 1991, MED SCI SPORT EXER, V23, P402