Education and home based training for intermittent claudication: functional effects and quality of life

Prévost, Alain; Lafitte, Marianne; Pucheu, Yann; Couffinhal, Thierry

doi:10.1177/2047487313512217

Cited by 17 publications

(32 citation statements)

References 37 publications

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“…We hypothesized that lower ABI value, including borderline low ABI (ABI <1.00),19 would be comprehensively associated with reduced health‐related QOL in community‐dwelling older adults. Some people (particularly as they age) may value QOL relatively more than merely survival, and PAD‐specific management (eg, supervised exercise, pharmacotherapy, and revascularization) has been shown to improve QOL in some patients 20, 21. Thus, our findings may have clinical and public health implications.…”

Section: Introductionmentioning

confidence: 72%

Lower Extremity Peripheral Artery Disease and Quality of Life Among Older Individuals in the Community

Coresh

Selvin

et al. 2017

JAHA

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BackgroundEvidence regarding the association of lower extremity peripheral arterial disease with quality of life (QOL) is mainly from selected clinical populations or relatively small clinical cohorts. Thus, we investigated this association in community‐derived populations.Methods and ResultsUsing data of 5115 participants aged 66 to 90 years from visit 5 (2011‐2013) of the Atherosclerosis Risk in Communities Study, we quantified the associations of ankle‐brachial index (ABI) with several QOL parameters, including 12‐item Short‐Form Health Survey (SF‐12), after accounting for potential confounders using linear and logistic regression models. Peripheral arterial disease defined by an ABI <0.90 (n=402), was independently associated with a low SF‐12 Physical Component Summary score (−3.26 [95% CI −5.60 to −0.92]), compared to the ABI reference 1.10 to 1.19 (n=1900) but not with the Mental Component Summary score (−0.07 [−2.21 to 2.06]). A low ABI was significantly associated with poorer status of all SF‐12 physical domains (physical functioning, role‐physical, bodily pain, and general health) but only vitality out of 4 mental domains. Similarly, low ABI values were more consistently associated with other physically related QOL parameters (leisure‐time exercise/activity/walking) than mentally related parameters (significant depressive symptoms and hopeless feeling). Lower physical QOL was observed even in individuals with borderline low ABI (0.90 to 0.99; n=426).ConclusionsLow ABI (even borderline) was independently associated with poor QOL, especially for physical components, in community‐dwelling older adults. QOL is a critical element for older adults, and thus, further studies are warranted to assess whether peripheral arterial disease‐specific management can improve QOL in older populations.

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Section: Introductionmentioning

confidence: 72%

Lower Extremity Peripheral Artery Disease and Quality of Life Among Older Individuals in the Community

Coresh

Selvin

et al. 2017

JAHA

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“…The importance of the finding becomes more significant, considering that: (i) the total walking time remained similar while the number of stops was increased between walks and (ii) patients’ health‐related quality‐of‐life assessment was already significantly affected at the time of the first visit (Table ), which would have been at least 8 months since they have been originally diagnosed with IC, an amount of time sufficient for them to adapt to their new life circumstances. It is also important to note that our baseline, health‐related quality‐of‐life findings are similar to those reported in other studies, where improvements were only noted following structured (home or supervised) exercise programmes or surgery [Jakubsevičien≐ et al ., ; Prévost et al ., ).…”

Section: Discussionmentioning

confidence: 97%

Real‐life adaptations in walking patterns in patients with established peripheral arterial disease assessed using a global positioning system in the community: a cohort study

Klonizakis

Bianchi

Gernigon

et al. 2018

Clin Physio Funct Imaging

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“…The most commonly used tool was the Short Form 36 (SF-36) or variations of it, used in 23 out of the 31 studies included (74.19%) with a total of 3256 patients and 12 studies used the SF-36 in its English form [2, 10–14, 19, 20, 23, 24, 34, 38]. Translated versions of the SF-36 were used in Serbian [28], Dutch [16], French [36], Italian [29] and Chinese [39]. Of the 23 studies 5 utilised the RAND-36 tool [1, 4, 5, 30, 33], which contains the same question set as the SF-36 but is analysed differently [18].…”

Section: Number Of Questionnaires Usedmentioning

confidence: 99%

Quality of life in patients with intermittent claudication

et al. 2017

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BackgroundIntermittent claudication (IC) is a common condition that causes pain in the lower limbs when walking and has been shown to severely impact the quality of life (QoL) of patients. The QoL is therefore often regarded as an important measure in clinical trials investigating intermittent claudication. To date, no consensus exits on the type of life questionnaire to be used. This review aims to examine the QoL questionnaires used in trials investigating peripheral arterial disease (PAD).Material and methodsA systematic review of randomised clinical trials including a primary analysis of QoL via questionnaire was performed. Trials involving patients with diagnosed PAD were included (either clinically or by questionnaire). Any trial which had QoL as the primary outcome data was included with no limit being placed on the type of questionnaire used.ResultsThe search yielded a total of 1845 articles of which 31 were deemed appropriate for inclusion in the review. In total, 14 different QoL questionnaires were used across 31 studies. Of the questionnaires 24.06% were missing at least one domain when reported in the results of the study. Mean standard deviation varied widely based on the domain reported, particularly within the SF36.DiscussionDespite previous recommendations for Europewide standardisation of quality of life assessment, to date no such tool exists. This review demonstrated that a number of different questionnaires remain in use, that their completion is often inadequate and that further evidence-based guidelines on QoL assessment are required to guide future research.

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Education and home based training for intermittent claudication: functional effects and quality of life

Cited by 17 publications

References 37 publications

Lower Extremity Peripheral Artery Disease and Quality of Life Among Older Individuals in the Community

Lower Extremity Peripheral Artery Disease and Quality of Life Among Older Individuals in the Community

Real‐life adaptations in walking patterns in patients with established peripheral arterial disease assessed using a global positioning system in the community: a cohort study

Quality of life in patients with intermittent claudication

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