Impact of psychological factors on objective ambulatory measures in patients with intermittent claudication

Torrent, Daniel J.; Maness, Mandy R.; Capps, Timothy C.; Sears, Samuel F.; Whited, Amanda; Yamaguchi, Dean T.; Parker, Frank M.; Stoner, Michael C.

doi:10.1016/j.jvs.2014.03.281

Cited by 8 publications

(8 citation statements)

References 20 publications

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“…Studies have shown a depressive symptom prevalence of approximately 16% among patients with IC (28). We observed a higher prevalence in our sample (40%).…”

Section: ' Resultscontrasting

confidence: 66%

Symptoms of anxiety and depression and their relationship with barriers to physical activity in patients with intermittent claudication

Ragazzo

Puech-Leão

Wolosker

et al. 2021

Clinics

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OBJECTIVES: Although the practice of physical exercise in patients with intermittent claudication (IC) is often encouraged, adherence is low. The difficulty in performing physical training may be related to the psychological characteristics of patients with claudication. To verify the association between anxiety and depression symptoms and barriers to physical exercise and walking capacity in patients with IC. METHODS: One-hundred and thirteen patients with a clinical diagnosis of IC were included in the study. Patients underwent clinical evaluation by a vascular surgeon, answered the Beck Depression Inventory, and Beck Anxiety Inventory tests were applied by the psychologist. The patients performed the 6-minute test and reported their barriers to physical activity practice in a questionnaire. RESULTS: Patients with signs of depression had a shorter pain-free walking distance ( p =0.015) and total walking distance ( p =0.035) compared to patients with no signs of depression. Pain-free walking distance ( p =0.29) and total walking distance ( p =0.07) were similar between patients with and without signs of anxiety. Patients with symptoms of moderate to severe depression reported more barriers to physical activity practice compared to patients without signs of depression. CONCLUSION: Symptoms of anxiety and depression are prevalent among patients with peripheral arterial occlusive disease (PAD). Depression symptoms are associated with personal barriers to exercise, while anxiety symptoms are not. The main barriers to physical activity among patients with IC are exercise-induced pain and the presence of other diseases.

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“…Studies have shown a depressive symptom prevalence of approximately 16% among patients with IC (28). We observed a higher prevalence in our sample (40%).…”

Section: ' Resultscontrasting

confidence: 66%

Symptoms of anxiety and depression and their relationship with barriers to physical activity in patients with intermittent claudication

Ragazzo

Puech-Leão

Wolosker

et al. 2021

Clinics

View full text Add to dashboard Cite

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“…Future research in this area could therefore benefit from utilising more objective measures of health behaviour through the use of a walking pedometer or accelerometer. For example, Torrent et al (2014) showed that Type D personality was associated with less total distance walked during the 6-minute walking test (6MWT) and an increased odds of quitting the 6MWT in patients with peripheral arterial disease. In addition to introducing more objective measures of health behaviour, future research should carry out this study in a cardiac population.…”

Section: Discussionmentioning

confidence: 99%

Type D personality and physical inactivity: The mediating effects of low self-efficacy

Wiencierz

Williams

2016

J Health Psychol

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Type D personality is associated with health-damaging behaviours among the general population. This study assessed the relationship between Type D personality, physical activity and self-efficacy. A total of 189 participants completed measures of Type D personality, physical activity and self-efficacy. Type D individuals had significantly lower levels of self-efficacy and engaged in significantly less walking and total exercise compared to non-Type D's. Furthermore, self-efficacy fully mediated the relationship between Type D and physical activity. Low levels of self-efficacy may be one mechanism to help explain why Type D individuals engage in more disease-promoting behaviours.

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“…Despite Brazil’s economy changing from agriculture to manufacturing, under governments prior to that of President Bolsonaro, the country has sought to improve environmental sustainability. Several initiatives and programs have been launched to maintain biodiversity and a clean environment, including the creation of Permanent Protection Areas [ 96 ] to surround rivers, and the establishment of the Brazilian Institute of Environment and Renewable Natural Resources, the Special Secretariat of Environment, the National Environmental System, the National Environmental Council, and the Brazilian Institute of Environment and Renewable Natural Resources.…”

Section: Brazilmentioning

confidence: 99%

Why do some countries do better or worse in life expectancy relative to income? An analysis of Brazil, Ethiopia, and the United States of America

Freeman

Gesesew

Bambra

et al. 2020

Int J Equity Health

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Background While in general a country’s life expectancy increases with national income, some countries “punch above their weight”, while some “punch below their weight” – achieving higher or lower life expectancy than would be predicted by their per capita income. Discovering which conditions or policies contribute to this outcome is critical to improving population health globally. Methods We conducted a mixed-method study which included: analysis of life expectancy relative to income for all countries; an expert opinion study; and scoping reviews of literature and data to examine factors that may impact on life expectancy relative to income in three countries: Ethiopia, Brazil, and the United States. Punching above or below weight status was calculated using life expectancy at birth and gross domestic product per capita for 2014–2018. The scoping reviews covered the political context and history, social determinants of health, civil society, and political participation in each country. Results Possible drivers identified for Ethiopia’s extra 3 years life expectancy included community-based health strategies, improving access to safe water, female education and gender empowerment, and the rise of civil society organisations. Brazil punched above its weight by 2 years. Possible drivers identified included socio-political and economic improvements, reduced inequality, female education, health care coverage, civil society, and political participation. The United States’ neoliberal economics and limited social security, market-based healthcare, limited public health regulation, weak social safety net, significant increases in income inequality and lower levels of political participation may have contributed to the country punching 2.9 years below weight. Conclusions The review highlighted potential structural determinants driving differential performance in population health outcomes cross-nationally. These included greater equity, a more inclusive welfare system, high political participation, strong civil society and access to employment, housing, safe water, a clean environment, and education. We recommend research comparing more countries, and also to examine the processes driving within-country inequities.

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Impact of psychological factors on objective ambulatory measures in patients with intermittent claudication

Abstract: Despite equivalent demographic, medical, and psychosocial factors, the type D group was limited in ambulation, suggesting that type D personality is a strong predictor of disease impact in patients with IC.

Cited by 8 publications

References 20 publications

Symptoms of anxiety and depression and their relationship with barriers to physical activity in patients with intermittent claudication

Symptoms of anxiety and depression and their relationship with barriers to physical activity in patients with intermittent claudication

Type D personality and physical inactivity: The mediating effects of low self-efficacy

Why do some countries do better or worse in life expectancy relative to income? An analysis of Brazil, Ethiopia, and the United States of America

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