Physical Activity After Treatment for Symptomatic Peripheral Artery Disease

Peri-Okonny, Poghni; Patel, Sarthak; Spertus, John A.; Jackson, Elizabeth A.; Malik, Ali; Provance, Jeremy; Mena‐Hurtado, Carlos; Shishehbor, Mehdi H.; Hijjaji, Vittal; Gosch, Kensey; Smolderen, Kim G.

doi:10.1016/j.amjcard.2020.10.011

Cited by 4 publications

(2 citation statements)

References 16 publications

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“…In a long-term PA report, Peri-Okonny et al reported that SB increased again after 6–12 months without supervised exercise therapy, even if SB decreased after discharge with or without revascularization treatment. 19) In our study, SB improved after discharge in many patients. However, this previous study reported, even if revascularization was performed, that SB may eventually increase if exercise was not performed under supervision.…”

Section: Discussionsupporting

confidence: 57%

Determination of Treatment Efficacy after Revascularization of Intermittent Claudication Patients by Physical Function Assessment

Nakajima

Mitsuoka

Orimoto

et al. 2024

ATCS

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Purpose: There have been few reports examining changes in physical activity (PA) after revascularization of lower extremities from the perspective of physical function at discharge. The purpose of this study was to clarify the effects of physical function before discharge on the amount of PA after discharge in patients who underwent revascularization. Methods: The subjects were 34 Fontaine class II patients admitted for elective surgical revascularization or endovascular treatment at two hospitals from September 2017 to October 2019. Triaxial accelerometers were used to measure changes in sedentary behavior (SB) before admission and 1 month after discharge. Multiple regression analysis was performed on the 6-min walking distance (6MWD) at the time of discharge and the change in SB 1 month after discharge; the cutoff value was calculated from the receiver operating characteristic (ROC) curve. Results: SB 1 month after discharge significantly decreased in the decreased SB group compared to the increased SB group (575.5 [400–745.2] vs. 649.5 [453.8–809.2], p <0.01). ROC curve was plotted with SB increase/decrease as the dependent variable and 6MWD at discharge as the independent variable; the cutoff value was 357.5 m. Conclusion: 6MWD measurement at discharge may help predict changes in SB after discharge.

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Section: Discussionsupporting

confidence: 57%

Determination of Treatment Efficacy after Revascularization of Intermittent Claudication Patients by Physical Function Assessment

Nakajima

Mitsuoka

Orimoto

et al. 2024

ATCS

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“…In this community-based elderly population, no association was observed between weekly walking activity and renal HMOD. With regard to vascular HMOD, several population-based studies indicated that physical activity was favorably associated with arterial stiffness ( 45 ) and atherosclerosis ( 46 ). In line with these results, our data indicated a significant association of walking activity on reduction of most vascular HMOD (including arterial stiffness, increased CIMT, and peripheral artery disease).…”

Section: Discussionmentioning

confidence: 99%

Associations of Walking Activity With Hypertensive Mediated Organ Damage in Community-Dwelling Elderly Chinese: The Northern Shanghai Study

Lyu

Chen

et al. 2021

Front. Cardiovasc. Med.

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Background: Walking, as the most common campaign in older people, is recommended to improve their cardiovascular health. However, the direct association between weekly walking activity and asymptomatic hypertensive mediated organ damage (HMOD) remains unclear.Methods: 2,830 community-dwelling elderly subjects (over 65 years) in northern Shanghai were recruited from 2014 to 2018. Weekly walking activity was assessed by International Physical Activity Questionnaires (IPAQ). Within the framework of comprehensive cardiovascular examinations, HMOD, including left ventricular mass index, peak transmitral pulsed Doppler velocity/early diastolic tissue Doppler velocity, creatinine clearance rate, urinary albumin–creatinine ratio, carotid-femoral pulse wave velocity (cf-PWV), carotid intima–media thickness (CIMT), arterial plaque, and ankle-brachial index (ABI), were all evaluated.Results: 1,862 (65.8%) participants with weekly walking activity showed lower CIMT, lower cf-PWV, fewer abnormal ABI, and lower prevalence of hypertension and coronary heart disease (p < 0.05). Walking activity was negatively correlated with age and smokers (correlation coefficient: −0.066, −0.042; both p < 0.05). After adjusting for cardiovascular risk factors and concomitant diseases, walking activity was significantly associated with better indicator of most vascular HMOD in multivariate logistic regressions, including arterial stiffness [odds ratio (OR) = 0.75, p = 0.01], increased CIMT (OR = 0.70, p = 0.03), and peripheral artery disease (OR = 0.72, p = 0.005), but not cardiac or renal HMOD. Subgroup analysis further showed that walking duration ≥1 h/day was significantly associated with decreased risk of most vascular HMOD after adjustment for confounders and moderate-to-vigorous physical activity based on IPAQ (all p < 0.05).Conclusions: In the community-dwelling elderly Chinese, there was a significant negative association of weekly walking activity with vascular HMOD, but not cardiac or renal HMOD. Increased daily walking duration, but not walking frequency, was significantly associated with improved vascular HMOD. Hence, increasing daily walking duration seems to encourage a healthy lifestyle in terms of vascular protection.Clinical Trial Registration:ClinicalTrials.gov, identifier: NCT02368938.

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Longitudinal Pathways Between Physical Activity, Depression, and Perceived Stress in Peripheral Artery Disease

Yazgan

Bartlett

Romain

et al. 2023

Circ: Cardiovascular Quality and Outcomes

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BACKGROUND: One-fifth of the patients with peripheral artery disease (PAD) experience depression and stress. Depression and stress may impact patients’ abilities to be physically active, a key recommendation for supporting overall PAD management to improve symptoms and reduce the risk of cardiovascular events. We aimed to study interrelationships between 1-year longitudinal trajectories of depression, stress, and physical activity following a PAD diagnosis. METHODS: Patients with new or worsening PAD symptoms enrolled at 10 US PORTRAIT study (Patient-Centered Outcomes Related to Treatment Practices in Peripheral Arterial Disease: Investigating Trajectories) vascular specialty clinics (CT, LA, MI, MO, NC, OH, and RI) were assessed at baseline, 3, 6, and 12 months between June 2, 2011 and December 3, 2015. Depressive symptoms were measured with the 8-item Patient Health Questionnaire, perceived stress with the 4-item Perceived Stress Scale and physical activity with items from the INTERHEART study. Path analysis was used to examine the longitudinal relationship between depression and physical activity and perceived stress and physical activity. RESULTS: A total of 766 patients were included (mean age of 68.2 [±9.4] years; 57.7% male). Overall, 17.8% reported significant depressive symptoms, 36.0% experienced increased perceived stress, and 44.1% were sedentary upon PAD diagnosis. A decrease in physical activity preceded a rise in subsequent depressive symptoms (β ranges −0.45 [95% CI, −0.80 to −0.09]; −0.81 [95% CI, −1.19 to 0.42]) over the course of 1 year. Low physical activity scores at the initial presentation were followed by high perceived stress at 3 months (β=−0.44 [95% CI, −0.80 to −0.07]). CONCLUSIONS: In symptomatic PAD, a decrease in physical activity was followed by an increased risk of depressive symptoms and perceived stress at subsequent intervals over the course of 1 year following PAD diagnosis and treatment. Integrated behavioral health approaches for PAD, addressing physical activity and managing depression or distress, are indicated as collective PAD treatment goals.

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Physical Activity After Treatment for Symptomatic Peripheral Artery Disease

Cited by 4 publications

References 16 publications

Determination of Treatment Efficacy after Revascularization of Intermittent Claudication Patients by Physical Function Assessment

Determination of Treatment Efficacy after Revascularization of Intermittent Claudication Patients by Physical Function Assessment

Associations of Walking Activity With Hypertensive Mediated Organ Damage in Community-Dwelling Elderly Chinese: The Northern Shanghai Study

Longitudinal Pathways Between Physical Activity, Depression, and Perceived Stress in Peripheral Artery Disease

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