Light and moderate intensity physical activity are associated with better ambulation, quality of life, and vascular measurements in patients with claudication.
Light and moderate intensity physical activity are associated with better ambulation, quality of life, and vascular measurements in patients with claudication.
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DOI：
10.1016/j.jvs.2021.12.071
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发表时间：
2022-05
影响因子：
4.3
通讯作者：
Khurana, Aman
中科院分区：
文献类型：
--
作者：
Gardner, Andrew W.;Montgomery, Polly S.;Wang, Ming;Shen, Biyi;Afaq, Azhar;Khurana, Aman
关键词：
To determine whether patients with claudication who reported performing either light-intensity physical activity (LPA) or moderate-to-vigorous intensity physical activity (MVPA) had higher levels of objectively-determined physical activity, and better physical function, health-related quality of life (HRQoL), and vascular measures, consisting of exercise time to minimum calf muscle oxygen saturation (StO2) and high-sensitivity C-reactive protein, than patients who reported being physically sedentary. Two hundred sixty-nine patients were assessed on the Johnson Space Center physical activity scale. Patients were grouped according to whether they performed no physical activities (n=75), LPA (n=140), or MVPA (n=54). Primary measurements were total daily steps obtained from a step activity monitor worn for one week, peak walking time obtained from a treadmill test, the physical function score on the Medical Outcomes Study Short-Form 36 survey to assess HRQoL, and high-sensitivity C-reactive protein. Total daily steps (mean±SD) was significantly different among groups, as both the LPA group (7878±2808 steps/day) and the MVPA group (8551±3365 steps/day) took more daily steps (p<0.01) than the sedentary group (3323±986 steps/day). Treadmill peak walking time was significantly different among groups, as both the LPA group (433±296 sec) and the MVPA group (548±300 sec) had greater peak walking time (p<0.01) than the sedentary group (302±210 sec). Physical function score was significantly different among groups, as both the LPA group (44±20%) and the MVPA group (58±19%) had higher scores (p<0.01) than the sedentary group (36±20%). Exercise time to the minimum calf muscle StO2 was significantly different among groups, as both the LPA group (215±238 sec) and the MVPA group (377±351 sec) had greater values (p<0.05 and p<0.01, respectively) than the sedentary group (147±172 sec). Finally, high-sensitivity C-reactive protein was significantly different among groups, as both the LPA group (4.8±5.5 mg/L) and the MVPA group (3.5±3.6 mg/L) had lower values (p<0.01) than the sedentary group (8.6±8.4 mg/L). Patients with claudication who reported performing LPA had greater amounts of objectively-determined physical activity levels and better physical function, HRQoL, and vascular measures than those who reported being physically sedentary. Furthermore, these favorable results associated with LPA were even more pronounced in patients who performed MVPA than in patients who were sedentary. The clinical significance is that engaging in any physical activity, even at relatively light intensity, is associated with favorable health and vascular measures in patients with claudication. This cross-sectional study of 269 patients with claudication found that treadmill peak walking time was greater in patients who either performed light-intensity or moderate-to-vigorous intensity physical activity than patients who were sedentary. Physical activity, even at relatively light intensity, is associated with favorable health measurements in patients with claudication.
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影响因子：
5.4
作者：
Gardner AW;Parker DE;Montgomery PS;Blevins SM
通讯作者：
Blevins SM
影响因子：
168.9
作者：
Fowkes, F. Gerald R.;Rudan, Diana;Criqui, Michael H.
通讯作者：
Criqui, Michael H.
DOI：
10.1249/00005768-198205000-00012
发表时间：
1982-01-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
BORG, GAV
通讯作者：
BORG, GAV
影响因子：
1.5
作者：
Hernandez, Hernan;Myers, Sara A.;Pipinos, Iraklis I.
通讯作者：
Pipinos, Iraklis I.
影响因子：
3.5
作者：
Hirsch, Alan T.;Hartman, Lacey;Virnig, Beth A.
通讯作者：
Virnig, Beth A.