Does frailty affect barriers to physical activity in patients with symptomatic peripheral artery disease? A cross-sectional study.

Autor: Santos JCDS; Graduate Program in Physical Education, Universidade Federal de Pernambuco, Recife, PE, Brazil., Correia MA; Graduate Program in Medicine, Universidade Nove de Julho, São Paulo, SP, Brazil; Graduate Program in Rehabilitation Sciences, Universidade Nove de Julho, São Paulo, SP, Brazil., Kanegusuku H; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Wolosker N; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Ritti-Dias RM; Graduate Program in Medicine, Universidade Nove de Julho, São Paulo, SP, Brazil., Farah BQ; Graduate Program in Physical Education, Universidade Federal de Pernambuco, Recife, PE, Brazil; Graduate Program in Rehabilitation Sciences, Universidade Nove de Julho, São Paulo, SP, Brazil; Graduate Program in Moviment Sciences, Universidade Federal Rural de Pernambuco, Recife, PE, Brazil. Electronic address: brenofarah@hotmail.com.
Jazyk: angličtina
Zdroj: Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing [J Vasc Nurs] 2024 Sep; Vol. 42 (3), pp. 203-207. Date of Electronic Publication: 2024 Jun 25.
DOI: 10.1016/j.jvn.2024.06.001
Abstrakt: Background: Frailty syndrome is prevalent among many patients experiencing intermittent claudication symptoms. Considering that components of the frailty syndrome can affect both physical and psychological functions, it is likely that barriers to physical activity are heightened in these individuals.
Aim: To analyze the association between barriers to physical activity and frailty in patients with symptomatic peripheral artery disease (PAD).
Methods: This cross-sectional study included 216 patients with symptomatic PAD (64.8% men, 65.6±9.4 yrs.). Nine personal and 8 environmental barriers to physical activity were investigated through a questionnaire on barriers to practicing physical activity in patients with intermittent claudication. Frailty was defined according to Fried et al. (2001) criteria which included unintentional weight loss, exhaustion, low grip strength, slow walking speed, physical inactivity. Three or more criteria defined frail, one or 2 criteria defined pre-frail, and absence of criteria defined non-frail. Data are presented as median (interquartile range).
Results: Frail and pre-frail patients have more barriers than non-frail patients [frail: 11 (4); pre-frail: 10 (6); non-frail: 8 (7), p = 0.001]. Absence of a companion for physical activity, lack of knowledge and uncertainty about the benefits of physical activity, pain induced by walking and presence of obstacles that worsen leg pain were associated with frail and pre-frail status, independent of sex, age, ankle-brachial index, and total walking distance.
Conclusion: Patients with PAD who are frail and pre-frail have more barriers to physical activity than non-frail patients. Therefore, specific interventions promoting PA are essential for these patients to improve their health outcomes.
Competing Interests: Declaration of competing interest The authors declare that they have no conflicts of interest.
(Copyright © 2024. Published by Elsevier Inc.)
Databáze: MEDLINE
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