Physical Activity Monitoring in Patients with Intermittent Claudication
| Autor: | Hugo J.P. Fokkenrood, Marc R. Scheltinga, Bianca L. W. Bendermacher, Joep A.W. Teijink, Gert-Jan Lauret |
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| Přispěvatelé: | Epidemiologie, RS: CAPHRI School for Public Health and Primary Care, RS: CARIM - R3 - Vascular biology, RS: CAPHRI - Epidemiology of musculoskeletal Disorders, RS: CAPHRI - Clinical epidemiology |
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Male
Health Knowledge Attitudes Practice medicine.medical_specialty Time Factors Health Behavior Physical fitness Subgroup analysis Physical exercise Motor Activity Metabolic equivalent Intermittent claudication Predictive Value of Tests Activities of Daily Living Humans Medicine Prospective Studies Exercise Aged Medicine(all) business.industry Physical activity Public health Mortality rate Equipment Design Awareness Middle Aged Actigraphy Physical activity level Accelerometer Case-Control Studies Physical therapy Patient Compliance Female Surgery Energy expenditure Sedentary Behavior medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | European Journal of Vascular and Endovascular Surgery, 47(6), 656-663. Elsevier Saunders |
| ISSN: | 1078-5884 |
| Popis: | WHAT THIS PAPER ADDS This study used the newest generation of accelerometers to objectively assess the free-living daily physical activity level (PA, in metabolic equivalents) of patients with intermittent claudication (IC). Results demonstrate that less than half of these patients meet the current minimal PA recommendations.The quantified daily level of PA in IC is significantly lower than in healthy adults. Because a low PA level in IC is considered a strong predictor of mortality and functional decline, this paper emphasises the need for more awareness to improve physical exercise in patients with IC. Objectives: Reduced physical activity (PA) is associated with a higher mortality rate and more rapid functional decline in patients with intermittent claudication (IC). The newest generation of accelerometers can assess both direction and intensity of activities three-dimensionally and may also adequately calculate energy expenditure in daily life.The aim of this study was to quantify daily PA level and energy expenditure of newly diagnosed patients with IC and healthy controls. PA outcomes are compared with contemporary public health physical activity guidelines. Methods: Before initiating treatment, 94 patients with newly diagnosed IC and 36 healthy controls were instructed to wear a tri-axial seismic accelerometer for 1 week. Daily PA levels (in metabolic equivalents, METs) were compared with the ACSM/AHA public health PA minimum recommendations (� 64 METs$min$day, in bouts of � 10 minutes). A subgroup analysis assessed the effect of functional impairment on daily PA levels. Results: Data from 56 IC patients and 27 healthy controls were available for analysis. Patients with IC demonstrated significantly lower mean daily PA levels (� SD) than controls (387 � 198 METs$min vs. 500 � 156 METs$min, p ¼ .02). This difference was solely attributable to a subgroup of IC patients with the largest functional impairment (WIQ-score < 0.4). Only 45% of IC patients met the public health physical activity guidelines compared with 74% of the healthy controls (p ¼ .01). Conclusions: More than half of patients with IC do not meet recommended standards of PA. Considering the serious health risks associated with low PA levels, these findings underscore the need for more awareness to improve physical exercise in patients with IC. |
| Databáze: | OpenAIRE |
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