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Trainability for cardiopulmonary fitness is low in patients with peripheral artery disease.
- Source :
-
European Journal of Cardiovascular Nursing . Mar2024, Vol. 23 Issue 2, p127-136. 10p. - Publication Year :
- 2024
-
Abstract
- Aims In patients with peripheral arterial disease (PAD), exercise therapy is recommended to relieve leg symptoms, as noted in the 2016 AHA/ACC and 2017 ESC/ESVS guidelines. We assessed the trainability for cardiopulmonary fitness (CPF) and quality of life (QOL); three distinct patient types, namely, PAD, heart failure (HF), and stroke, were compared. Methods and results This is a multicentre, retrospective analysis of prospectively collected data from three clinical studies. Data collected from 123 patients who completed 36 sessions of supervised aerobic training of moderate intensity were analysed, with 28 PAD, 55 HF, and 40 stroke patients totalling 123. Before and after training, cardiopulmonary exercise testing with non-invasive cardiac output monitoring and QOL evaluation using a 36-Item Short Form Survey (SF-36) were performed. Non-response was defined as a negative change in the post-training value compared with that in the pre-training value. The result showed an improvement in CPF in all three groups. However, cardiorespiratory fitness (CRF) increased by a lesser extent in the PAD group than in the HF and stroke groups; the physical and mental component scores (MCS) of SF-36 exhibited a similar pattern. Non-response rates of peak V ˙ O 2 , oxygen uptake efficiency slope, and MCS were higher in the PAD group. In the PAD group, non-responders regarding peak V ˙ O 2 had a higher pulse wave velocity than responders. Conclusion In patients with PAD following exercise therapy, CRF and QOL improved to a lesser extent on average; their non-response rate was also higher compared with that of HF or stroke patients. Therefore, a higher dose of exercise might be needed to elicit adaptation in PAD patients, especially those with high pulse wave velocity. [ABSTRACT FROM AUTHOR]
- Subjects :
- *PERIPHERAL vascular disease treatment
*HEART failure treatment
*STROKE treatment
*CARDIOPULMONARY fitness
*EXERCISE physiology
*OXYGEN saturation
*T-test (Statistics)
*DATA analysis
*EXERCISE therapy
*QUESTIONNAIRES
*FISHER exact test
*RETROSPECTIVE studies
*HEALTH surveys
*MANN Whitney U Test
*DESCRIPTIVE statistics
*CARDIOPULMONARY system
*CARDIAC output
*ANKLE brachial index
*QUALITY of life
*RESEARCH
*AEROBIC exercises
*MAGNETIC resonance angiography
*ANALYSIS of variance
*ONE-way analysis of variance
*STATISTICS
*COMPARATIVE studies
*EXERCISE tests
*OXYGEN consumption
*PULSE wave analysis
*DATA analysis software
Subjects
Details
- Language :
- English
- ISSN :
- 14745151
- Volume :
- 23
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- European Journal of Cardiovascular Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 176131701
- Full Text :
- https://doi.org/10.1093/eurjcn/zvad044