Supervised exercise therapy in the management of peripheral arterial disease – an assessment of compliance
| العنوان: | Supervised exercise therapy in the management of peripheral arterial disease – an assessment of compliance |
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| المؤلفون: | Thomas Aherne, Thekra Al-Zabi, Peter A. Naughton, Noel McCaffrey, Elrasheid A. H. Kheirelseid, Khalid Bashar, Michael R. Boland, Daragh Moneley, Austin Leahy, Shane Carr |
| المصدر: | Vasa. 46:219-222 |
| بيانات النشر: | Hogrefe Publishing Group, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Time Factors, Databases, Factual, Arterial disease, Smoking Prevention, Comorbidity, 030204 cardiovascular system & hematology, 030230 surgery, Peripheral Arterial Disease, 03 medical and health sciences, 0302 clinical medicine, Humans, Medicine, Community Health Services, Aged, Retrospective Studies, Exercise Tolerance, business.industry, Smoking, Attendance, Recovery of Function, Intermittent Claudication, Middle Aged, Intermittent claudication, Exercise Therapy, Peripheral, Compliance (physiology), Logistic Models, Treatment Outcome, medicine.anatomical_structure, Multivariate Analysis, Linear Models, Quality of Life, Physical therapy, Educational Status, Patient Compliance, Female, Smoking Cessation, medicine.symptom, Ankle, Cardiology and Cardiovascular Medicine, business, Claudication, Ireland, Cohort study |
| الوصف: | Abstract. Background: Supervised exercise therapy (SET) is an effective option in the management of peripheral arterial disease (PAD). Unfortunately, poor compliance remains prevalent. This study aimed to assess patient exercise compliance and to identify factors influencing symptomatic improvement and SET participation. Patients and methods: Data regarding attendance at SET for this cohort study were extracted from a prospectively maintained database of patients with claudication attending SET at Dublin City University. All patients had ankle brachial index confirmed PAD with associated intermittent claudication. Exercise performance and symptomatic data were gathered retrospectively using patient charts and interviews. Results: Ninety-eight patients were referred for SET during the study period. The mean age was 69.2 (± 10.1) with 18 % being female. Median follow-up was 25.1 months (IQ range 17.0–31.6). Overall, the mean number of sessions attended per patient was 19.5. Exercise compliance was associated with a significant improvement in symptoms (p = 0.001). Other factors including anatomical level of claudication (P = 0.042) and educational level (p = 0.007) were found to affect the outcome of SET. Multivariate analysis revealed hypertension as a predictor of symptomatic outcome after SET (p = 0.045). Furthermore, ex-smokers (p = 0.021) and those previously diagnosed with hypercholesterolaemia (p = 0.020) or ischaemic heart disease (p = 0.029) had superior exercise compliance. Using linear regression, smoking history (p = 0.024) was identified as a predictor of compliance to SET. Conclusions: Establishing exercise compliance remains challenging in the PAD cohort. Pre-exercise patient education and personalised exercise prescriptions may result in improvements in function and compliance. |
| تدمد: | 1664-2872 0301-1526 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7a90fa703496b3467fbc2d79f4d7ffc0 https://doi.org/10.1024/0301-1526/a000612 |
| رقم الأكسشن: | edsair.doi.dedup.....7a90fa703496b3467fbc2d79f4d7ffc0 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 16642872 03011526 |
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