The Comparison of Stationary Bike Training and Standard Treadmill Therapy in Overweight and Obese Patients Age 40-55 with Peripheral Artery Disease (PAD) in Fontaine’s Stage IIa on High Dose Supplementation Support of Alpha-Lipoic Acid (ALA)

S. Solaković, E. Solaković, R. Pavlović, Amina Ahmovic, Mensur Vrcić, Nedim Čović
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Abstract

Aim: The aim of the applicative study was to estimate the increasing capability of claudications distance in Fontaine's stage IIa patients of Peripheral artery disease (PAD) with Body Mass Index (BMI) 25-34,9 kg/m2 and Ankle Brachial Index (ABI) 0,8-0,9 by comparing Stationary Bike on High Dose of Alpha-Lipoic Acid (ALA) versus Treadmill wallking program on standard Dose of Alpha-Lipoic Acid (ALA) in Exercise Therapy with life style modification. Patients and methods: This study was conducted from beginning of May, 2017 till end of May, 2018 at the Clinic for Cardiovascular Surgery Clinical Center and Department for vascular and endovascular surgery, University of Sarajevo, Special Hospital dr. Solakovic, Sarajevo and Faculty of Sport and Physical Education, University of Sarajevo. In the study included 60 male patients, age 40-55 with Peripheral Artery Disease (Ankle Brachial Index/ABI) 0,8-0,9, and Body Mass Index (BMI) 25 to 34,9 kg/m2 (30 non surgical traetment patients on standard Treadmill wallking program (control group) and research group consisting of 30 non surgical treatment patients on Stationary Bike), in stadium IIa of peripheral artery disease, with manifestation of mild claudication simptoms. For the testing of statistical significance of differences between the examinated groups parametric tests were used. The difference at a level of (p Results: Analysis shows the no statistically significantdifference between on claudication distance inStationary Bike grupsand impellers standard Treadmill wallking group (p>0,05). Conclusion: Stationary Bike Interval Training can be alternative vascular Therapy and has his on benefits but he can notentirely replace Treadmill Therapy in Patients with Peripheral Artery Disease with BMI 25-34.9kg/m2. Treadmill Rehabilitation Therapy still remain generally main strategy of the therapeutic effect on enhancement of claudication distance (Fontaine's stage II) of peripheral artery disease.
高剂量补充α -硫辛酸(ALA)支持下40-55岁超重和肥胖外周动脉疾病(PAD)患者Fontaineⅱa期的固定自行车训练与标准跑步机治疗的比较
目的:应用研究的目的是通过比较高剂量α -硫辛酸(ALA)运动疗法与标准剂量α -硫辛酸(ALA)跑步机运动疗法在改变生活方式的运动治疗中,对体重指数(BMI)为25-34,9 kg/m2、踝关节肱指数(ABI)为0,8-0,9的Fontaine期外周动脉疾病(PAD)患者的跛行距离增加能力进行评估。患者和方法:本研究于2017年5月初至2018年5月底在萨拉热窝大学心血管外科临床中心和血管和血管内外科诊所,萨拉热窝特别医院索拉科维奇博士和萨拉热窝大学体育运动学院进行。本研究纳入60例40-55岁外周动脉病变(踝肱指数/ABI) 0,8-0,9,身体质量指数(BMI) 25 - 34,9 kg/m2的男性患者(30例非手术治疗,采用标准跑步机步行方案(对照组),30例非手术治疗,采用固定式自行车),外周动脉病变在体育场IIa,表现为轻度跛行症状。对于检验组间差异的统计显著性,采用参数检验。结果:经分析,固定式脚踏车组与叶轮式标准踏车组在跛行距离上无统计学差异(p < 0.05)。结论:对于BMI为25 ~ 34.9kg/m2的外周动脉疾病患者,静止自行车间歇训练可作为血管治疗的替代疗法,且有其益处,但不能完全替代跑步机治疗。跑步机康复治疗仍是外周动脉疾病增强跛行距离(Fontaine期)的主要治疗策略。
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