Association between physical activity performed at different intensities and cardiovascular health in patients with peripheral artery disease: an observational study.
Max Duarte de Oliveira, Wellington Segheto, Hélcio Kanegusuku, Aline Mendes Gerage, Nelson Wolosker, Marilia de Almeida Correia, Raphael Mendes Ritti-Dias
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Abstract
Background: We examined the sedentary behavior and physical activity of 260 patients with peripheral artery disease. Women engaged in more light physical activity than men did. Light physical activity was associated with lower arterial stiffness in men only, while no significant associations were found between sedentary behavior, moderate-vigorous physical activity, and cardiovascular outcomes.
Background: ◼ Women with peripheral artery disease exhibited higher blood pressure and arterial stiffness than men.
Background: ◼ Low levels of physical activity, particularly moderate to vigorous activity, were observed in individuals with peripheral artery disease.
Objective: To analyze the association between the time spent in sedentary behavior and physical activity of different intensities with cardiovascular health in men and women with peripheral artery disease.
Methods: Two hundred and sixty patients with peripheral artery disease and claudication symptoms (65.7% men; 66±1 years; ankle brachial index 0.57±0.18) were evaluated. Physical activity and sedentary behavior were assessed using an accelerometer. Physical activity was classified into light and moderate-vigorous intensities. The cardiovascular outcomes included blood pressure (oscillometric method), cardiac autonomic modulation (heart rate variability), and arterial stiffness (pulse wave velocity).
Results: Women spent more time engaged in light physical activity than men (341±14 min/day versus 306±9 min/day; p=0.040, respectively). There was no significant difference in the time spent on sedentary behavior and moderate-vigorous physical activity. Women had a higher systolic blood pressure (p=0.025), higher augmentation index (p<0.001), and lower sympathovagal balance (p=0.047) than men. Pulse wave velocity was only negatively associated with light physical activity (β= -4.66; 95%CI= -8.57; -0.76) in men. Light and moderate-vigorous physical activity and sedentary behavior were not associated with other cardiovascular outcomes.
Conclusion: Higher levels of light physical activity were associated with lower arterial stiffness in men with peripheral artery disease.
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