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Verfasst von:Müller-Bühl, Uwe [VerfasserIn]   i
 Engeser, Peter [VerfasserIn]   i
 Leutgeb, Rüdiger [VerfasserIn]   i
 Szecsenyi, Joachim [VerfasserIn]   i
Titel:Eligibility of patients with peripheral arterial disease for participation in a community-based walking exercise program
Titelzusatz:a single-centre experience
Verf.angabe:U. Müller-Bühl, P. Engeser, R. Leutgeb, J. Szecsenyi
Umfang:6 S.
Titel Quelle:Enthalten in: International angiology
Jahr Quelle:2012
Band/Heft Quelle:31(2012), 5, S. 462-467
ISSN Quelle:0392-9590
Abstract:AIM: Eligibility of patients with peripheral arterial disease (PAD) for exercise therapy is the most important requirement for predicting their training group adherence. METHODS: In this prospective, exploratory study over a period of 1 year, a total of 462 PAD patients of an angiological outpatient routine care setting were consecutively recruited to the study. As non-eligibility criteria for exercise therapy were defined: resting pain or gangrene (Fontaine stage III and IV PAD), the inability to complete treadmill exercise, or premature treadmill discontinuation due to non-vascular walking pain. Also, PAD patients without subjective walking limitation (Fontaine stage I PAD) were assessed as unwilling, i.e. non-eligible for exercise training adherence. Criterion for patients eligibility was the occurrence of intermittent claudication on treadmill test (Fontaine stage II PAD). RESULTS: A total of 346 patients (age median 71 years, males 58.5%) were candidates for conservativetherapy. Of them, 166 subjects (48%) were assessed as eligible for participation in walking exercise program. 180 of the patients (52%) were deemed as non-eligible to perform walking exercise therapy. 115 patients (33%) were physically limited by critical limb ischemia (Fontaine stage III and IV PAD), severe comorbid cardiovascular disease or orthopaedic disorder. In 65 PAD patients (19%) the subjective walking capacity was not restricted. Social, logistical or other factors were found in 27 patients (8%) to be barriers for exercise training commencement. CONCLUSION: In half of the PAD patients whose attendance in a community-based walking exercise program would be a therapeutically reasonable activity, a range of vascular and non-vascular factors are obstacles for participation. Further research is needed to investigate what measures might enhance the proportion of exercise therapy participants.
Sprache:eng
K10plus-PPN:1648991378
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