TY - JOUR
T1 - Barriers to physical activity in patients with intermittent claudication
AU - Barbosa, João Paulo
AU - Farah, Breno Quintella
AU - Chehuen, Marcel
AU - Cucato, Gabriel Grizzo
AU - Farias Júnior, José Cazuza
AU - Wolosker, Nelson
AU - Forjaz, Cláudia Lúcia
AU - Gardner, Andrew W
AU - Ritti-Dias, Raphael Mendes
PY - 2015/2
Y1 - 2015/2
N2 - BACKGROUND: The main barriers reported by the patients with claudication are related to claudication symptoms. However, it remains unclear whether these barriers are associated with physical activity levels in these patients.PURPOSE: The aim of this study was to analyze the barriers to and the factors associated with physical activity (PA) in intermittent claudication (IC) patients.METHODS: The sample included 150 IC Brazilian patients and mean age 64 ± 9 years old. Sociodemographic factors, comorbid conditions and cardiovascular risk factors, personal and environmental barriers to PA, and walking capacity (claudication onset distance-COD and peak walking distance-PWD) were obtained. PA was assessed using a pedometer over seven consecutive days.RESULTS: Patients performed 6,041 ± 3,166 steps/day. The most prevalent personal and environmental barriers to PAs were exercise-induced pain and the presence of obstacles that aggravate the leg pain. Multiple linear regression showed that level of PA was inversely associated with age (β = -81.13; p < 0.001), lack of green areas (β = -1363.54; p < 0.001), and positively associated with PWD (β = 3.07; p < 0.001).CONCLUSION: Older IC patients who live in neighborhoods that lack green areas to walk in, and who have poor walking capacity present lower levels of PA.
AB - BACKGROUND: The main barriers reported by the patients with claudication are related to claudication symptoms. However, it remains unclear whether these barriers are associated with physical activity levels in these patients.PURPOSE: The aim of this study was to analyze the barriers to and the factors associated with physical activity (PA) in intermittent claudication (IC) patients.METHODS: The sample included 150 IC Brazilian patients and mean age 64 ± 9 years old. Sociodemographic factors, comorbid conditions and cardiovascular risk factors, personal and environmental barriers to PA, and walking capacity (claudication onset distance-COD and peak walking distance-PWD) were obtained. PA was assessed using a pedometer over seven consecutive days.RESULTS: Patients performed 6,041 ± 3,166 steps/day. The most prevalent personal and environmental barriers to PAs were exercise-induced pain and the presence of obstacles that aggravate the leg pain. Multiple linear regression showed that level of PA was inversely associated with age (β = -81.13; p < 0.001), lack of green areas (β = -1363.54; p < 0.001), and positively associated with PWD (β = 3.07; p < 0.001).CONCLUSION: Older IC patients who live in neighborhoods that lack green areas to walk in, and who have poor walking capacity present lower levels of PA.
KW - Aged
KW - Brazil/epidemiology
KW - Cardiovascular Diseases/etiology
KW - Female
KW - Humans
KW - Intermittent Claudication/physiopathology
KW - Male
KW - Middle Aged
KW - Pain/epidemiology
KW - Residence Characteristics
KW - Risk Factors
KW - Walking/physiology
U2 - 10.1007/s12529-014-9408-4
DO - 10.1007/s12529-014-9408-4
M3 - Article
C2 - 24715636
VL - 22
SP - 70
EP - 76
JO - International Journal of Behavioral Medicine
JF - International Journal of Behavioral Medicine
SN - 1070-5503
IS - 1
ER -