Activities of Daily Living, Aged, Aged, 80 and over, Exercise Therapy, Female, Humans, Intermittent Claudication, Male, Middle Aged, Outcome and Process Assessment (Health Care), Peripheral Arterial Disease, Quality of Life, Questionnaires, Statistics, Nonparametric, Time Factors, Walking
PURPOSE: Peripheral arterial disease (PAD) is a chronic, progressive disease with a significant cardiovascular and cerebrovascular risk burden and a considerable impact on functional capacity and quality of life (QoL). Exercise programmes result in significant improvements in walking distances but long-term effects are uncertain. The aim of this study was to assess the one-year effects of participation in a 12-week supervised exercise programme on functional capacity and QoL for PAD patients.
METHODS: Patients were randomly allocated to a control (n = 16) or an exercise (n = 28) group. Data regarding functional capacity (Walking Impairment Questionnaire WIQ), disease-specific QoL (Intermittent Claudication Questionnaire ICQ) and generic QoL (SF-36) were collected at baseline, 12 weeks and 1 year.
RESULTS: At 12 weeks, there was a trend towards improved QoL in both groups, with a tendency for greater improvement in the exercise group (p = 0.066) and a trend towards improved functional capacity (WIQ Stair-climbing p = 0.093) in the exercise group. At 1 year, ICQ scores in the exercise group were considerably better than those in the control group (p = 0.058), reflecting improved QoL and maintenance of benefits.
CONCLUSIONS: Participation in a supervised exercise programme results in improvements in functional capacity and QoL at 1 year post-participation.
Medicine and Health Sciences | Rehabilitation and Therapy
Guidon M, McGee H. One-year effect of a supervised exercise programme on functional capacity and quality of life in peripheral arterial disease. Disabilility and Rehabilitation. 2013;35(5):397-404