In peripheral artery disease, diabetes is associated with reduced physical activity level and physical function and impaired cardiac autonomic control: A cross-sectional study

•Patients with diabetic peripheral artery disease (PAD) were more sedentary than non-diabetic PAD patients.•Diabetic PAD patients were less physically active than non-diabetic PAD patients.•Diabetic PAD patients presented lower walking capacity than non-diabetic PAD patients.•Diabetic PAD patients p...

Full description

Saved in:
Bibliographic Details
Published in:Annals of physical and rehabilitation medicine 2021-03, Vol.64 (2), p.101365-101365, Article 101365
Main Authors: Correia, Marilia Almeida, Silva, Gustavo Oliveira, Longano, Paulo, Trombetta, Ivani Credidio, Consolim-Colombo, Fernanda, Puech-Leão, Pedro, Wolosker, Nelson, Cucato, Gabriel Grizzo, Ritti-Dias, Raphael Mendes
Format: Article
Language:English
Subjects:
Diabetes
Exercise
Intermittent claudication
Peripheral disease
Physical activity
Walking
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:•Patients with diabetic peripheral artery disease (PAD) were more sedentary than non-diabetic PAD patients.•Diabetic PAD patients were less physically active than non-diabetic PAD patients.•Diabetic PAD patients presented lower walking capacity than non-diabetic PAD patients.•Diabetic PAD patients presented impaired cardiac autonomic modulation as compared with non-diabetic PAD patients. Diabetes has been considered a major risk factor for peripheral artery disease (PAD). The effect of diabetes on daily physical activity level and cardiovascular function in PAD patients is poorly known. To analyze the effect of diabetes on physical activity level, physical function and cardiovascular health parameters in patients with PAD and claudication symptoms. Cross-sectional study of 267 PAD patients, 146 without and 121 with diabetes. Physical activity levels were objectively measured by using an accelerometer, and time spent in sedentary (0-100 counts/min), light (101-1040 counts/min) and moderate to vigorous (≥1041 counts/min) physical activity was obtained. Physical function assessment included the 6-min walk test, handgrip strength test and short physical performance battery. Cardiovascular health parameters measured were brachial blood pressure, heart rate variability, and arterial stiffness. Diabetic PAD patients spent more time in sedentary behavior (P=0.001, effect size [ES] 0.234) and less time in light (P=0.003, ES=0.206) and moderate-to-vigorous physical activity (P
ISSN:1877-0657
1877-0665
DOI:10.1016/j.rehab.2020.01.006