کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2885789 1574196 2016 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Physical Activity Improves Borderline Ankle–Brachial Index Values in a Cardiovascular Risk Population
ترجمه فارسی عنوان
فعالیت بدنی بالا بردن ارزش های شاخص قاعده کلیه در یک جمعیت خطرناک قلبی عروقی است
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی

BackgroundPeripheral arterial disease (PAD) is an underdiagnosed and undertreated disease because it remains asymptomatic for so long. The ankle–brachial index (ABI) is a valid method for detecting PAD in lower extremities. ABI ≤0.90 indicates incident PAD. Recent studies have found that subjects with borderline ABI values (0.91–1.00) have increased mortality rates. The objective of our 7-year follow-up study was to investigate the progression of PAD in borderline ABI subjects, who underwent a multifactorial cardiovascular intervention.MethodsA total of 193 subjects with borderline ABI were examined in 2005–2006. None of them had previously diagnosed diabetes, cardiovascular or renal disease or intermittent claudication. They were given conventional treatment for multiple risk factors of cardiovascular diseases (hypertension, hypercholesterolemia, elevated blood glucose, smoking, and overweight). Sixty-four percent of these subjects (n = 123) attended a follow-up visit in 2012.ResultsOf the 123 subjects with borderline ABI (mean age 59.0 ± 6.5 years, 62% female) at baseline, 18 (15%, 95% confidence intervals [CI]: 9%–22%) developed incident PAD during the follow-up. The mean ABI was 0.97 ± 0.03 at baseline and 1.01 ± 0.12 at 7-year follow-up visit. The change in mean ABI was +0.04 (95% CI: 0.03–0.07), P < 0.001. ABI improved significantly in 25 (20%) subjects. In multivariate ordered logistic regression analyses high and even moderate leisure-time physical activity (LTPA; odds ratio 6.15; 95% CI: 1.99–19.1) predicted a rise in ABI in comparison to low LTPA.ConclusionsPhysical activity seems to improve significantly ABI values among men and women with borderline ABI (0.91–1.00).

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Annals of Vascular Surgery - Volume 32, April 2016, Pages 50–56
نویسندگان
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