Exercise Therapy for Peripheral Artery Disease.

IF 3.1 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Cardiology Reports Pub Date : 2024-05-01 Epub Date: 2024-05-09 DOI:10.1007/s11886-024-02043-4

Neela D Thangada, Mary M McDermott

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Abstract

Purpose of review: To summarize evidence regarding exercise treatments for lower extremity peripheral artery disease (PAD).

Recent findings: Supervised walking exercise is recommended by practice guidelines for PAD. Supervised treadmill exercise improves treadmill walking distance by approximately 180 m and 6-min walk distance by 30-35 m, compared to control. The Centers for Medicaid and Medicare Services covers 12 weeks of supervised exercise, but most people with PAD do not participate. Home-based walking exercise may be more convenient and accessible than supervised exercise. In randomized clinical trials, home-based walking exercise interventions incorporating behavioral methods, such as accountability to a coach, goal-setting, and self-monitoring, improved 6-min walk distance by 40-54 m, compared to control. Arm and leg ergometry also improved walking endurance for people with PAD, but efficacy compared to walking exercise remains unclear. Walking exercise is first-line therapy for PAD-related walking impairment and can be effective in either a supervised or a structured home-based setting.

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外周动脉疾病的运动疗法。

综述目的：总结有关下肢外周动脉疾病（PAD）运动疗法的证据：最近的研究结果：PAD 的实践指南推荐在指导下进行步行锻炼。与对照组相比，有指导的跑步机运动可使跑步机步行距离增加约 180 米，6 分钟步行距离增加 30-35 米。美国医疗补助和医疗保险服务中心（Centers for Medicaid and Medicare Services）承担了 12 周的指导性锻炼，但大多数 PAD 患者并不参加。在家进行步行锻炼可能比指导锻炼更方便、更容易获得。在随机临床试验中，与对照组相比，基于家庭的步行锻炼干预结合了行为方法，如对教练负责、设定目标和自我监控，可将 6 分钟步行距离提高 40-54 米。臂力和腿力训练也能提高 PAD 患者的步行耐力，但与步行锻炼相比，其疗效仍不明确。步行锻炼是治疗与 PAD 相关的步行障碍的一线疗法，在有监督或有组织的家庭环境中均可奏效。

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来源期刊

Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

6.20

自引率

2.70%

发文量

209

期刊介绍： The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.