Low lifetime recreational activity is a risk factor for peripheral arterial disease
Open accessAbstract
Background The relationship between lifetime physical activity and the risk of developing peripheral arterial disease (PAD) is not known.Methods We studied 1381 patients referred for elective coronary angiography in a point prevalence analysis. PAD was defined as ankle-brachial index (ABI) <0.9 at the time or a history of revascularization of the lower extremities regardless of ABI measure. We used a validated physical activity questionnaire to retrospectively measure each patient's lifetime recreational activity (LRA). Multivariate and logistic regression analyses were used to assess the independent association of LRA to ABI and the presence of PAD.Results PAD was present in 19% (n = 258) of all subjects. Subjects reporting no regular LRA had greater diastolic blood pressure and were more likely to be female. They had lower average ABI, and a higher proportion had PAD (25.6%). In a regression model, including traditional risk factors and LRA, multivariate analysis showed that age (P < .001), female gender (P < .001), systolic blood pressure (P = .014), fasting glucose (P < .001), serum triglycerides (P = .02), and cumulative pack years (P < .001) were independent negative predictors of ABI, and LRA was a positive predictor of ABI (P < .001). History of sedentary lifestyle independently increased the odds ratio for PAD (odds ratio, 0.46; 95% confidence interval, 1.01-2.10) when assessed by logistic regression. Intriguingly, there is a correlation between physical activity and gender, such that women with low LRA are at greatest risk.Conclusion Recalled LRA is positively correlated to ABI and associated with PAD. Whereas the mechanism for this effect is not clear, LRA may be a useful clinical screening tool for PAD risk, and strategies to increase adult recreational activity may reduce the burden of PAD later in life.
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Lifetime recreational activity is positively correlated with ankle-brachial index, and reduced physical activity is associated with prevalent peripheral arterial disease.
“Wilson et al. demonstrated that lifetime recreational activity positively correlated to ABI, and reduced PA was associated with prevalent PAD [127] .”
From Physical activity, cardiorespiratory fitness, and cardiovascular health: A clinical practice statement of the American Society for Preventive Cardiology Part II: Physical activity, cardiorespiratory fitness, minimum and goal intensities for exercise training, prescriptive methods, and special patient populations (2022) · cites this paper as [127]
Among Colorado youths 17 years of age or younger, the incidence of type 1 diabetes increased by 2.3% per year (95% CI, 1.6%-3.1%) over 26 years.
“The Colorado IDDM (insulin-dependent DM) Study Registry (1978–1988) and SEARCH for Diabetes in Youth (2002–2004) demonstrated an increasing incidence of type 1 DM among Colorado youths ≤17 years of age, with a 2.3% (95% CI, 1.6%–3.1%) increase per year over the past 26 years.67”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [67]
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La actividad física en tiempo libre en la prevención de la enfermedad arterial periférica
García‐Ortiz, L. (2015) · Medicina Clínica · doi:10.1016/j.medcli.2015.02.008
Physical activity in leisure time in the prevention of peripheral artery disease
García‐Ortiz, L. (2015) · Medicina Clínica (English Edition) · doi:10.1016/j.medcle.2016.03.015
- Authors
- Wilson, A. M., Sadrzadeh-Rafie, A. H., Myers, J., Assimes, T., Nead, K. T., Higgins, M., Gabriel, A., Olin, J., & Cooke, J. P.
- Affiliations
- The University of Melbourne (AU)
- Stanford Medicine (US)
- Corresponding author
- Cooke, John P.
- Venue
- Journal of Vascular Surgery
- Publisher
- Elsevier BV
- Published
- 2011-08
- Volume
- 54
- Issue
- 2
- Pages
- 427-432.e4
- ISSN
- 0741-5214 (ISSN-L)
- PMC
- PMC3152670
- OpenAlex
- W2007163094
- Cited by
- 45
- References
- 40
- Citations by year
- 2024: 2 · 2023: 3 · 2022: 2 · 2021: 4 · 2019: 2 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 12 · 2014: 2 · 2013: 10 · 2012: 4
- FWCI
- 5.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Vascular Surgery (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Department of Veterans Affairs (IK6 RX002477)
- National Heart, Lung, and Blood Institute (R01HL075774, K12HL087746)
- National Center for Research Resources (M01RR000070)
- Topics
- Health Sciences › Medicine › Surgery › Peripheral Artery Disease Management
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- peripheral arterial disease, ankle-brachial index, sedentary lifestyle, cardiovascular risk factors, coronary angiography patients, cardiovascular risk in women, PAD screening, lower extremity revascularization
- MeSH terms
- Aged, Blood Glucose, Blood Pressure, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Recreation, Retrospective Studies, Risk Factors, Sex Factors, Smoking, Triglycerides, United States, Vascular Surgical Procedures, Biomarkers, Prevalence, Logistic Models, Odds Ratio, Risk Assessment, Ankle Brachial Index, Sedentary Behavior, Peripheral Arterial Disease
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