Individual Differences in Response to Supervised Exercise Therapy for Peripheral Artery Disease
Open accessAbstract
Nonresponse to exercise has been extensively examined in young athletes but is seldom reported in studies of aerobic exercise interventions in older adults. This study examined the prevalence of nonresponse and poor response to exercise in functional and quality of life outcomes and response patterns between and among older adults undergoing 12-weeks of supervised exercise therapy for the management of peripheral artery disease ( N = 44, mean age 72.3 years, 47.7% female). The prevalence of nonresponse (no change/decline in performance) in walking distance was 31.8%. The prevalence of poor response (lack of a clinically meaningful improvement) was 43.2%. Similar patterns of response were observed in both objective and patient-reported measures of physical function. All participants improved in at least one outcome; only two participants improved in all measured outcomes. Additional research should examine modifiable predictors of response to inform programming and maximize an individual’s potential benefit from exercise therapy.
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Whipple et al. reported a high prevalence of non-responders among individuals with peripheral artery disease, with or without T2D, who completed at least two-thirds of their prescribed exercise sessions.
“Whipple et al. [617] reported a high prevalence of non-responders among individuals with peripheral artery disease, with or without T2D, who completed at least two-thirds of their prescribed exercise sessions.”
From Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR) (2025) · cites this paper as [617]
Whipple et al. reported a high prevalence of non-responders among individuals with peripheral artery disease, with or without T2D, who completed at least two-thirds of prescribed exercise sessions.
“Whipple et al. [617] reported a high prevalence of non-responders among individuals with peripheral artery disease, with or without T2D, who completed at least two-thirds of their prescribed exercise sessions.”
From Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR) (2025) · cites this paper as [617]
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Cites
The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons
Podsiadlo, D., & Richardson, S. (1991) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1991.tb01616.x · Cited by 14,418 · see citing works
ATS Statement: Guidelines for the Six-Minute Walk Test
(2002) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.166.1.at1102 · Cited by 11,195 · see citing works
Guralnik, J. M., Simonsick, E. M., Ferrucci, L., Glynn, R. J., Berkman, L. F., Blazer, D. G., Scherr, P. A., & Wallace, R. B. (1994) · Journal of Gerontology · doi:10.1093/geronj/49.2.m85 · Cited by 9,792 · see citing works
Fowkes, F. G. R., Rudan, D., Rudan, I., Aboyans, V., Denenberg, J. O., McDermott, M. M., Norman, P. E., Sampson, U. K., Williams, L. J., Mensah, G. A., et al. (2013) · The Lancet · doi:10.1016/s0140-6736(13)61249-0 · Cited by 3,508 · see citing works
Meaningful change and responsiveness in common physical performance measures in older adults.
Perera, S., Mody, S. H., Woodman, R. C., & Studenski, S. A. (2006) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2006.00701.x · Cited by 2,513 · see citing works
2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease
Gerhard-Herman, M. D., Gornik, H. L., Barrett, C., Barshes, N. R., Corriere, M. A., Drachman, D. E., Fleisher, L. A., Fowkes, F. G. R., Hamburg, N. M., Kinlay, S., et al. (2017) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2016.11.007 · Cited by 1,941 · see citing works
Self-citationEpidemiology of Peripheral Artery Disease
Criqui, M. H., & Aboyans, V. (2015) · Circulation Research · doi:10.1161/circresaha.116.303849 · Cited by 1,785 · see citing works
Gerhard‐Herman, M. D., Gornik, H. L., Barrett, C., Barshes, N. R., Corriere, M. A., Drachman, D. E., Fleisher, L. A., Fowkes, F. G. R., Hamburg, N. M., Kinlay, S., et al. (2016) · Circulation · doi:10.1161/cir.0000000000000471 · Cited by 1,028 · see citing works
Self-citationIndividual differences in response to regular physical activity
BOUCHARD, C., & RANKINEN, T. (2001) · Medicine and Science in Sports and Exercise · doi:10.1097/00005768-200106001-00013 · Cited by 939 · see citing works
The Clinical Utility of a Six‐Minute Walk Test in Peripheral Arterial Occlusive Disease Patients
Montgomery, P. S., & Gardner, A. W. (1998) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1998.tb03804.x · Cited by 391 · see citing works
The Scientific Foundation for the Physical Activity Guidelines for Americans , 2nd Edition
Powell, K. E., King, A. C., Büchner, D. M., Campbell, W. W., DiPietro, L., Erickson, K. I., Hillman, C. H., Jakicic, J. M., Janz, K. F., Katzmarzyk, P. T., et al. (2018) · Journal of Physical Activity and Health · doi:10.1123/jpah.2018-0618 · Cited by 370 · see citing works
Treat-Jacobson, D., McDermott, M. M., Bronas, U. G., Campia, U., Collins, T. C., Criqui, M. H., Gardner, A. W., Hiatt, W. R., Regensteiner, J. G., Rich, K., et al. (2019) · Circulation · doi:10.1161/cir.0000000000000623 · Cited by 302 · see citing works
Self-citationMcDermott, M. M., Guralnik, J. M., Criqui, M. H., Liu, K., Kibbe, M. R., & Ferrucci, L. (2014) · Circulation · doi:10.1161/circulationaha.114.007002 · Cited by 220 · see citing works
Parmenter, B. J., Dieberg, G., & Smart, N. A. (2015) · Sports Medicine · doi:10.1007/s40279-014-0261-z · Cited by 197 · see citing works
Do Non-Responders to Exercise Exist—and If So, What Should We Do About Them?
Pickering, C., & Kiely, J. (2019) · Sports Medicine · doi:10.1007/s40279-018-01041-1 · Cited by 165 · see citing works
Hays, R. D., Spritzer, K. L., Amtmann, D., Lai, J., DeWitt, E. M., Rothrock, N. E., DeWalt, D. A., Riley, W. T., Fries, J. F., & Krishnan, E. (2013) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2013.05.014 · Cited by 124 · see citing works
Gardner, A. W., Montgomery, P. S., & Wang, M. (2018) · Vascular Medicine · doi:10.1177/1358863x18762599 · Cited by 122 · see citing works
Scharhag‐Rosenberger, F., Walitzek, S., Kindermann, W., & Meyer, T. (2012) · Scandinavian Journal of Medicine & Science in Sports · doi:10.1111/j.1600-0838.2010.01139.x · Cited by 118 · see citing works
Pandey, A., Swift, D. L., McGuire, D. K., Ayers, C. R., Neeland, I. J., Blair, S. N., Johannsen, N., Earnest, C. P., Berry, J. D., & Church, T. S. (2015) · Diabetes Care · doi:10.2337/dc14-2378 · Cited by 83 · see citing works
The PADQOL: Development and validation of a PAD-specific quality of life questionnaire
Treat‐Jacobson, D., Lindquist, R. A., Witt, D., Kirk, L. N., Schorr, E. N., Bronas, U. G., Davey, C. S., & Regensteiner, J. G. (2012) · Vascular Medicine · doi:10.1177/1358863x12466708 · Cited by 72 · see citing works
Self-citationDIABETIC WOMEN ARE POOR RESPONDERS TO EXERCISE REHABILITATION IN THE TREATMENT OF CLAUDICATION
Gardner, A., Parker, D., Montgomery, P., & Blevins, S. (2013) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2013.10.058 · Cited by 69 · see citing works
Lyu, X., Li, S., Peng, S., Cai, H., Liu, G., & Ran, X. (2015) · Journal of Diabetes · doi:10.1111/1753-0407.12304 · Cited by 57 · see citing works
Unsupervised Exercise and Mobility Loss in Peripheral Artery Disease: A Randomized Controlled Trial
McDermott, M. M., Guralnik, J. M., Criqui, M. H., Ferrucci, L., Liu, K., Spring, B. J., Tian, L., Domanchuk, K. J., Kibbe, M. R., Zhao, L., et al. (2015) · Journal of the American Heart Association · doi:10.1161/jaha.114.001659 · Cited by 47 · see citing works
Dörenkamp, S., Mesters, I., de Bie, R. A., Teijink, J. A. W., & van Breukelen, G. (2016) · PLoS ONE · doi:10.1371/journal.pone.0146828 · Cited by 35 · see citing works
van Schaardenburgh, M., Wohlwend, M., Rognmo, Ø., & Mattsson, E. J. R. (2017) · Journal of Translational Medicine · doi:10.1186/s12967-017-1232-6 · Cited by 29 · see citing works
Vitamin D status, functional decline, and mortality in peripheral artery disease
McDermott, M. M., Liu, K., Ferrucci, L., Tian, L., Guralnik, J. M., Kopp, P. A., Horn, L. V., Liao, Y., Green, D., Kibbe, M. R., et al. (2014) · Vascular Medicine · doi:10.1177/1358863x13518364 · Cited by 23 · see citing works
Gardner, A. W., Parker, D. E., & Montgomery, P. S. (2016) · International Journal of Vascular Medicine · doi:10.1155/2016/2191350 · Cited by 23 · see citing works
Are There Negative Responders to Exercise Training among Heart Failure Patients?
Leifer, E., Brawner, C. A., Fleg, J. L., Kraus, W. E., Whellan, D. J., Piña, I. L., & Keteyian, S. J. (2013) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3182a44164 · Cited by 18 · see citing works
Whipple, M. O., Schorr, E. N., Talley, K. M. C., Wolfson, J., Lindquist, R., Bronas, U. G., & Treat-Jacobson, D. (2020) · Annals of Vascular Surgery · doi:10.1016/j.avsg.2020.03.040 · Cited by 18 · see citing works
Self-citationImportant predictors of the outcome of physical training in patients with intermittent claudication
Rosfors, S., Arnetz, B. B., Bygdeman, S., Sköldö, L., Lahnborg, G., & Eneroth, P. H. E. (2020) · Journal of Rehabilitation Medicine · doi:10.2340/165019779022135137 · Cited by 17 · see citing works
Experience Implementing Supervised Exercise Therapy for Peripheral Artery Disease
Salisbury, D., Whipple, M., Burt, M. A., Brown, R. J. L., Mays, R. J., Bakken, M., & Treat-Jacobson, D. (2019) · Journal of Clinical Exercise Physiology · doi:10.31189/2165-6193-8.1.1 · Cited by 15 · see citing works
Self-citationImportant predictors of the outcome of physical training in patients with intermittent claudication
Rosfors, S., Arnetz, B. B., Bygdeman, S., Sköldö, L., Lahnborg, G., & Eneroth, P. H. E. (1989) · Journal of Rehabilitation Medicine · doi:10.2340/165019981990135137 · Cited by 6 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- Regensteiner JG, Steiner JF, Panzer RJ, & Hiatt WR (1990). Evaluation of walking impairment by questionnaire in patients with peripheral arterial disease. Journal of Vascular Medicine and Biology, 2, 142– 152.
Cited by
Sorted by citations
International exercise recommendations in older adults (ICFSR): Expert consensus guidelines
Izquierdo, M., Merchant, R. A., Morley, J. E., Anker, S. D., Aprahamian, I., Arai, H., Aubertin-Leheudre, M., Bernabei, R., Cadore, E. L., Cesari, M., et al. (2021) · The Journal of nutrition, health and aging · doi:10.1007/s12603-021-1665-8 · Cited by 1,247 · see citing works
Izquierdo, M., de Souto Barreto, P., Arai, H., Bischoff-Ferrari, H. A., Cadore, E. L., Cesari, M., Chen, L.-K., Coen, P. M., Courneya, K. S., Duque, G., et al. (2025) · The Journal of nutrition, health and aging · doi:10.1016/j.jnha.2024.100401 · Cited by 273 · see citing works
Khoury, S. R., Ratchford, E. V., & Stewart, K. J. (2022) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2022.01.006 · Cited by 17 · see citing works
Trainability for cardiopulmonary fitness is low in patients with peripheral artery disease
Huang, S., Yeh, C., Hsu, C., Lin, Y., Lee, C., Hsiao, C.-C., Chiu, C., & Fu, T. (2023) · European Journal of Cardiovascular Nursing · doi:10.1093/eurjcn/zvad044 · Cited by 8 · see citing works
Anatomic patterns in claudicants who fail supervised exercise therapy
Breen, T. J., McGinigle, K. L., Strosberg, D. S., Dardik, A., & Altin, S. E. (2023) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2023.11.020 · Cited by 6 · see citing works
Dzewaltowski, A. C., Pipinos, I. I., Schieber, M. N., Johanning, J. M., Casale, G. P., Myers, S. A., & Malcolm, P. (2023) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2023.111880
- Authors
- Whipple, M. O., Schorr, E. N., Talley, K. M. C., Wolfson, J., Lindquist, R., Bronas, U. G., & Treat-Jacobson, D.
- Affiliations
- University of Minnesota (US)
- University of Illinois Chicago (US)
- School of Nursing, University of Minnesota – Twin Cities, Minneapolis, MN, USA
- Corresponding author
- Whipple, Mary O.
- Venue
- Western Journal of Nursing Research
- Publisher
- SAGE Publications
- Published
- 2020-12-17
- Volume
- 43
- Issue
- 8
- Pages
- 770-784
- ISSN
- 0193-9459 (ISSN-L)
- 1552-8456
- PMC
- PMC8209120
- OpenAlex
- W3113564993
- Cited by
- 6
- References
- 32
- Citations by year
- 2024: 1 · 2023: 3 · 2022: 1 · 2021: 1
- FWCI
- 1.14
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Western Journal of Nursing Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Center for Advancing Translational Sciences (UL1TR002494)
- National Hartford Center of Gerontological Nursing Excellence (2015-2017 Patricia G. Archbold Predoctoral Scholar)
- national institute on aging (T32AG000279)
- Midwest Nursing Research Society (2017 MNRS/CANS Dissertation Research Grant)
- National Institute of Nursing Research (F31NR016614)
- Topics
- Health Sciences › Medicine › Surgery › Peripheral Artery Disease Management
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- peripheral arterial disease, supervised exercise therapy, individual differences, treatment response, older adults, walking distance, physical function, quality of life, predictors of treatment response
- MeSH terms
- Aged, Exercise Therapy, Female, Humans, Individuality, Intermittent Claudication, Male, Quality of Life, Walking, Peripheral Arterial Disease
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