Clinical Interest of Ambulatory Assessment of Physical Activity and Walking Capacity in Peripheral Artery Disease.
Study Goal
The researchers aimed to analyze the clinical interest of ambulatory assessment of physical activity and walking capacity in patients with lower extremity peripheral artery disease (PAD).
Results Summary
The review identified 96 studies, with 87 focusing on ambulatory-measured physical activity or energy expenditure in PAD patients, highlighting its use in assessing activity patterns, characterizing walking patterns, and controlling training load. The remaining studies assessed walking capacity, emphasizing community-based evaluation, new outcome measures, and patient self-perception.
Population
Patients with lower extremity peripheral artery disease (PAD).
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
ambulatory assessment of physical activity (PA) | no change | PA/EE pattern | patients with lower extremity peripheral artery disease (PAD) | - | assessment of | #1 |
ambulatory assessment of physical activity (PA) | no change | walking pattern | patients with lower extremity peripheral artery disease (PAD) | - | characterization of | #2 |
ambulatory assessment of physical activity (PA) | no change | training load during home-based walking programs | patients with lower extremity peripheral artery disease (PAD) | - | control of | #3 |
ambulatory-measured walking capacity | no change | community-based walking capacity | patients with lower extremity peripheral artery disease (PAD) | - | assessment of | #4 |
ambulatory-measured walking capacity | no change | walking capacity | patients with lower extremity peripheral artery disease (PAD) | - | use of new outcomes to characterize | #5 |
ambulatory-measured walking capacity | no change | patient's self-perception of walking capacity | patients with lower extremity peripheral artery disease (PAD) | - | association with | #6 |
The purpose of the present review was to provide, for the first time, a comprehensive analysis and synthesis of the available studies that highlighted the clinical interest of the ambulatory assessment of either physical activity (PA) or walking capacity in patients with lower extremity peripheral artery disease (PAD). We identified 96 related articles published up to March 2015 through a computer-assisted search of the MEDLINE, EMBASE, and Web of Science databases. Ambulatory-measured PA or related energy expenditure (EE) in PAD patients was performed in 87 of the 96 included studies. The main clinical interests of these measurements were (a) the assessment of PA/EE pattern; (b) the characterization of walking pattern; and (c) the control of training load during home-based walking programs. Ambulatory-measured walking capacity was performed in the remaining studies, using either Global Positioning System receivers or the Peripheral Arterial Disease Holter Control device. Highlighted clinical interests were (a) the assessment of community-based walking capacity; (b) the use of new outcomes to characterize walking capacity, besides the conventional absolute claudication distance; and (c) the association with the patient's self-perception of walking capacity. This review also provides for the clinicians step-by-step recommendations to specifically assess PA or walking capacity in PAD patients.