Peripheral Artery Disease, Intermittent Claudication
Conditions
Brief summary
This research project aims to investigate the gender-based difference in patients with peripheral artery disease. To attend this, this study has two specific objectives: Objective 1: To identify gender-specific barriers towards exercise and physical activity in patients with peripheral artery disease (PAD). Objective 2: To evaluate gender-specific differences in functional capacity and cardiovascular function and regulation in patients with PAD at rest, during and following a single session of maximal exercise.
Interventions
OTHERNo intervention (Observational study)
160 patients will be recruited to: * Fill in questionnaires related to demographic characteristics, severity of disease and physical activity. * Perform a six-minute walk test Comparison between men and women will be performed.
OTHERControl session
Out of the 160 participants of the observational study, at least 40 (20 men and 20 women) will be recruited. In the control session participants will be seated in resting position for 15 minutes.
OTHERExercise session
40 patients will perform a single maximal exercise test on a treadmill. Speed will be maintained at 3.2 km/h and the grade will be increased with 2% every 2 min following Gardner's protocol.
Sponsors
KU Leuven
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
50 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Ankle-brachial index (ABI) ≤ 0.9 in one or two legs * Fontaine stage II of PAD * Body mass index \<35 kg/m2 * Resting systolic blood pressure (BP) \<160 mmHg and diastolic BP \<105 mmHg * Ability to walk at least 2min at 3.2 km/h * Ability to undertake an incremental treadmill test * Decrease of at least 15% in ABI after a maximal treadmill test * Not currently engaging in any regular exercise program
Exclusion criteria
* Exercise induced signs of myocardial ischemia or complex ventricular arrhythmias * Cardiovascular autonomic neuropathy * Use of beta-blocker * Nondihydropyridine calcium antagonists or insulin and hormone replacement therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Barriers towards exercise assessed by questionnaires in patients with peripheral artery disease. | Cross-sectional study. This outcome will be measured through study completion, an average of 18 months. | After completion of the 6-minute walking test, patients will be asked to fill in the following questionnaires: walking impairment questionnaire, walking estimated-limitation calculated by history (WELCH), San Diego Claudication Questionnaire, SF-36 and two questionnaires for personal and environmental barriers to physical activity. |
| Gender-specific differences in walk capacity in patients with peripheral artery disease | Cross-sectional study. This outcome will be measured through study completion, an average of 18 months. | The measurements of this outcome will be performed in a second visit day, separated by at least 48h from visit 1 (outcome 1). Patients will perform a maximal exercise test to determine claudication onset distance (m) defined as the distance walked until the patients first reported pain in the leg during the treadmill test and total walk distance (m) defined as the total distance that the patient was able to walk during the test. |
| Gender-specific differences in functional capacity in patients with peripheral artery disease | Cross-sectional study. This outcome will be measured through study completion, an average of 18 months. | Walking economy defined as VO2 measured during the first stage of the treadmill test and functional capacity defined as VO2 peak obtained during the test will be obtained. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Gender-specific differences in physical activity level measured by accelerometer | Cross-sectional study. This outcome will be measured through study completion, an average of 18 months. | — |
| Gender-specific differences in autonomic modulation at rest and after a maximal exercise test | Cross-sectional study. This outcome will be measured through study completion, an average of 18 months. | Autonomic modulation: assessed by spectral analysis of heart rate and systolic blood pressure variabilities. Heart rate (electrocardiogram) and beat-by-beat blood pressure (finometer) will be recorded for 10 min at a sample frequency of 500Hz/channel. |
| Gender-specific differences in vascular function in patients with peripheral artery disease at rest and after a maximal exercise test | Cross-sectional study. This outcome will be measured through study completion, an average of 18 months. | Blood flow and blood flow response after reactive hyperemia. |
Contacts
Primary ContactVeronique Cornelissen, PhD
Outcome results
None listed