Does peripheral arterial occlusive disease influence muscle strength and exercise capacity in COPD patients?
Abstract Background The pathophysiology of chronic obstructive pulmonary disease (COPD) is complex and understanding of it has been changing in recent years, with regard to its multisystemic manifestations, especially peripheral dysfunction and its influence on intolerance to exercise. Objectives...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
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| Series: | Jornal Vascular Brasileiro |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492017000400285&lng=en&tlng=en |
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| author | Natacha Angélica da Fonseca Miranda Cássia da Luz Goulart Audrey Borghi e Silva Dannuey Machado Cardoso Dulciane Nunes Paiva Renata Trimer Andréa Lúcia Gonçalves da Silva |
| author_facet | Natacha Angélica da Fonseca Miranda Cássia da Luz Goulart Audrey Borghi e Silva Dannuey Machado Cardoso Dulciane Nunes Paiva Renata Trimer Andréa Lúcia Gonçalves da Silva |
| author_sort | Natacha Angélica da Fonseca Miranda |
| collection | DOAJ |
| description | Abstract Background The pathophysiology of chronic obstructive pulmonary disease (COPD) is complex and understanding of it has been changing in recent years, with regard to its multisystemic manifestations, especially peripheral dysfunction and its influence on intolerance to exercise. Objectives To evaluate the relationship between peripheral arterial occlusive disease (PAOD) and peripheral muscle strength and exercise capacity in COPD patients. Methods We conducted a cross-sectional study of 35 patients with COPD who were evaluated with the Ankle-Brachial Index, handgrip strength test, 1 repetition maximum (1RM) of knee extensors and flexors, and distance covered in the incremental shuttle walking test (dISWT). Results COPD patients with coexisting PAOD had lower dominant handgrip strength test results (33.00 vs. 26.66 kgf, p = 0.02) and worse performance in the dISWT (297.32 vs. 219.41 m, p = 0.02) when compared to the COPD patients without PAOD. Strong correlations were found between the result of the handgrip strength test and both the dISWT (r = 0.78; p < 0.001) and the 1RM/knee extension (r = 0.71; p = 0.03); and also between the dISWT and both the 1RM/knee extension (r = 0.72; p = 0.02) and the 1RM/knee flexion (r = 0.92; p < 0.001). The linear regression model showed that the dISWT variable alone explains 15.3% of the Ankle-Brachial Index result (p = 0.01). Conclusion COPD patients with PAOD exhibit reduced muscle strength and lower exercise capacity than COPD patients without PAOD. |
| first_indexed | 2024-12-19T07:27:01Z |
| format | Article |
| id | doaj.art-a7cd6d5e56694bf8896138e68fe51bf3 |
| institution | Directory Open Access Journal |
| issn | 1677-7301 |
| language | English |
| last_indexed | 2024-12-19T07:27:01Z |
| publisher | Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
| record_format | Article |
| series | Jornal Vascular Brasileiro |
| spelling | doaj.art-a7cd6d5e56694bf8896138e68fe51bf32022-12-21T20:30:49ZengSociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)Jornal Vascular Brasileiro1677-730116428529210.1590/1677-5449.004417S1677-54492017000400285Does peripheral arterial occlusive disease influence muscle strength and exercise capacity in COPD patients?Natacha Angélica da Fonseca MirandaCássia da Luz GoulartAudrey Borghi e SilvaDannuey Machado CardosoDulciane Nunes PaivaRenata TrimerAndréa Lúcia Gonçalves da SilvaAbstract Background The pathophysiology of chronic obstructive pulmonary disease (COPD) is complex and understanding of it has been changing in recent years, with regard to its multisystemic manifestations, especially peripheral dysfunction and its influence on intolerance to exercise. Objectives To evaluate the relationship between peripheral arterial occlusive disease (PAOD) and peripheral muscle strength and exercise capacity in COPD patients. Methods We conducted a cross-sectional study of 35 patients with COPD who were evaluated with the Ankle-Brachial Index, handgrip strength test, 1 repetition maximum (1RM) of knee extensors and flexors, and distance covered in the incremental shuttle walking test (dISWT). Results COPD patients with coexisting PAOD had lower dominant handgrip strength test results (33.00 vs. 26.66 kgf, p = 0.02) and worse performance in the dISWT (297.32 vs. 219.41 m, p = 0.02) when compared to the COPD patients without PAOD. Strong correlations were found between the result of the handgrip strength test and both the dISWT (r = 0.78; p < 0.001) and the 1RM/knee extension (r = 0.71; p = 0.03); and also between the dISWT and both the 1RM/knee extension (r = 0.72; p = 0.02) and the 1RM/knee flexion (r = 0.92; p < 0.001). The linear regression model showed that the dISWT variable alone explains 15.3% of the Ankle-Brachial Index result (p = 0.01). Conclusion COPD patients with PAOD exhibit reduced muscle strength and lower exercise capacity than COPD patients without PAOD.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492017000400285&lng=en&tlng=enCOPDexercise testexercise toleranceperipheral arterial disease |
| spellingShingle | Natacha Angélica da Fonseca Miranda Cássia da Luz Goulart Audrey Borghi e Silva Dannuey Machado Cardoso Dulciane Nunes Paiva Renata Trimer Andréa Lúcia Gonçalves da Silva Does peripheral arterial occlusive disease influence muscle strength and exercise capacity in COPD patients? Jornal Vascular Brasileiro COPD exercise test exercise tolerance peripheral arterial disease |
| title | Does peripheral arterial occlusive disease influence muscle strength and exercise capacity in COPD patients? |
| title_full | Does peripheral arterial occlusive disease influence muscle strength and exercise capacity in COPD patients? |
| title_fullStr | Does peripheral arterial occlusive disease influence muscle strength and exercise capacity in COPD patients? |
| title_full_unstemmed | Does peripheral arterial occlusive disease influence muscle strength and exercise capacity in COPD patients? |
| title_short | Does peripheral arterial occlusive disease influence muscle strength and exercise capacity in COPD patients? |
| title_sort | does peripheral arterial occlusive disease influence muscle strength and exercise capacity in copd patients |
| topic | COPD exercise test exercise tolerance peripheral arterial disease |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492017000400285&lng=en&tlng=en |
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