Combined Aerobic and Resistance Exercise in Walking Performance of Patients With Intermittent Claudication: Systematic Review
Background: The short-term benefits of aerobic and resistance exercise in subjects affected by Peripheral Arterial Disease (PAD) are scarcely examined in interaction. This study aimed to identify the effects of combined aerobic and resistance exercise programs on walking performance compared with is...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-01-01
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| Series: | Frontiers in Physiology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fphys.2019.01538/full |
| _version_ | 1819092160547389440 |
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| author | Isabel Machado Isabel Machado Nelson Sousa Nelson Sousa Hugo Paredes Hugo Paredes Joana Ferreira Joana Ferreira Catarina Abrantes Catarina Abrantes |
| author_facet | Isabel Machado Isabel Machado Nelson Sousa Nelson Sousa Hugo Paredes Hugo Paredes Joana Ferreira Joana Ferreira Catarina Abrantes Catarina Abrantes |
| author_sort | Isabel Machado |
| collection | DOAJ |
| description | Background: The short-term benefits of aerobic and resistance exercise in subjects affected by Peripheral Arterial Disease (PAD) are scarcely examined in interaction. This study aimed to identify the effects of combined aerobic and resistance exercise programs on walking performance compared with isolated aerobic exercise or with the usual care in patients with intermittent claudication.Methods: A systematic review was conducted following the PRISMA statement. A total of five electronic databases were searched (until October 2019) for randomized and non-randomized controlled trials. The focus comprised PAD patients with intermittent claudication who performed a combined aerobic and resistance exercise program that assessed the walking performance.Results: Seven studies include combined aerobic and resistance exercise vs. isolated aerobic or vs. usual care. The studies represented a sample size of 337 participants. The follow-up ranged from 4 to 12 weeks, 2 to 5 times-per-week. The risk of bias in the trials was a deemed moderate-to-high risk. After the interventions, the percent change in walking performance outcomes had a large variation. In the combined and isolated aerobic programs, the walking performance always improved, while in the usual care group oscillates between the deterioration and the improvement in all outcomes. Combined exercise and isolated aerobic exercise improved the claudication onset distance from 11 to 396%, and 30 to 422%, the absolute claudication distance from 81 to 197%, and 53 to 121%, and the maximal walking distance around 23 and 10%, respectively.Conclusions: Currently, there is insufficient evidence about the effects of combined aerobic and resistance exercise compared to isolated aerobic exercise or usual care on walking performance. However, despite the low quality of evidence, the combined aerobic and resistance exercise seems to be an effective strategy to improve walking performance in patients with intermittent claudication. These combined exercise modes or isolated aerobic exercise produce positive and significant results on walking performance. The usual care approach has a trend to deteriorate the walking performance. Thus, given the scarcity of data, new randomized controlled trial studies that include assessments of cardiovascular risk factors are urgently required to better determine the effect of this exercise combination. |
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| format | Article |
| id | doaj.art-d1289532457a4f6eaae5941d5595636d |
| institution | Directory Open Access Journal |
| issn | 1664-042X |
| language | English |
| last_indexed | 2024-12-21T22:51:12Z |
| publishDate | 2020-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Physiology |
| spelling | doaj.art-d1289532457a4f6eaae5941d5595636d2022-12-21T18:47:35ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2020-01-011010.3389/fphys.2019.01538468759Combined Aerobic and Resistance Exercise in Walking Performance of Patients With Intermittent Claudication: Systematic ReviewIsabel Machado0Isabel Machado1Nelson Sousa2Nelson Sousa3Hugo Paredes4Hugo Paredes5Joana Ferreira6Joana Ferreira7Catarina Abrantes8Catarina Abrantes9Department of Sports Science, Exercise and Health, University of Trás-os-Montes e Alto Douro, Vila Real, PortugalResearch Center in Sports Sciences, Health Sciences and Human Development (CIDESD), Vila Real, PortugalResearch Center in Sports Sciences, Health Sciences and Human Development (CIDESD), Vila Real, PortugalPublic Health Unit of Santo Tirso, ACES Grande Porto I-Santo Tirso/Trofa, Santo Tirso, PortugalDepartment of Engineering, University of Trás-os-Montes e Alto Douro, Vila Real, PortugalInstitute for Systems and Computer Engineering, Technology and Science (INESC TEC), Porto, PortugalHospital of Senhora da Oliveira/EPE, Angiology and Vascular Surgery, Guimarães, PortugalLife and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, PortugalDepartment of Sports Science, Exercise and Health, University of Trás-os-Montes e Alto Douro, Vila Real, PortugalResearch Center in Sports Sciences, Health Sciences and Human Development (CIDESD), Vila Real, PortugalBackground: The short-term benefits of aerobic and resistance exercise in subjects affected by Peripheral Arterial Disease (PAD) are scarcely examined in interaction. This study aimed to identify the effects of combined aerobic and resistance exercise programs on walking performance compared with isolated aerobic exercise or with the usual care in patients with intermittent claudication.Methods: A systematic review was conducted following the PRISMA statement. A total of five electronic databases were searched (until October 2019) for randomized and non-randomized controlled trials. The focus comprised PAD patients with intermittent claudication who performed a combined aerobic and resistance exercise program that assessed the walking performance.Results: Seven studies include combined aerobic and resistance exercise vs. isolated aerobic or vs. usual care. The studies represented a sample size of 337 participants. The follow-up ranged from 4 to 12 weeks, 2 to 5 times-per-week. The risk of bias in the trials was a deemed moderate-to-high risk. After the interventions, the percent change in walking performance outcomes had a large variation. In the combined and isolated aerobic programs, the walking performance always improved, while in the usual care group oscillates between the deterioration and the improvement in all outcomes. Combined exercise and isolated aerobic exercise improved the claudication onset distance from 11 to 396%, and 30 to 422%, the absolute claudication distance from 81 to 197%, and 53 to 121%, and the maximal walking distance around 23 and 10%, respectively.Conclusions: Currently, there is insufficient evidence about the effects of combined aerobic and resistance exercise compared to isolated aerobic exercise or usual care on walking performance. However, despite the low quality of evidence, the combined aerobic and resistance exercise seems to be an effective strategy to improve walking performance in patients with intermittent claudication. These combined exercise modes or isolated aerobic exercise produce positive and significant results on walking performance. The usual care approach has a trend to deteriorate the walking performance. Thus, given the scarcity of data, new randomized controlled trial studies that include assessments of cardiovascular risk factors are urgently required to better determine the effect of this exercise combination.https://www.frontiersin.org/article/10.3389/fphys.2019.01538/fullperipheral arterial diseaseintermittent claudicationcombined aerobic and resistance trainingwalking performancesystematic review |
| spellingShingle | Isabel Machado Isabel Machado Nelson Sousa Nelson Sousa Hugo Paredes Hugo Paredes Joana Ferreira Joana Ferreira Catarina Abrantes Catarina Abrantes Combined Aerobic and Resistance Exercise in Walking Performance of Patients With Intermittent Claudication: Systematic Review Frontiers in Physiology peripheral arterial disease intermittent claudication combined aerobic and resistance training walking performance systematic review |
| title | Combined Aerobic and Resistance Exercise in Walking Performance of Patients With Intermittent Claudication: Systematic Review |
| title_full | Combined Aerobic and Resistance Exercise in Walking Performance of Patients With Intermittent Claudication: Systematic Review |
| title_fullStr | Combined Aerobic and Resistance Exercise in Walking Performance of Patients With Intermittent Claudication: Systematic Review |
| title_full_unstemmed | Combined Aerobic and Resistance Exercise in Walking Performance of Patients With Intermittent Claudication: Systematic Review |
| title_short | Combined Aerobic and Resistance Exercise in Walking Performance of Patients With Intermittent Claudication: Systematic Review |
| title_sort | combined aerobic and resistance exercise in walking performance of patients with intermittent claudication systematic review |
| topic | peripheral arterial disease intermittent claudication combined aerobic and resistance training walking performance systematic review |
| url | https://www.frontiersin.org/article/10.3389/fphys.2019.01538/full |
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