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Influence of peripheral arterial disease and supervised walking on heart rate variability
Objective To examine the influence of peripheral arterial disease (PAD) on heart rate variability (HRV) in patients, and to examine the influence of an intense long-term (12 months) exercise program on HRV in PAD patients. Methods This study involved ambulatory patients attending a local hospital an...
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| Published in: | Journal of vascular surgery 2011-11, Vol.54 (5), p.1352-1359 |
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| container_title | Journal of vascular surgery |
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| creator | Leicht, Anthony S., PhD Crowther, Robert G., PhD Golledge, Jonathan, MChir |
| description | Objective To examine the influence of peripheral arterial disease (PAD) on heart rate variability (HRV) in patients, and to examine the influence of an intense long-term (12 months) exercise program on HRV in PAD patients. Methods This study involved ambulatory patients attending a local hospital and university center. Participants were twenty-five patients with diagnosed PAD and intermittent claudication and 24 healthy, age-matched adults. Interventions involved random allocation of PAD patients to 12 months of conservative medical treatment (Conservative) or medical treatment with supervised treadmill walking (Exercise). The main outcome measures were time- and frequency-domain, nonlinear HRV measures during supine rest, and maximal walking capacity prior to and following the intervention. Results Despite significantly worse walking capacity (285 ± 190 m vs 941 ± 336 m; P < .05), PAD patients exhibited similar resting HRV to healthy adults. At the 12-month follow-up, Exercise patients exhibited a significantly greater improvement in walking capacity (183% ± 185% vs 57% ± 135%; P = .03) with similar small nonsignificant changes in HRV compared with Conservative patients. Conclusions The current study demonstrated that PAD patients exhibited similar resting HRV to healthy adults with 12 months of intense supervised walking producing similar HRV changes to that of conservative medical treatment. The greater walking capacity of healthy adults and PAD patients following supervised exercise does not appear to be associated with enhanced HRV. |
| doi_str_mv | 10.1016/j.jvs.2011.05.027 |
| format | article |
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Methods This study involved ambulatory patients attending a local hospital and university center. Participants were twenty-five patients with diagnosed PAD and intermittent claudication and 24 healthy, age-matched adults. Interventions involved random allocation of PAD patients to 12 months of conservative medical treatment (Conservative) or medical treatment with supervised treadmill walking (Exercise). The main outcome measures were time- and frequency-domain, nonlinear HRV measures during supine rest, and maximal walking capacity prior to and following the intervention. Results Despite significantly worse walking capacity (285 ± 190 m vs 941 ± 336 m; P < .05), PAD patients exhibited similar resting HRV to healthy adults. At the 12-month follow-up, Exercise patients exhibited a significantly greater improvement in walking capacity (183% ± 185% vs 57% ± 135%; P = .03) with similar small nonsignificant changes in HRV compared with Conservative patients. Conclusions The current study demonstrated that PAD patients exhibited similar resting HRV to healthy adults with 12 months of intense supervised walking producing similar HRV changes to that of conservative medical treatment. The greater walking capacity of healthy adults and PAD patients following supervised exercise does not appear to be associated with enhanced HRV.</description><identifier>ISSN: 0741-5214</identifier><identifier>EISSN: 1097-6809</identifier><identifier>DOI: 10.1016/j.jvs.2011.05.027</identifier><identifier>PMID: 21784603</identifier><identifier>CODEN: JVSUES</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Aged ; Ankle Brachial Index ; Atherosclerosis (general aspects, experimental research) ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Cardiovascular Agents - therapeutic use ; Combined Modality Therapy ; Exercise Test ; Exercise Therapy ; Exercise Tolerance ; Female ; Heart Rate ; Humans ; Intermittent Claudication - diagnosis ; Intermittent Claudication - physiopathology ; Intermittent Claudication - therapy ; Male ; Medical sciences ; Middle Aged ; Peripheral Arterial Disease - diagnosis ; Peripheral Arterial Disease - physiopathology ; Peripheral Arterial Disease - therapy ; Queensland ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Time Factors ; Treatment Outcome ; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels ; Walking</subject><ispartof>Journal of vascular surgery, 2011-11, Vol.54 (5), p.1352-1359</ispartof><rights>Society for Vascular Surgery</rights><rights>2011 Society for Vascular Surgery</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c480t-d696ac4cb63862ce09ada386d5f9d324ba8995c80784bde93f522d0ab6f7de5e3</citedby><cites>FETCH-LOGICAL-c480t-d696ac4cb63862ce09ada386d5f9d324ba8995c80784bde93f522d0ab6f7de5e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24723706$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21784603$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Leicht, Anthony S., PhD</creatorcontrib><creatorcontrib>Crowther, Robert G., PhD</creatorcontrib><creatorcontrib>Golledge, Jonathan, MChir</creatorcontrib><title>Influence of peripheral arterial disease and supervised walking on heart rate variability</title><title>Journal of vascular surgery</title><addtitle>J Vasc Surg</addtitle><description>Objective To examine the influence of peripheral arterial disease (PAD) on heart rate variability (HRV) in patients, and to examine the influence of an intense long-term (12 months) exercise program on HRV in PAD patients. Methods This study involved ambulatory patients attending a local hospital and university center. Participants were twenty-five patients with diagnosed PAD and intermittent claudication and 24 healthy, age-matched adults. Interventions involved random allocation of PAD patients to 12 months of conservative medical treatment (Conservative) or medical treatment with supervised treadmill walking (Exercise). The main outcome measures were time- and frequency-domain, nonlinear HRV measures during supine rest, and maximal walking capacity prior to and following the intervention. Results Despite significantly worse walking capacity (285 ± 190 m vs 941 ± 336 m; P < .05), PAD patients exhibited similar resting HRV to healthy adults. At the 12-month follow-up, Exercise patients exhibited a significantly greater improvement in walking capacity (183% ± 185% vs 57% ± 135%; P = .03) with similar small nonsignificant changes in HRV compared with Conservative patients. Conclusions The current study demonstrated that PAD patients exhibited similar resting HRV to healthy adults with 12 months of intense supervised walking producing similar HRV changes to that of conservative medical treatment. The greater walking capacity of healthy adults and PAD patients following supervised exercise does not appear to be associated with enhanced HRV.</description><subject>Aged</subject><subject>Ankle Brachial Index</subject><subject>Atherosclerosis (general aspects, experimental research)</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular Agents - therapeutic use</subject><subject>Combined Modality Therapy</subject><subject>Exercise Test</subject><subject>Exercise Therapy</subject><subject>Exercise Tolerance</subject><subject>Female</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>Intermittent Claudication - diagnosis</subject><subject>Intermittent Claudication - physiopathology</subject><subject>Intermittent Claudication - therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Peripheral Arterial Disease - diagnosis</subject><subject>Peripheral Arterial Disease - physiopathology</subject><subject>Peripheral Arterial Disease - therapy</subject><subject>Queensland</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</subject><subject>Walking</subject><issn>0741-5214</issn><issn>1097-6809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNp9kU1v1DAQhi0EokvhB3BBviBOCWMnsWMhIVUVH5Uq9VA4cLIce0KdepPFThbtv8fRLiD10JPH1vOOR88Q8ppByYCJ90M57FPJgbESmhK4fEI2DJQsRAvqKdmArFnRcFafkRcpDZDBppXPyRlnsq0FVBvy42rsw4KjRTr1dIfR7-4wmkBNnPMlF84nNAmpGR1NSyb2-cHR3ybc-_EnnUZ6hxmm0cxI9yZnOh_8fHhJnvUmJHx1Os_J98-fvl1-La5vvlxdXlwXtm5hLpxQwtjadqJqBbcIyjiTS9f0ylW87kyrVGNbyBN3DlXVN5w7MJ3opcMGq3Py7th3F6dfC6ZZb32yGIIZcVqSVgBSCla1mWRH0sYppYi93kW_NfGgGehVqB50FqpXoRoanYXmzJtT96XbovuX-GswA29PgEnWhD6a0fr0n6slrySIzH04cphd7D1GnaxfvTsf0c7aTf7RMT4-SNvgR58_vMcDpmFa4pgla6YT16Bv182vi2ds3TmT1R_pU6lL</recordid><startdate>20111101</startdate><enddate>20111101</enddate><creator>Leicht, Anthony S., PhD</creator><creator>Crowther, Robert G., PhD</creator><creator>Golledge, Jonathan, MChir</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20111101</creationdate><title>Influence of peripheral arterial disease and supervised walking on heart rate variability</title><author>Leicht, Anthony S., PhD ; Crowther, Robert G., PhD ; Golledge, Jonathan, MChir</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c480t-d696ac4cb63862ce09ada386d5f9d324ba8995c80784bde93f522d0ab6f7de5e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Ankle Brachial Index</topic><topic>Atherosclerosis (general aspects, experimental research)</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular Agents - therapeutic use</topic><topic>Combined Modality Therapy</topic><topic>Exercise Test</topic><topic>Exercise Therapy</topic><topic>Exercise Tolerance</topic><topic>Female</topic><topic>Heart Rate</topic><topic>Humans</topic><topic>Intermittent Claudication - diagnosis</topic><topic>Intermittent Claudication - physiopathology</topic><topic>Intermittent Claudication - therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Peripheral Arterial Disease - diagnosis</topic><topic>Peripheral Arterial Disease - physiopathology</topic><topic>Peripheral Arterial Disease - therapy</topic><topic>Queensland</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Leicht, Anthony S., PhD</creatorcontrib><creatorcontrib>Crowther, Robert G., PhD</creatorcontrib><creatorcontrib>Golledge, Jonathan, MChir</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Leicht, Anthony S., PhD</au><au>Crowther, Robert G., PhD</au><au>Golledge, Jonathan, MChir</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of peripheral arterial disease and supervised walking on heart rate variability</atitle><jtitle>Journal of vascular surgery</jtitle><addtitle>J Vasc Surg</addtitle><date>2011-11-01</date><risdate>2011</risdate><volume>54</volume><issue>5</issue><spage>1352</spage><epage>1359</epage><pages>1352-1359</pages><issn>0741-5214</issn><eissn>1097-6809</eissn><coden>JVSUES</coden><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-News-1</notes><notes>ObjectType-Feature-3</notes><notes>content type line 23</notes><abstract>Objective To examine the influence of peripheral arterial disease (PAD) on heart rate variability (HRV) in patients, and to examine the influence of an intense long-term (12 months) exercise program on HRV in PAD patients. Methods This study involved ambulatory patients attending a local hospital and university center. Participants were twenty-five patients with diagnosed PAD and intermittent claudication and 24 healthy, age-matched adults. Interventions involved random allocation of PAD patients to 12 months of conservative medical treatment (Conservative) or medical treatment with supervised treadmill walking (Exercise). The main outcome measures were time- and frequency-domain, nonlinear HRV measures during supine rest, and maximal walking capacity prior to and following the intervention. Results Despite significantly worse walking capacity (285 ± 190 m vs 941 ± 336 m; P < .05), PAD patients exhibited similar resting HRV to healthy adults. At the 12-month follow-up, Exercise patients exhibited a significantly greater improvement in walking capacity (183% ± 185% vs 57% ± 135%; P = .03) with similar small nonsignificant changes in HRV compared with Conservative patients. Conclusions The current study demonstrated that PAD patients exhibited similar resting HRV to healthy adults with 12 months of intense supervised walking producing similar HRV changes to that of conservative medical treatment. The greater walking capacity of healthy adults and PAD patients following supervised exercise does not appear to be associated with enhanced HRV.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>21784603</pmid><doi>10.1016/j.jvs.2011.05.027</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of vascular surgery, 2011-11, Vol.54 (5), p.1352-1359 |
| issn | 0741-5214 1097-6809 |
| language | eng |
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| source | BACON - Elsevier - GLOBAL_SCIENCEDIRECT-OPENACCESS |
| subjects | Aged Ankle Brachial Index Atherosclerosis (general aspects, experimental research) Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Cardiovascular Agents - therapeutic use Combined Modality Therapy Exercise Test Exercise Therapy Exercise Tolerance Female Heart Rate Humans Intermittent Claudication - diagnosis Intermittent Claudication - physiopathology Intermittent Claudication - therapy Male Medical sciences Middle Aged Peripheral Arterial Disease - diagnosis Peripheral Arterial Disease - physiopathology Peripheral Arterial Disease - therapy Queensland Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Time Factors Treatment Outcome Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels Walking |
| title | Influence of peripheral arterial disease and supervised walking on heart rate variability |
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