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Barriers to Physical Activity in Patients with Intermittent Claudication

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Abstract

Background

The main barriers reported by the patients with claudication are related to claudication symptoms. However, it remains unclear whether these barriers are associated with physical activity levels in these patients.

Purpose

The aim of this study was to analyze the barriers to and the factors associated with physical activity (PA) in intermittent claudication (IC) patients.

Methods

The sample included 150 IC Brazilian patients and mean age 64 ± 9 years old. Sociodemographic factors, comorbid conditions and cardiovascular risk factors, personal and environmental barriers to PA, and walking capacity (claudication onset distance-COD and peak walking distance-PWD) were obtained. PA was assessed using a pedometer over seven consecutive days.

Results

Patients performed 6,041 ± 3,166 steps/day. The most prevalent personal and environmental barriers to PAs were exercise-induced pain and the presence of obstacles that aggravate the leg pain. Multiple linear regression showed that level of PA was inversely associated with age (β = −81.13; p < 0.001), lack of green areas (β = −1363.54; p < 0.001), and positively associated with PWD (β = 3.07; p < 0.001).

Conclusion

Older IC patients who live in neighborhoods that lack green areas to walk in, and who have poor walking capacity present lower levels of PA.

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Acknowledgments

The authors thank the Coordination for the Improvement of Higher Education Personnel (CAPES) for the Master’s degree scholarship granted.

Informed Consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study. Additional informed consent was obtained from all patients for which identifying information is included in this article.

Conflict of Interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. University of Pernambuco, Associate Graduate Program in Physical Education UPE/UFPB, Arnóbio Marques Street, 310, Recife, 52050, Brazil

    João Paulo Barbosa, Breno Quintella Farah, José Cazuza Farias Júnior & Raphael Mendes Ritti-Dias

  2. Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil

    Marcel Chehuen & Cláudia Lúcia Forjaz

  3. University of São Paulo, São Paulo, Brazil

    Nelson Wolosker

  4. Reynolds Oklahoma Center on Aging, Department of Geriatric Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, USA

    Andrew W. Gardner

  5. Albert Einstein Hospital, São Paulo, Brazil

    Gabriel Grizzo Cucato

Authors
  1. João Paulo Barbosa
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  2. Breno Quintella Farah
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  3. Marcel Chehuen
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  4. Gabriel Grizzo Cucato
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  5. José Cazuza Farias Júnior
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  6. Nelson Wolosker
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  7. Cláudia Lúcia Forjaz
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  8. Andrew W. Gardner
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  9. Raphael Mendes Ritti-Dias
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Corresponding author

Correspondence to Raphael Mendes Ritti-Dias.

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Barbosa, J.P., Farah, B.Q., Chehuen, M. et al. Barriers to Physical Activity in Patients with Intermittent Claudication. Int.J. Behav. Med. 22, 70–76 (2015). https://doi.org/10.1007/s12529-014-9408-4

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  • DOI: https://doi.org/10.1007/s12529-014-9408-4

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