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Vascular and Endovascular Surgery
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All Patients Benefit Equally From a Supervised Exercise Program for Claudication

Ferdinand Serracino-Inglott, MD, MSc, FRCSI

Department of Vascular Surgery, Manchester Royal Infirmary, Oxford Road, Manchester, United Kingdom, surgeon.vascular{at}gmail.com

Gareth Owen, RGN, ONC

Department of Vascular Surgery, Manchester Royal Infirmary, Oxford Road, Manchester, United Kingdom

Andrew Carter, MRCS

Department of Vascular Surgery, Manchester Royal Infirmary, Oxford Road, Manchester, United Kingdom

Francis Dix, MD, FRCS

Department of Vascular Surgery, Manchester Royal Infirmary, Oxford Road, Manchester, United Kingdom

John Vince Smyth, FRCS, ChM

Department of Vascular Surgery, Manchester Royal Infirmary, Oxford Road, Manchester, United Kingdom

Irwin V. Mohan, FRCS

Department of Vascular Surgery, Manchester Royal Infirmary, Oxford Road, Manchester, United Kingdom

This study assessed the effect of gender, diabetic status, statin use, smoking, hypertension, cardiac status, and use of cilostazol on the outcome of a supervised exercise program for patients with claudication. Patient risk factors were prospectively recorded in a group of patients who had completed 1 year on a supervised exercise program. In 165 claudicant patients, maximum walking distance increased (P < .0001) from 67 meters (range, 17-196) to 122 meters (range, 43-409). Quality of life as measured by the Medical Outcome Study Short Form 36 increased (P < .0001) from a median of 78 (range, 55-110) to 99 (range, 71-154). The improvements in claudication distance, maximal walking distance, and quality of life after the exercise program were not dependent on any of the measured patient factors. Patients referred to exercise programs for claudication are a heterogenous group. Despite this, they benefit equally from such a program.

Key Words: claudication • peripheral vascular disease • exercise

Vascular and Endovascular Surgery, Vol. 41, No. 3, 212-216 (2007)
DOI: 10.1177/1538574407300913


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VASC ENDOVASCULAR SURGHome page
R. Carlon and M. Zanchetta
Statin Therapy Enhance Benefit of Exercise Training in Patients With Claudication Intermittens
Vascular and Endovascular Surgery, June 1, 2008; 42(3): 296 - 297.
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