RESUMO
Objetivo: Estudiar la relación entre la actividad física en el tiempo libre y la progresión del índice tobillo-brazo (ITB) en población general española. Método: Estudio de cohortes prospectivo y multicéntrico, con 1941 sujetos mayores de 49 años, libres de arteriopatía periférica en el momento del reclutamiento. La variable actividad física en el tiempo libre se obtuvo mediante el cuestionario VREM ((Versión Reducida en Espãnol del Cuestionario de Actividad Física en el Tiempo Libre de Minnesota). Se consideró arteriopatía periférica un ITB <0,9. Para evaluar la asociación independiente entre la actividad física en el tiempo libre y el ITB se utilizaron modelos de regresión logística multivariante. Resultados: La edad media era de 63,4 años y el 54,6% eran mujeres. En el análisis multivariante hubo una relación positiva entre la actividad física en el tiempo libre y el ITB en pacientes con un gasto energético de más de 5000 metabolic energy turnover (MET) en 14 días (odds ratio: 0,37; intervalo de confianza del 95%: 0,18-0,80). Por actividades específicas, mostraron un efecto protector hacer deporte o bailar, ir a comprar a pie y limpiar la casa más de 1 hora al día. En el grupo de personas que mantenían a largo plazo la realización de actividad física en el tiempo libre se observó un efecto protector en la actividad física en general (MET) y en ir a comprar a pie. Conclusiones: En nuestro estudio, en una muestra de población general española muy activa, la actividad física en el tiempo libre se asoció favorablemente con el ITB. (AU)
Objective: To study the relationship between physical activity during leisure time and progression of ankle-brachial index (ABI) in the Spanish general population. Method: Prospective, multicentre cohort study with 1941 subjects over 49 years of age, free of peripheral arterial disease at the time of recruitment of the cohort, were studied. Physical activity during leisure time variable was obtained using the VREM questionnaire. Peripheral arterial disease was considered to be an ankle-brachial index (ABI) <0.9. A multivariate logistic regression analysis was performed to evaluate the independent association between physical activity during leisure time and ABI. Results: The mean age was 63.4 years and 54.6% were women. In the multivariate analysis, there was a positive relationship between physical activity during leisure time and ABI in patients with an energy consumption of more than 5000 MET in 14 days (odds ratio: 0.37; 95% confidence interval: 0.18-0.80). These specific activities doing sports or dancing, going shopping on foot, and cleaning the house for more than an hour a day showed a protective effect. In the group of subjects who maintained the physical activity during leisure time during the time of the research, a protective effect was observed with overall physical activity (MET) and going shopping on foot. Conclusions: In our research, PALT was favorably associated with ABI, in a sample of the Spanish general population that is very active and has a low-cardiovascular risk. (AU)
Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Atividade Motora , Índice Tornozelo-Braço , Espanha , Estudos Prospectivos , Estudos de Coortes , Estudos Longitudinais , Doença Arterial Periférica , Inquéritos e QuestionáriosRESUMO
OBJECTIVE: To study the relationship between physical activity during leisure time and progression of ankle-brachial index (ABI) in the Spanish general population. METHOD: Prospective, multicentre cohort study with 1941 subjects over 49 years of age, free of peripheral arterial disease at the time of recruitment of the cohort, were studied. Physical activity during leisure time variable was obtained using the VREM questionnaire. Peripheral arterial disease was considered to be an ankle-brachial index (ABI) <0.9. A multivariate logistic regression analysis was performed to evaluate the independent association between physical activity during leisure time and ABI. RESULTS: The mean age was 63.4 years and 54.6% were women. In the multivariate analysis, there was a positive relationship between physical activity during leisure time and ABI in patients with an energy consumption of more than 5000 MET in 14 days (odds ratio: 0.37; 95% confidence interval: 0.18-0.80). These specific activities doing sports or dancing, going shopping on foot, and cleaning the house for more than an hour a day showed a protective effect. In the group of subjects who maintained the physical activity during leisure time during the time of the research, a protective effect was observed with overall physical activity (MET) and going shopping on foot. CONCLUSIONS: In our research, PALT was favorably associated with ABI, in a sample of the Spanish general population that is very active and has a low-cardiovascular risk.
Assuntos
Índice Tornozelo-Braço , Doença Arterial Periférica , Estudos de Coortes , Exercício Físico , Feminino , Humanos , Atividades de Lazer , Masculino , Pessoa de Meia-Idade , Doença Arterial Periférica/diagnóstico , Doença Arterial Periférica/epidemiologia , Estudos Prospectivos , Fatores de RiscoRESUMO
Fundamento y objetivo: Niveles elevados de actividad física durante la vida diaria se asocian con un menor deterioro funcional en las personas con arteriopatía periférica (AP) y positivamente con el índice tobillo-brazo (ITB) en sujetos libres de esta enfermedad. El objetivo de este estudio es examinar la relación entre la actividad física en el tiempo libre (AFTL) y el ITB en población general. Material y método: Se analizaron los datos basales de la cohorte ARTPER correspondientes a 2.840 sujetos mayores de 49 años de Barcelona. La AFTL se obtuvo mediante la versión reducida validada en español del Cuestionario de actividad física en el tiempo libre de Minnesota. Se consideró AP un ITB < 0,9. Para evaluar la asociación independiente entre AFTL y AP se utilizaron modelos de regresión logística multivariante. Resultados: Los sujetos que realizaban más AFTL eran más jóvenes, mujeres, menos fumadores y tenían menos AP. La actividad total medida en metabolic energy turnover (MET) y el cómputo de horas totales de AFTL fue significativamente superior en sujetos sanos (p < 0,001). Existía una relación inversa entre la AFTL total y el riesgo de padecer AP (odds ratio 0,56, intervalo de confianza del 95% 0,38-0,81 para los que gastaban 2.700 o más MET en 14 días) ajustando por factores de confusión. Conclusiones: La AFTL se relacionó positivamente con el ITB en nuestro estudio, siendo los sujetos con AP los que menos AFTL realizaban (AU)
Background and objective: High levels of daily physical activity have been shown to be linked to decreased functional impairment in peripheral artery disease (PAD) patients and positively related to the ankle brachial index (ABI) in subjects without PAD. The aim of this study was to examine the relationship between leisure time physical activity (LTPA) and the ABI in a general population. Material and method: Baseline data from the ARTPER study cohort corresponding to 2,840 subjects > 49 years from Barcelona were analyzed. The LTPA variable was obtained through the validated Spanish short version of the Minnesota Leisure Time Physical Activity Questionnaire. ABI < 0.9 was taken to indicate PAD. Multivariate logistic regression analysis was performed to evaluate the independent association between LTPA and PAD. Results: Subjects with more LTPA were younger, female, less smokers, and suffered fewer PAD. Total activity, measured in metabolic energy turnover (MET) and the LTPA hours, was significantly higher in subjects without PAD (P < .001). There was an inverse relationship between LTPA and the risk of suffering PAD (odds ratio 0.56, 95% confidence interval 0.38-0.81 for those who expended 2,700 METs or more in 14 days) adjusting for confounding factors. Conclusions: In our study, LTPA was positively related to the ABI, with those with PAD being the ones with less LTPA (AU)
Assuntos
Feminino , Humanos , Masculino , Atividade Motora/genética , Índice Tornozelo-Braço/métodos , Índice Tornozelo-Braço/normas , Espanha/etnologia , Doença Arterial Periférica/metabolismo , Arteriosclerose/metabolismo , Doenças Cardiovasculares/genética , Doenças Cardiovasculares/metabolismo , Atenção Primária à Saúde/métodos , Atenção Primária à Saúde/normas , Atividade Motora/fisiologia , Índice Tornozelo-Braço/instrumentação , Índice Tornozelo-Braço , Doença Arterial Periférica/complicações , Doença Arterial Periférica/diagnóstico , Arteriosclerose/patologia , Doenças Cardiovasculares/complicações , Doenças Cardiovasculares/diagnóstico , Atenção Primária à Saúde , Atenção Primária à SaúdeRESUMO
BACKGROUND AND OBJECTIVE: High levels of daily physical activity have been shown to be linked to decreased functional impairment in peripheral artery disease (PAD) patients and positively related to the ankle brachial index (ABI) in subjects without PAD. The aim of this study was to examine the relationship between leisure time physical activity (LTPA) and the ABI in a general population. MATERIAL AND METHOD: Baseline data from the ARTPER study cohort corresponding to 2,840 subjects>49 years from Barcelona were analyzed. The LTPA variable was obtained through the validated Spanish short version of the Minnesota Leisure Time Physical Activity Questionnaire. ABI<0.9 was taken to indicate PAD. Multivariate logistic regression analysis was performed to evaluate the independent association between LTPA and PAD. RESULTS: Subjects with more LTPA were younger, female, less smokers, and suffered fewer PAD. Total activity, measured in metabolic energy turnover (MET) and the LTPA hours, was significantly higher in subjects without PAD (P<.001). There was an inverse relationship between LTPA and the risk of suffering PAD (odds ratio 0.56, 95% confidence interval 0.38-0.81 for those who expended 2,700 METs or more in 14 days) adjusting for confounding factors. CONCLUSIONS: In our study, LTPA was positively related to the ABI, with those with PAD being the ones with less LTPA.
Assuntos
Índice Tornozelo-Braço , Exercício Físico/fisiologia , Atividades de Lazer , Doença Arterial Periférica/fisiopatologia , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Espanha , Inquéritos e QuestionáriosRESUMO
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