Related factors associated with exercise behavior in patients with peripheral arterial disease.
Takura Sasaki, Hiroshi Irie, Hiroki Harada and 5 others
PMID 35221519WHAT IT FOUND
In 43 patients with peripheral arterial disease, only higher exercise self-efficacy was associated with being active.
Walking distance and pain scores did not differ between active and inactive groups, suggesting confidence matters more than physical limitation.
Key findings
01Only exercise self-efficacy remained significantly associated with exercise behavior after adjusting for age, gender, and diabetes.
02There were no significant differences in physical function measures, including 6-minute walk distance and walking impairment scores, between patients who exercised and those who did not.
03The prevalence of diabetes was significantly higher in the group without exercise behavior.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The study is cross-sectional, so it cannot determine whether high self-efficacy leads to exercise or if exercising leads to higher self-efficacy. The sample size was small, with only 43 patients, which limits the generalizability of the findings. Exercise behavior was defined by self-reported stages of change, which may not accurately reflect actual physical activity levels. The study excluded patients with pain at rest or significant cognitive impairment, so findings may not apply to more severe cases.
Declared interests
The study was supported by a grant from the Ministry of Education, Culture, Sports, Science and Technology of Japan. The authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that physical limitations like pain or short walking distance prevent exercise in these patients. The study found no significant differences in these physical measures between those who exercised and those who did not, pointing instead to self-efficacy as the associated factor.