ArticleClinics (Sao Paulo, Brazil)2021
Symptoms of anxiety and depression and their relationship with barriers to physical activity in patients with intermittent claudication.
Article in Clinics (Sao Paulo, Brazil), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 18 citations in OpenAlex.
- Trial
- Latent Health Status Trajectories in Individuals With New or Worsening Claudication Symptoms.Journal of the American Heart Association · 2025Article
- The relationship between frailty, walking ability, and depression in elderly Chinese people.Medicine · 2023Article
- Impact of physical activity on self-reported health parameters in peripheral artery disease in two periods of the COVID-19 pandemic.Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing · 2023Article
- Effect of a monitored home-based exercise program combined with a behavior change intervention and a smartphone app on walking distances and quality of life in adults with peripheral arterial disease: the WalkingPad randomized clinical trial.Frontiers in cardiovascular medicine · 2023Article
- Cross-Sectional Associations between Living and Built Environments and Depression Symptoms among Chinese Older Adults.International journal of environmental research and public health · 2022Article
- What are the effects of different modes of exercise training for intermittent claudication? - A Cochrane Review summary with commentary.Journal of rehabilitation medicine · 2021Review
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesAlthough the practice of physical exercise in patients with intermittent claudication (IC) is often encouraged, adherence is low. The difficulty in performing physical training may be related to the psychological characteristics of patients with claudication. To verify the association between anxiety and depression symptoms and barriers to physical exercise and walking capacity in patients with IC.
methodsOne-hundred and thirteen patients with a clinical diagnosis of IC were included in the study. Patients underwent clinical evaluation by a vascular surgeon, answered the Beck Depression Inventory, and Beck Anxiety Inventory tests were applied by the psychologist. The patients performed the 6-minute test and reported their barriers to physical activity practice in a questionnaire.
resultsPatients with signs of depression had a shorter pain-free walking distance (p=0.015) and total walking distance (p=0.035) compared to patients with no signs of depression. Pain-free walking distance (p=0.29) and total walking distance (p=0.07) were similar between patients with and without signs of anxiety. Patients with symptoms of moderate to severe depression reported more barriers to physical activity practice compared to patients without signs of depression.
conclusionSymptoms of anxiety and depression are prevalent among patients with peripheral arterial occlusive disease (PAD). Depression symptoms are associated with personal barriers to exercise, while anxiety symptoms are not. The main barriers to physical activity among patients with IC are exercise-induced pain and the presence of other diseases.
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