ABSTRACT
INTRODUCTION: Peripheral arterial disease (PAD) is increasingly prevalent, and supervised physical exercise programmes are recommended as the first-line treatment. However, these programmes are underused. Alternative delivery models may be able to expand treatment coverage. The objective of this study was to compare a home-based exercise programme (HBEP) and a centre-based exercise (CBE) in terms of their effects on functional capacity, peripheral muscle oxygenation and quality of life in individuals with PAD. METHODS AND ANALYSIS: This single-blind, parallel randomised clinical trial will consist of two groups: HBEP and CBE. A qualitative analysis will be carried out to investigate acceptability and satisfaction. The primary outcome will be functional capacity, assessed by the incremental shuttle walk test. Secondary outcomes will include functional capacity, assessed by a treadmill walking test; peripheral muscle oxygenation and quality of life; and self-reported functional impairment, risk factors, morbidity, level of physical activity, adherence, acceptability and satisfaction. The intervention protocols will consist of 12 weeks of intermittent walking until claudication symptoms, three times a week. Participants randomly assigned to the CBE group will participate in supervised face-to-face sessions. The HBEP group will perform exercises at home with remote supervision, monitored by a pedometer and heart rate monitor, and subjective perception of effort during each session will be recorded by participants in a training diary; follow-up will be conducted by telephone calls. Statistical analyses will follow the intention-to-treat principle. Participants allocated to the HBEP group will be interviewed about their experience of remote treatment using a qualitative approach. ETHICS AND DISSEMINATION: Ethics approval was obtained from the Ethics Committee of the Universidade Federal de Minas Gerais. The results will be disseminated in a peer-reviewed journal and presented at international congresses. This research has the potential to improve the care of people with PAD because if home-based rehabilitation demonstrates effectiveness, it could be considered an alternative or support resource to the usual centre-based treatment models, expanding access, coverage and participation in vascular physiotherapy TRIAL REGISTRATION: https://ensaiosclinicos.gov.br/rg/RBR-97vy9n7 on 14 April 2022.
Subject(s)
Peripheral Arterial Disease , Quality of Life , Humans , Exercise Therapy/methods , Muscles , Peripheral Arterial Disease/therapy , Randomized Controlled Trials as Topic , Single-Blind MethodABSTRACT
The aim of this study was to describe a program of health promotion and prevention of risks and diseases, developed by a health plan provider by means of results achieved and activities since its inception. To demonstrate the results, active and retired employees of UFV Campus Florestal and their dependents were selected, enrolled with this provider, to attend Espaço Movimento in two groups: gym (GG) and walking/running (WRG). All were submitted to anthropometric and mood profile evaluation, and a flexibility test at baseline and every six months; VO2max was assessed only for WRG. Submitted to 12 months of intervention, GG was composed of 45 participants (25 male), with mean age 46.1 ± 15.7 years. The WRG was subjected to six months of intervention, and composed of 12 participants (10 females), with mean age 42.8 ± 13.8 years. The logical model from 2013 to 2015 was used to present the activities. Results of both groups showed significant improvements in levels of physical fitness, anthropometric variables and mental health. Between the years 2013 and 2015, three annual events were offered to the community of Florestal, in cluding a wider range of age, from children to seniors. Therefore, the proposal of the Espaço Movimento initiative seems to be innovative in the supplementary care and demonstrates effectiveness on the observed results.
O objetivo desse estudo foi descrever um programa de promoção da saúde e prevenção de riscos e doenças desenvolvido por uma operadora de saúde suplementar por meio de resultados atingidos e atividades realizadas desde sua implementação. Para demonstrar os resultados atingidos foram selecionados servidores ativos e inativos da UFV Campus Florestal, e seus dependentes, participantes dessa operadora, atendidos no Espaço Movimento nas duas modalidades, grupo da academia (GA) e grupo de caminhada/corrida (GCC). Todos foram submetidos à avaliação antropométrica e de perfil de estado de humor, e a um teste de flexibilidade no momento inicial e a cada seis meses; e apenas no GCC foi avaliado o VO2Máx. O GA, submetido a 12 meses de intervenção, foi composto por 45 participantes, 25 homens e 20 mulheres, com idade média de 46,07 ± 15,74 anos. O GCC, submetido a seis meses de intervenção, foi composto por 12 participantes, 10 mulheres e dois homens, com idade média de 42,75 ± 13,84 anos. Para apresentar as atividades realizadas foi utilizado o modelo lógico adotado no período de 2013 a 2015. Os resultados de ambos os grupos atendidos apresentaram melhoras significativas nos índices de aptidão física, variáveis antropométricas e de saúde mental. Entre o período de 2013 a 2015 foram desenvolvidos três eventos que são oferecidos anualmente à comunidade de Florestal, os quais abrangem uma ampla faixa etária, de crianças à idosos. Diante do exposto, a pro-posta do Espaço Movimento parece ser inovadora na saúde suplementar e se demonstra efetiva diante dos resultados observados.
