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Ahner MM, Pereira AH, Pereira AA, Fonseca GA, Zubaran GPDR, Macedo DDS, Garcia EL, Franzoni LT. Importance of physical detraining in functional capacity of individuals with chronic peripheral arterial occlusive disease: a cross-sectional pilot study. J Vasc Bras 2021; 20:e20200237. [PMID: 34093694 PMCID: PMC8147877 DOI: 10.1590/1677-5449.200237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Accepted: 01/18/2021] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Physical training is a well-established strategy for rehabilitation of the functional capacity of individuals with chronic peripheral arterial occlusive disease (PAOD). However, some individuals quit training after participating in a physical training program, undergoing detraining. There is scant literature on the effects of physical detraining in individuals with PAOD and it is therefore important to investigate the effects of this phenomenon. OBJECTIVES The objective of this article was to evaluate the effects of physical detraining on functional capacity in individuals with PAOD. METHODS Cross-sectional study with 22 individuals. Participants were divided into two groups: a detraining group (DG) and a control group (CG). The distance covered in the 6-minute walk test (6MWTD) and the pain-free walking distance (PFWD) were evaluated. The PFWD is the distance covered until claudication begins, i.e., the distance covered without pain. RESULTS Mean age was 66 ± 8 in the DG and 67 ± 7 in the CG. There were no differences between the groups in either the 6MWTD or the PFWD (p = 0.428; p = 0.537, respectively). CONCLUSIONS The present pilot study allows us to conclude that the functional capacity of individuals with PAOD who participated in a physical training program and subsequently underwent detraining was not superior in relation to individuals who did not participate in a physical training program. The results of the present study serve to encourage maintenance of physical exercise, since physical training is no longer effective if detraining occurs.
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Affiliation(s)
- Mabel Marciela Ahner
- Universidade Federal do Rio Grande do Sul – UFRGS, Hospital de Clínicas de Porto Alegre – HCPA, Porto Alegre, RS, Brasil.
- Universidade Federal do Rio Grande do Sul – UFRGS, Hospital de Clínicas de Porto Alegre – HCPA, Ambulatório de Cirurgia Vascular, Porto Alegre, RS, Brasil.
| | - Adamastor Humberto Pereira
- Universidade Federal do Rio Grande do Sul – UFRGS, Hospital de Clínicas de Porto Alegre – HCPA, Porto Alegre, RS, Brasil.
- Universidade Federal do Rio Grande do Sul – UFRGS, Hospital de Clínicas de Porto Alegre – HCPA, Ambulatório de Cirurgia Vascular, Porto Alegre, RS, Brasil.
| | - Alexandre Araújo Pereira
- Universidade Federal do Rio Grande do Sul – UFRGS, Hospital de Clínicas de Porto Alegre – HCPA, Porto Alegre, RS, Brasil.
- Universidade Federal do Rio Grande do Sul – UFRGS, Hospital de Clínicas de Porto Alegre – HCPA, Ambulatório de Cirurgia Vascular, Porto Alegre, RS, Brasil.
| | - Gabriel Alves Fonseca
- Universidade Federal do Rio Grande do Sul – UFRGS, Hospital de Clínicas de Porto Alegre – HCPA, Porto Alegre, RS, Brasil.
- Universidade Federal do Rio Grande do Sul – UFRGS, Hospital de Clínicas de Porto Alegre – HCPA, Ambulatório de Cirurgia Vascular, Porto Alegre, RS, Brasil.
| | - Gabriel Pereira dos Reis Zubaran
- Universidade Federal do Rio Grande do Sul – UFRGS, Hospital de Clínicas de Porto Alegre – HCPA, Porto Alegre, RS, Brasil.
- Universidade Federal do Rio Grande do Sul – UFRGS, Hospital de Clínicas de Porto Alegre – HCPA, Ambulatório de Cirurgia Vascular, Porto Alegre, RS, Brasil.
| | - Débora dos Santos Macedo
- Universidade Federal do Rio Grande do Sul – UFRGS, Hospital de Clínicas de Porto Alegre – HCPA, Porto Alegre, RS, Brasil.
- Universidade Federal do Rio Grande do Sul – UFRGS, Hospital de Clínicas de Porto Alegre – HCPA, Ambulatório de Cirurgia Vascular, Porto Alegre, RS, Brasil.
- Universidade Federal do Rio Grande do Sul – UFRGS, Programa de Pós-graduação em Ciências da Saúde: Cardiologia e Ciências Cardiovasculares, Porto Alegre, RS, Brasil.
| | - Eduardo Lima Garcia
- Universidade Federal do Rio Grande do Sul – UFRGS, Hospital de Clínicas de Porto Alegre – HCPA, Porto Alegre, RS, Brasil.
- Universidade Federal do Rio Grande do Sul – UFRGS, Hospital de Clínicas de Porto Alegre – HCPA, Ambulatório de Cirurgia Vascular, Porto Alegre, RS, Brasil.
| | - Leandro Tolfo Franzoni
- Universidade Federal do Rio Grande do Sul – UFRGS, Hospital de Clínicas de Porto Alegre – HCPA, Porto Alegre, RS, Brasil.
- Universidade Federal do Rio Grande do Sul – UFRGS, Hospital de Clínicas de Porto Alegre – HCPA, Ambulatório de Cirurgia Vascular, Porto Alegre, RS, Brasil.
- Universidade Federal do Rio Grande do Sul – UFRGS, Programa de Pós-graduação em Ciências da Saúde: Cardiologia e Ciências Cardiovasculares, Porto Alegre, RS, Brasil.
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Ritti-Dias RM, Correia MDA, Andrade-Lima A, Cucato GG. Exercise as a therapeutic approach to improve blood pressure in patients with peripheral arterial disease: current literature and future directions. Expert Rev Cardiovasc Ther 2018; 17:65-73. [DOI: 10.1080/14779072.2019.1553676] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Affiliation(s)
| | | | - Aluísio Andrade-Lima
- Department of Physical Education, Federal University of Sergipe, Aracaju, Brazil
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