Use of a Smartphone Application versus Motivational Interviewing to Increase Walking Distance and Weight Loss in Overweight/Obese Adults with Peripheral Artery Disease: A Pilot Randomized Trial (Preprint)

2021 ◽  
Author(s):  
Tracie Collins ◽  
Mugur Geana ◽  
Kathryn Overton ◽  
Mary Benton ◽  
Liuqiang Lu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Weight Loss ◽  
Dietary Habits ◽  
Smartphone Application ◽  
Walking Distance ◽  
Peripheral Artery ◽  
Obese Adults ◽  
Promote Weight Loss ◽  
Artery Disease

BACKGROUND Walking therapy improves functional outcomes in peripheral artery disease (PAD). Less is known about the additive benefit of a dietary intervention. OBJECTIVE Our objective was to explore the efficacy of a smartphone application (App) versus motivational interviewing (MI) to increase walking distance and promote weight loss in overweight/obese adults with PAD. METHODS We conducted a 3-month, 2-arm randomized pilot study at the University of Kansas. Participants had a body mass index (BMI) > 27 kg/m2 and symptomatic PAD, defined by an ankle-brachial index (ABI) < 0.9. Patients were randomized into two groups: 1) MI, delivered through in-person and telephone counseling, or 2) App, a mobile smartphone application. Both interventions encouraged walking for exercise and and healthy dietary habits (increasing fruits and vegetables as well as whole grains while reducing fat and sugary drinks). We assessed medical history at baseline. At baseline and 3 months, participants completed a BMI assessment, 6-minute walking distance, dietary habits, quality of life, and exercise behaviors. The primary outcome was 3-month change in walking distance. Secondary outcomes were changes in BMI, and quality of life. RESULTS We randomized 29 participants with a mean age of 66.03 (SD 8.12) years. At baseline, mean walking distance was 283.48 meters (SD 70.18) and 320.66 meters (SD 70.46) for MI and App participants, respectively. At three months, the mean walking distance was 333.77 meters (SD 50.63) and 323.16 meters (SD 55.06) for MI and App participants, respectively (p-value = 0.05, adjusting for baseline). At baseline, mean body weight was 248.87 lbs. (SD 55.78) and 226.74 lbs. (SD 61.86) for MI and App participants, respectively. At three months, mean body weight was 233.83 (SD 48.27) and 225.18 (SD 62.46) for MI and App, respectively (p < 0.01, adjusting for baseline). CONCLUSIONS Our study demonstrates that MI can promote weight loss in overweight/obese adults with PAD. There was no statistically significant increase in walking distance with the use of MI or a smartphone App in overweight/obese adults with PAD. Future large-scale studies are needcd to determine the efficacy of MI to promote weight loss in overweight or obese adults with PAD. CLINICALTRIAL The clinical trial registration for this study is NCT03694652 (https://clinicaltrials.gov/).

scholarly journals Improvement in 6-Minute Walking Distance after Supervised Exercise Training Is Related to Changes in Quality of Life in Patients with Lower Extremity Peripheral Artery Disease

2021 ◽  
Vol 10 (15) ◽  
pp. 3330
Author(s):  
Stefano Lanzi ◽  
Luca Calanca ◽  
André Berchtold ◽  
Lucia Mazzolai
Keyword(s):  
Quality Of Life ◽  
Exercise Training ◽  
Lower Extremity ◽  
Peripheral Artery Disease ◽  
Walking Distance ◽  
Peripheral Artery ◽  
Supervised Exercise ◽  
Sf 36 ◽  
Artery Disease

This study aimed to investigate the relationship between supervised exercise training (SET)-induced changes in treadmill performance and 6 min walking distance, and changes in general (physical and mental) self-perceived health-related quality of life (HRQoL) in symptomatic patients with lower extremity peripheral artery disease (PAD). This is an observational study investigating Fontaine stage II PAD patients participating in 3-month SET. Before and following SET, treadmill performance (pain-free (PFWD) and maximal (MWD)), and 6 min walking distance (6MWD) were assessed. Self-perceived HRQoL was assessed with the Medical Outcomes Study Short-Form 36 (SF-36). Ankle- and toe-brachial indexes were also measured. One-hundred forty-seven patients with PAD were included (64.9 ± 9.6 y, 70% men). After SET, PFWD (+102%, p ≤ 0.001), MWD (+87%, p ≤ 0.001), and 6MWD (+14%, p ≤ 0.001) significantly increased. All eight SF-36 subscale scores significantly improved following SET (p ≤ 0.04). SET significantly improved physical and mental component summaries of the SF-36 (p ≤ 0.001). Larger increases in 6MWD were associated with greater improvements in physical (β = 0.19; p = 0.02) and mental (β = 0.24; p = 0.005) component summaries of the SF-36. No significant relationship was observed between changes in treadmill performance and changes in physical and mental component summaries of the SF-36. These results show that improvements in 6MWD following SET are related to improvements in general self-perceived HRQoL in patients with symptomatic lower extremity PAD. On the contrary, changes in treadmill performance were not related to improvements in HRQoL. These results suggest that the 6 min walking test is an essential outcome measure to assess overall patient functional status following interventions in patients with PAD.

Translation and Validation of the Brazilian-Portuguese Short Version of Vascular Quality of Life Questionnaire in Peripheral Artery Disease Patients with Intermittent Claudication Symptoms

2018 ◽  
Vol 51 ◽  
pp. 48-54.e1 ◽  
Author(s):  
Marilia de Almeida Correia ◽  
Aluísio Andrade-Lima ◽  
Paulo Longano Mesquita de Oliveira ◽  
Rômulo Martins Domiciano ◽  
Wagner Jorge Ribeiro Domingues ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Intermittent Claudication ◽  
Brazilian Portuguese ◽  
Short Version ◽  
Life Questionnaire ◽  
Peripheral Artery ◽  
Quality Of Life Questionnaire ◽  
Artery Disease ◽  
Translation And Validation

scholarly journals Interdisciplinary lifestyle therapy improves binge eating symptoms and body image dissatisfaction in Brazilian obese adults

2012 ◽  
Vol 34 (4) ◽  
pp. 223-233 ◽  
Author(s):  
Joana Pereira de Carvalho-Ferreira ◽  
Marcos Alberto Taddeo Cipullo ◽  
Danielle Arisa Caranti ◽  
Deborah Cristina Landi Masquio ◽  
Stephan Garcia Andrade-Silva ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Weight Loss ◽  
Body Image ◽  
Binge Eating ◽  
Body Dissatisfaction ◽  
Body Image Dissatisfaction ◽  
Anxiety Symptoms ◽  
Obese Adults ◽  
Positive Correlation

INTRODUCTION: Obesity is related to numerous negative consequences for physical and mental health. It is often associated with the presence of binge eating disorder, body image dissatisfaction, and general psychopathology. OBJECTIVE: To assess the effects of an interdisciplinary lifestyle therapy on binge eating symptoms, depression, anxiety, body dissatisfaction, and quality of life in obese adults. METHODS: A total of 49 obese adults (body mass index = 37.35±5.82 kg/m²; age = 44.14±10.00 years) participated in a weight-loss program for 6 months. Symptoms suggestive of binge eating, body dissatisfaction, depression, anxiety, and quality of life were measured using self-reported questionnaires. Food intake was assessed using a 3-day dietary record. Data were analyzed using analysis of variance (ANOVA). RESULTS: ANOVA results showed a reduction in binge eating symptoms and in body dissatisfaction results. Depression and anxiety symptoms also decreased, and an increase was observed in quality of life scores. After therapy, a significant improvement was observed in dietary patterns, as well as significant weight loss. A positive correlation was found between variation of anxiety symptoms and lipid intake. Binge eating symptoms were associated with anxiety symptoms and body image dissatisfaction, and body image dissatisfaction correlated positively with anxiety symptoms in males only. In females, a positive correlation was observed between depression and binge eating symptoms. CONCLUSION: The interdisciplinary therapy was effective in promoting positive physical and psychological changes and in improving the quality of life of obese adults.

scholarly journals Implementation of Supervised Exercise Therapy for Patients With Symptomatic Peripheral Artery Disease: A Science Advisory From the American Heart Association

Circulation ◽  
2019 ◽  
Vol 140 (13) ◽  
Author(s):  
Diane Treat-Jacobson ◽  
Mary M. McDermott ◽  
Joshua A. Beckman ◽  
Marsha A. Burt ◽  
Mark A. Creager ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Peripheral Artery Disease ◽  
Exercise Therapy ◽  
Outcome Measurement ◽  
The United States ◽  
Walking Ability ◽  
Peripheral Artery ◽  
Supervised Exercise ◽  
Artery Disease

Patients with lower-extremity peripheral artery disease (PAD) have greater functional impairment, faster functional decline, increased rates of mobility loss, and poorer quality of life than people without PAD. Supervised exercise therapy (SET) improves walking ability, overall functional status, and health-related quality of life in patients with symptomatic PAD. In 2017, the Centers for Medicare & Medicaid Services released a National Coverage Determination (CAG-00449N) for SET programs for patients with symptomatic PAD. This advisory provides a practical guide for delivering SET programs to patients with PAD according to Centers for Medicare & Medicaid Services criteria. It summarizes the Centers for Medicare & Medicaid Services process and requirements for referral and coverage of SET and provides guidance on how to implement SET for patients with PAD, including the SET protocol, options for outcome measurement, and transition to home-based exercise. This advisory is based on the guidelines established by the Centers for Medicare & Medicaid Services for Medicare beneficiaries in the United States and is intended to assist clinicians and administrators who are implementing SET programs for patients with PAD.

scholarly journals Association of Preference-Based Health-Related Quality of Life with Weight Loss in Obese Adults

2017 ◽  
Vol 20 (4) ◽  
pp. 694-698 ◽  
Author(s):  
Erica LW. Lester ◽  
Raj Padwal ◽  
Sumit R. Majumdar ◽  
F Ye ◽  
Daniel W. Birch ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Weight Loss ◽  
Health Related Quality ◽  
Obese Adults ◽  
Related Quality ◽  
Health Related
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