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Improving Strength, Power, Muscle Aerobic Capacity, and Glucose Tolerance through Short-term Progressive Strength Training Among Elderly People

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Supervised exercise training for intermittent claudication: lasting benefit at three years.

D A Ratliff¹, M Puttick, G Libertiny

¹Vascular Unit, Department of Surgery, Northampton General Hospital NHS Trust, Billing Road, Northampton NN1 5BD, UK. david.ratliff@ngh.nhs.uk

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery

|June 26, 2007

Summary

Supervised exercise training significantly improves walking distance for intermittent claudication patients long-term. Benefits observed at 12 weeks are sustained up to three years.

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Area of Science:

Vascular Medicine
Rehabilitation Science
Exercise Physiology

Background:

Intermittent claudication (IC) significantly impacts quality of life.
Limited evidence exists on the long-term efficacy of supervised exercise for IC.

Purpose of the Study:

To evaluate the long-term outcomes of supervised exercise training (SET) in patients with intermittent claudication.
To assess the durability of exercise benefits up to three years post-intervention.

Main Methods:

Prospective study of 202 patients with IC undergoing 10 weeks of twice-weekly SET.
Measurements included Actual Claudication Distance (ACD), Maximum Walking Distance (MWD), and ankle-brachial pressure indices (ABPI).
Follow-up extended to three years.

Main Results:

SET led to significant increases in median ACD (237%) and MWD (242%) at three months (p<0.001).
These improvements were sustained at three years, with median ACD and MWD showing 223% and 188% increases, respectively (p<0.001).
No significant changes in ACD or MWD were noted between three months and three years; ABPI remained stable.

Conclusions:

Supervised exercise training offers sustained long-term benefits for patients with intermittent claudication.
The positive effects on walking distance achieved after 12 weeks of training persist for at least three years.