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A 12-week home-based exercise program (HBEP) for peripheral artery disease (PAD) was feasible and well-tolerated. This program, including step goals and circuits, shows promise for individuals unable to attend supervised exercise.

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Area of Science:

  • Cardiovascular Health
  • Exercise Science
  • Rehabilitation Medicine

Background:

  • Supervised exercise training is recommended for peripheral artery disease (PAD) but is underutilized.
  • Home-based exercise programs (HBEPs) offer a potential alternative for PAD management.
  • This study assessed the feasibility of a 12-week HBEP for symptomatic PAD patients.

Purpose of the Study:

  • To evaluate the feasibility of a full-scale trial for a 12-week home-based exercise program (HBEP) in peripheral artery disease (PAD) patients.
  • To assess recruitment, adherence, and tolerability of the HBEP.
  • To determine the feasibility of collecting clinical outcome data.

Main Methods:

  • A randomized feasibility trial comparing HBEP to a non-exercise control group.
  • HBEP included personalized step goals and twice-weekly resistance circuits, monitored with a Fitbit.
  • Feasibility assessed by eligibility, recruitment, attrition, adherence, and tolerability; acceptability via interviews.

Main Results:

  • 133 of 188 screened patients were eligible (70.7%); 30 were recruited (22.6%) with minimal attrition (3.33%).
  • Adherence to step goals averaged 53.5%; 58.6% of circuits were completed at desired intensity.
  • Six adverse events occurred; no significant differences in exploratory outcomes, though trends suggested improvements in walking speed and distance.

Conclusions:

  • The home-based exercise program (HBEP) demonstrated feasibility and good tolerability in PAD patients.
  • Successful recruitment and minimal attrition support the WALKSTRONG program's suitability.
  • Walking was preferred over circuit exercises, indicating potential for adherence in those avoiding supervised settings.