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首页> 外文期刊>Journal of women’s health >Gender Differences in Outcomes Following a Pain-Free, Home-Based Exercise Program for Claudication
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Gender Differences in Outcomes Following a Pain-Free, Home-Based Exercise Program for Claudication

机译：在无痛苦的家庭的歧视术语锻炼计划之后的性别差异

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Background: Peripheral artery disease (PAD) is a common cardiovascular pathology that affects mobility. In previous research, supervised exercise, a recommended treatment for claudication, was less effective in women. This study retrospectively investigated whether functional outcomes exhibit sex differences following a pain-free, home-based exercise program for PAD patients. Materials and Methods: Patients with PAD and claudication enrolled to a structured home-based program from 2003 to 2016 were studied. The program was prescribed at the hospital and based on two daily 10-minute pain-free walking sessions at progressively increasing speed. Outcome measures, which were assessed at baseline and discharge, were pain threshold speed (PTS) and maximal (Smax) during a treadmill test and pain-free walking distance (PFWD) and total distance walked in 6 minutes (6MWD). The ankle-brachial index (ABI), program duration, and patient adherence were determined. Results: A total of 1007 patients (women; n=264; 26%) were enrolled. At baseline, compared to men, women exhibited similar ABI values but lower PTS and PFWD values (p<0.001). At discharge, with similar adherence (score 3/41 each) in both groups, superimposable improvements were observed for PTS (0.8 +/- 0.8km/h each), Smax (0.4 +/- 0.5km/h each), PFWD (women 95 +/- 100; men 86 +/- 104), 6MWD (women 32 +/- 65; men 35 +/- 58), and ABI (women 0.07 +/- 0.12; men 0.06 +/- 0.11) without between-group differences (confirmed after propensity analysis). Conclusion: A personalized, structured pain-free exercise program for PAD patients performed inside the home for a few minutes a day was equally effective in both sexes. Programs favoring adherence and functional outcomes in women should be tested in prospective studies.
机译：背景：外周动脉疾病（垫）是一种影响移动性的常见心血管病理学。在以前的研究中，监督运动，克定的推荐治疗，在女性方面都不效益。本研究回顾性地研究了功能结果是否在垫患者的无痛，家庭的锻炼计划后表现出性别差异。研究了材料和方法：研究了2003年至2016年从2003年到2016年注册到结构性的家庭计划的垫和跛行患者。该计划在医院进行了规定，并根据逐步提高速度基于每日10分钟的止痛性休闲课程。在基线和放电时评估的结果测量是在跑步机测试和无止痛手术距离（PFWD）期间的疼痛阈值速度（PTS）和最大（Smax），并且在6分钟（6MWD）中行走的总距离。确定脚踝臂指数（ABI），节目持续时间和患者遵守。结果：共有1007名患者（女性; N = 264; 26％）。在基线，与男性相比，女性表现出类似的ABI值，但下降，PTS和PFWD值（P <0.001）。在排出中，两组中具有相似的粘附（每组3/41分），观察到PTS（0.8 +/- 0.8km / h），Smax（每次0.4 +/- 0.5km / h），pfwd（女性95 +/- 100;男士86 +/- 104），6MWD（女性32 +/- 65;男士35 +/- 58），ABI（女性0.07 +/- 0.12;男性0.06 +/- 0.11）没有组之间的差异（在倾向分析后确认）。结论：一个个性化的结构化无痛运动程序，用于垫在家内每天在家里进行几分钟，同样有效。应在预期研究中测试有利于妇女的依从性和功能结果的计划。

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