Home-based walking exercise and supervised treadmill exercise in patients with peripheral artery disease: an individual participant data meta-analysis

Review written by Dr Mariana Wingood info

Key Points

  1. Supervised treadmill exercise is recommended as the first intervention for walking impairment among people with lower extremity peripheral artery disease (PAD).
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BACKGROUND & OBJECTIVE

Among individuals with peripheral artery disease (PAD) and walking limitations, supervised treadmill exercise is the first line of therapy for walking (1). Despite the benefits of participating in these supervised treadmill exercises covered by the Center for Medicare and Medicaid Services, the participation in these programs is minimal (2). As lack of transportation is a major barrier for participation in supervised treadmill exercise programs, a potential alternative is home-based walking (2,3). However, little is known about the benefits of home-based walking.

The objective of this study was to ascertain whether home-based walking improved 6-minute walk (6MW) more than supervised treadmill exercise in people with PAD (defined as Ankle Brachial Index [ABI] ≤ 0.90).

Among individuals with peripheral artery disease and walking limitations, supervised treadmill exercise is the first line of therapy for walking.
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For patients with peripheral arterial disease, a structured community or home-based exercise program with behavioral change techniques improves walking ability and functional status.

METHODS

Participants: 719 individuals with PAD (mean [SD] age, 68.8 [9.5] years; 46.5% female) who participated in an exercise trial.

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