1. Influence of smoking on physical function, physical activity, and cardiovascular health parameters in patients with symptomatic peripheral arterial disease: A cross-sectional study.
- Author
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Quintella Farah B, Silva Rigoni VL, de Almeida Correia M, Wolosker N, Puech-Leao P, Grizzo Cucato G, and Ritti-Dias RM
- Subjects
- Aged, Autonomic Nervous System physiopathology, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Smoking epidemiology, Walking physiology, Blood Pressure physiology, Exercise physiology, Heart Rate physiology, Peripheral Arterial Disease physiopathology, Smoking adverse effects, Vascular Stiffness
- Abstract
The aim of this study was to analyze the impact of smoking on physical activity, walking capacity, and cardiovascular health in patients with symptomatic peripheral arterial disease (PAD). This cross-sectional study included 180 patients with symptomatic PAD. Patients were classified into 3 groups according to smoking history: smoker (n = 39), ex-smoker (n = 113), and never smoker (n = 28). Physical activity levels, physical function, walking capacity, and cardiovascular health parameters (clinical blood pressure, arterial stiffness, and heart rate variability) were assessed. Smoker patients presented higher sympathetic modulation to the heart (low frequency of heart rate variability: smokers, 71 ± 17 nu; ex-smokers, 53 ± 32 nu; never smokers, 49 ± 21 nu, P < .05) and sympathovagal balance (smokers: 2.44 ± 2.76, ex-smokers: 1.14 ± 1.74, never smokers: 1.04 ± 0.99, P < .05) and lower parasympathetic modulation to the heart (high frequency of heart rate variability: smokers, 29 ± 27 nu; ex-smokers, 47 ± 32 nu; never smokers, 51 ± 21 nu, P < .05) than other patients. In conclusion, nonsignificant differences were observed on physical activity levels, physical function, blood pressure, and arterial stiffness (P > .05). Smoking impairs cardiac autonomic modulation in patients with symptomatic PAD., (Copyright © 2019 Society for Vascular Nursing. Published by Elsevier Inc. All rights reserved.)
- Published
- 2019
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