Evidence map›Paper›PMID 33253870›Full record

ArticleJournal of vascular surgery2021

Association between meeting daily step count goals with ambulatory function and quality of life in patients with claudication.

Andrew W Gardner, Polly S Montgomery, Ming Wang, Biyi Shen

Abstract readComparative Study
In one paragraph

Article in Journal of vascular surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Andrew W GardnerDepartment of Physical Medicine & Rehabilitation, Penn State College of Medicine, Hershey, Pa; Reynolds Oklahoma Center on Aging, University of Oklahoma Health Sciences Center, Oklahoma City, Okla. Electronic address: agardner4@pennstatehealth.psu.edu.
Polly S MontgomeryDepartment of Physical Medicine & Rehabilitation, Penn State College of Medicine, Hershey, Pa; Reynolds Oklahoma Center on Aging, University of Oklahoma Health Sciences Center, Oklahoma City, Okla.
Ming WangDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, Pa.
Biyi ShenDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, Pa.

Funding

Trt. of Primary Hyperaldosteronism w/ACE Inhibitors &Angiotension Rec. BlockersM01RR014467 · NCRR · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI TUCKER, PHEBE M · 2001 to 2007
$10.4M
Home-based vs. Supervised Exercise for ClaudicantsR01AG024296 · NIA · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI GARDNER, ANDREW W · 2006 to 2010
$1.4M
NCRR NIH HHS M01 RR014467NIA NIH HHS R01 AG024296
6 · The paper itself

Abstract

objectiveTo determine (a) whether patients with peripheral artery disease (PAD) who walked at least 7000 and 10,000 steps/day had better ambulatory function and health-related quality of life (HRQoL) than patients who walked less than 7000 steps/day, and (b) whether differences in ambulatory function and HRQoL in patients grouped according to these daily step count criteria persisted after adjusting for covariates.

methodsTwo hundred forty-eight patients were assessed on their daily ambulatory activity for 1 week with a step activity monitor, and were grouped according to daily step count targets. Patients who took fewer than 7000 steps/day were included in group 1 (n = 153), those who took 7000 to 9999 steps/day were included in group 2 (n = 57), and patients who took at least 10,000 steps/day were included in group 3 (n = 38). Primary outcomes were the 6-minute walk distance (6MWD) and Walking Impairment Questionnaire (WIQ) distance score, which is a disease-specific measurement of HRQoL. Patients were further characterized on demographic variables, comorbid conditions, and cardiovascular risk factors.

resultsThe groups were significantly different on ankle-brachial index (P = .02), and on the prevalence of hypertension (P = .04), diabetes (P < .01), abdominal obesity (P < .01), arthritis (P = .04), and chronic obstructive pulmonary disease (P < .01). Thus, these variables served as covariates in adjusted analyses, along with age, weight, and sex. The 6MWD (mean ± standard deviation) was significantly different among the groups in unadjusted (P < .01) and adjusted (P < .01) analyses (group 1, 313 ± 90 m; group 2, 378 ± 84 m; and group 3, 414 ± 77 m), with groups 2 and 3 having a higher 6MWD than group 1 (P < .01). The WIQ distance score was significantly different among the groups in unadjusted (P < .01) and adjusted (P < .01) analyses (group 1, 30 ± 30%; group 2, 45 ± 35%; and group 3, 47 ± 34%), with groups 2 and 3 having higher WIQ distance scores than group 1 (P < .01).

conclusionsPatients with PAD who walked more than 7000 and 10,000 steps/day had greater ambulatory function and HRQoL than patients who walked fewer than 7000 steps/day. Second, the greater ambulatory function and HRQoL associated with walking 7000 and 10,000 steps/day persisted after adjusting for covariates. This study provides preliminary evidence that patients with PAD who walk more than 7000 steps/day have better ambulatory function and HRQoL than patients below this threshold.

Indexed as

Quality of LifeWalkingActigraphyAgedComorbidityCross-Sectional StudiesExerciseFemaleFitness TrackersFunctional StatusHeart Disease Risk FactorsHumansIntermittent ClaudicationMaleMiddle AgedPeripheral Arterial Disease6-minute walkExerciseIntermittent claudicationPhysical activityStepsTreadmill test

Identifiers

PMID33253870
PMCPMC8154704

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.