Exercise rehabilitation programs for the treatment of claudication pain: a meta-analysis

Article Abstract:

People with peripheral arterial disease who experience pain while walking would benefit most from an exercise program lasting at least six months that uses intermittent walking to near-maximum pain. Researchers analyzed 21 rehabilitation studies of exercise programs for people with pain and tension while walking, but whose symptoms subside at rest. Six studies used only walking in the training and 15 used a combination of other exercise modes such as cycling, rope skipping, and dancing. During treadmill testing, the distance between onset of pain to near-maximum pain was related to the pain end point used in the program, the program length, and the mode of exercise. Studies that appeared to best alleviate pain used an intermittent walking routine which required the patient to go beyond the onset of pain to a nearly maximum state before resting.

Elderly, Usage, Exercise therapy, Exercise therapy for the aged

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Changes in energy balance and body composition at menopause: a controlled longitudinal study

Article Abstract:

Women may experience an energy imbalance after menopause. Researchers studied the effects of menopause on resting metabolic rate, body composition, fat distribution, fasting insulin levels, and physical activity in 35 middle-aged women. Six years later, 18 women had stopped menstruating for at least one year while 17 women had not reached menopause. Although body weight did not differ among pre-menopausal and menopausal women, more gains in fat mass combined with a loss of more fat-free mass occurred in menopausal women. In addition, women in menopause were less active physically, had a lower resting metabolic rate, had higher fasting insulin levels, and a higher waist-to-hip ratio than pre-menopausal women of the same age. These changes may increase the risk for heart disease and metabolic disorders.

Measurement, Physiological aspects, Body composition, Energy metabolism, Menopause

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A 52-year-old woman with diabetes and claudication

Article Abstract:

The case of a 52-year-old woman illustrates the care and treatment of intermittent claudication. This condition is characterized by pain in the lower legs when walking. It is caused by atherosclerosis in the arteries, the same condition that causes coronary artery disease in the heart. In fact, patients with this condition have a higher risk of dying from cardiovascular diseases, especially if diabetic. Treatment consists of the drug pentoxifylline, exercise therapy, angioplasty, surgical stents or arterial bypass.

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