Physical activity in patients with chronic venous insufficiency: Its relation with disease severity, pain, fatigue, and functionality

Year 2024, Volume: 35 Issue: 3, 382 - 388, 23.12.2024

Gamze Aydın , Ebru Aloğlu Çiftçi , Emine Atıcı , Ahmet Cüneyt Akgöl , Mehmet Altuğ Tuncer

https://doi.org/10.21653/tjpr.1521503

Abstract

Purpose: Chronic venous insufficiency (CVI) is a progressive disease of the venous system caused by a variety of factors that impair the return of venous blood to the heart. The aim of the study was to evaluate the physical activity level in patients with CVI and its relation with disease severity, pain, fatigue, functionality.
Methods: In all, 105 CVI patients (28.6% male, 71.4% female, mean age was 44.91±10.74 years) were enrolled in this study. Physical activity was evaluated with the International Physical Activity Questionnaire-Short Form (IPAQ-SF); disease severity, by Venous Clinical Severity Score (VCSS); the intensity of pain was determined by the Visual Analog Scale (VAS); fatigue level with the Fatigue Severity Scale (FSS); functionality was assessed with the Lower Extremity Function Scale (LEFS).
Results: There was a significant negative correlation between IPAQ-SF-vigorous and VCSS, VASrest, VASactivity, VASnight (r: -0.818, p<0.001; r:0.-445, p:0.007; r:-0.392, p:0.020; r:-0.363, p:0.032, respectively). A negative correlation was found between IPAQ-SF-moderate and VCSS, VASactivity (r:-0.473, p:0.004; r:-0.553, p:0.001, respectively). In addition, there was a negative correlation between IPAQ-SF total score and VCSS, VASrest, VASactivity, and a positive correlation with LEFS (r:-0.945, p<0.001; r:-0.368, p:0.030; r: -0.568, p<0.001; r:0.438, p: 0.009, respectively).
Conclusion: An increased level of physical activity was found to be associated with disease severity, pain, and functionality in patients with CVI.

Keywords

Disease severity, Fatigue, Pain, Physical activity, Venous insufficiency

Ethical Statement

Ethical approval for this study was obtained from Social and Non-Interventional Health Sciences Research Ethics Committee of Istanbul Okan University (IRB study protocol: 08.09.2021-142).

Supporting Institution

None

Thanks

None

Kronik Venöz Yetmezliği Olan Hastalarda Fiziksel Aktivite: Hastalık şiddeti, ağrı, yorgunluk ve fonksiyonellik ile ilişkisi

Abstract

Amaç: Kronik venöz yetmezlik (KVY), venöz kanın kalbe dönüşünü bozan çeşitli faktörlerin neden olduğu, venöz sistemin ilerleyici bir hastalığıdır. Çalışmanın amacı, KVY hastalarında fiziksel aktivite düzeyinin hastalık şiddeti, ağrı, yorgunluk ve fonksiyonellik ile ilişkisinin değerlendirilmesidir.
Yöntem: Çalışmaya KVY'li toplam 105 hasta (%28,6’ı erkek, %71,4’ü kadın, ortalama yaşları 44,91±10,74 yıl) alındı. Uluslararası Fiziksel Aktivite Anketi-Kısa Formu (IPAQ-SF) ile fiziksel aktivite düzeyi değerlendirildi; hastalık şiddeti, 'Venöz Klinik Şiddet Skoru (VKŞS) ile; istirahat, aktivite ve gece ağrılarının şiddeti 'Görsel Analog Skala (GAS)' ile; yorgunluk düzeyi, 'Yorgunluk Şiddeti Ölçeği (FSS)' ile; fonksiyonellik, 'Alt Ekstremite Fonksiyon Ölçeği (AEFÖ) ile değerlendirildi.
Sonuçlar: IPAQ-SF-şiddetli ile VKŞS, GAS-dinlenme, GAS-aktivite, GAS-gece arasında negatif korelasyon bulundu (p<0.05). IPAQ-SF-orta ile VKŞS ve GAS-aktivite arasında negatif korelasyon mevcuttu (p<0,05). Ayrıca IPAQ-SF toplam puanı ile VKŞS, GAS-dinlenme, GAS-aktivite arasında negatif, AEFÖ ile pozitif korelasyon vardı (p<0,05).
Tartışma: Fiziksel aktivite için harcanan zaman ve enerjinin artmasıyla hastaların hastalık şiddeti, klinik sınıfı, ağrı ve fonksiyonelliklerinde olumlu etkilerin olduğu gözlendi.

Keywords

hastalık şiddeti, yorgunluk, ağrı, fiziksel aktivite, venöz yetmezlik

Ethical Statement

Ethical approval for this study was obtained from Social and Non-Interventional Health Sciences Research Ethics Committee of Istanbul Okan University (IRB study protocol: 08.09.2021-142).

Supporting Institution

None

Thanks

None

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