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J Am Coll Cardiol, 2007; 50:974-982, doi:10.1016/j.jacc.2007.05.030 (Published online 20 August 2007).
© 2007 by the American College of Cardiology Foundation
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Baseline Functional Performance Predicts the Rate of Mobility Loss in Persons With Peripheral Arterial Disease

Mary M. McDermott, MD*,{dagger},*, Jack M. Guralnik, MD, PhD{ddagger}, Lu Tian, ScD{dagger}, Luigi Ferrucci, MD, PhD§, Kiang Liu, PhD{dagger}, Yihua Liao, MS{dagger} and Michael H. Criqui, MD, MPH

* Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
{dagger} Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
{ddagger} Laboratory of Epidemiology, Demography, and Biometry, National Institute on Aging, Bethesda, Maryland
§ Laboratory of Clinical Epidemiology, National Institute on Aging, Bethesda, Maryland
Department of Family and Preventive Medicine, University of California at San Diego, San Diego, California.


Figure 1
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Figure 1 Hazard Ratios for Mobility Loss at 50-Month Follow-Up Among Men and Women With PAD, According to Baseline Functional Performance

Model 1: adjusts for age, gender, race, ankle-brachial index, body mass index, pack-years of cigarette smoking, leg symptoms, walking exercise frequency, and comorbidities. Model 2: Adjusts for variables in model 1 and blocks walked for exercise. Categories of performance: 6-min walk = Category 1 (lowest quartile): ≤1,001 ft; Category 2 (second quartile): 1,001 to ≤1,304 ft; Category 3 (third and fourth quartiles combined): >1,304 ft. 4-m walk (usual pace) = Category 1 (lowest quartile): ≤0.792 m/s; Category 2 (second quartile): 0.792 to ≤0.915 m/s; Category 3 (third and fourth quartiles combined): >0.915 m/s. 4-m walk (fast pace) = Category 1 (lowest quartile): ≤1.078 m/s; Category 2 (second quartile): 1.078 to ≤1.274 m/s; Category 3 (third and fourth quartiles combined): >1.274 m/s. Short Physical Performance Battery (0 to 12 scale, 12 = best) = Category 1: 1 to 8; Category 2: 9 to 10; Category 3: 11 to 12. *p < 0.01 relative to the highest 2 categories; **p < 0.05 relative to the highest 2 categories. PAD = peripheral arterial disease.

 

Figure 2
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Figure 2 Hazard Ratios for Mobility Loss at 50-Month Follow-Up Among Men and Women Without PAD, According to Baseline Functional Performance

Model 1: adjusts for age, gender, race, body mass index, pack-years of cigarette smoking, walking exercise frequency, and comorbidities. Model 2: adjusts for variables in model 1 and blocks walked for exercise. Categories of performance: 6-min walk = Category 1 (lowest quartile): ≤1,001 ft; Category 2 (second quartile): 1,001 to ≤1,304 ft; Category 3 (third and fourth quartiles combined): >1,304 ft. 4-m walk (usual pace) = Category 1 (lowest quartile): ≤0.792 m/s; Category 2 (second quartile): 0.797 to ≤0.915 m/s; Category 3 (third and fourth quartiles combined): >0.915 m/s. 4-m walk (fast pace) = Category 1 (lowest quartile): ≤1.078 m/s; Category 2 (second quartile): 1.078 to ≤1.274 m/s; Category 3 (third and fourth quartiles combined): >1.274 m/s. Short Physical Performance Battery (0 to 12 scale, 12 = best) = Category 1: 1 to 8; Category 2: 9 to 10; Category 3: 11 to 12. *p < 0.05 relative to the highest 2 quartiles; **p < 0.001 relative to the highest 2 quartiles. PAD = peripheral arterial disease.

 

Figure 3
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Figure 3 Rates of Mobility Loss for Participants With and Without PAD, According to Baseline Functional Performance Categories Defined for the Entire Cohort

Categories of performance: 6-min walk = Category 1 (lowest quartile): ≤1,001 ft; Category 2 (second quartile): 1,001 to ≤1,304 ft; Category 3 (third and fourth quartiles combined): >1,304 ft. 4-m walk (usual pace) = Category 1 (lowest quartile): ≤0.792 m/s; Category 2 (second quartile): 0.792 to ≤0.915 m/s; Category 3 (third and fourth quartiles combined): >0.915 m/s. 4-m walk (fast pace) = Category 1 (lowest quartile): ≤1.078 m/s; Category 2 (second quartile): 1.078 to ≤1.274 m/s; Category 3 (third and fourth quartiles combined): >1.274 m/s. Short Physical Performance Battery (0 to 12 scale, 12 = best) = Category 1: 1 to 8; Category 2: 9 to 10; Category 3: 11 to 12. PAD = peripheral arterial disease.

 




 
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