Title | The Association Between Ankle-Brachial Index and Daily Patterns of Physical Activity: Results From the Hispanic Community Health Study/Study of Latinos. |
Publication Type | Publication |
Year | 2024 |
Authors | Chiu V, Urbanek JK, Wanigatunga AA, Allison MA, Ballew SH, Mossavar-Rahmani Y, Sotres-Alvarez D, Gallo LC, Xue X, Talavera GA, Evenson KR, Kaplan RC, Matsushita K, Schrack JA |
Journal | J Gerontol A Biol Sci Med Sci |
Volume | 79 |
Issue | 2 |
Date Published | 2024 Feb 01 |
ISSN | 1758-535X |
Keywords | ankle brachial index, Cross-Sectional Studies, exercise, Hispanic or Latino, Humans, Peripheral Arterial Disease, Public Health, Risk Factors |
Abstract | BACKGROUND: Peripheral artery disease (PAD) is associated with lower physical activity but less is known about its association with daily patterns of activity. We examined the cross-sectional association between ankle-brachial index (ABI) and objectively measured patterns of physical activity among Hispanic/Latino adults.METHODS: We analyzed data from 7 688 participants (aged 45-74 years) in the Hispanic Community Health Study/Study of Latinos. ABI was categorized as low (≤0.90, indicating PAD), borderline low (0.91-0.99), normal (1.00-1.40), and high (>1.40, indicating incompressible ankle arteries). Daily physical activity metrics derived from accelerometer data included: log of total activity counts (LTAC), total log-transformed activity counts (TLAC), and active-to-sedentary transition probability (ASTP). Average differences between ABI categories in physical activity, overall and by 4-hour time-of-day intervals, were assessed using linear regression and mixed-effects models, respectively.RESULTS: In Hispanic/Latino adults, 5.3% and 2.6% had low and high ABIs, respectively. After adjustment, having a low compared to a normal ABI was associated with lower volume (LTAC = -0.13, p < .01; TLAC = -74.4, p = .04) and more fragmented physical activity (ASTP = 1.22%, p < .01). Having a low ABI was linked with more fragmented physical activity after 12 pm (p < .01). Having a high ABI was associated with lower volumes of activity (TLAC = -132.0, p = .03).CONCLUSIONS: Having a low or high ABI is associated with lower and more fragmented physical activity in Hispanic/Latino adults. In adults with low ABI, physical activity is more fragmented in the afternoon to evening. Longitudinal research is warranted to expand these findings to guide targeted interventions for PAD or incompressible ankle arteries. |
DOI | 10.1093/gerona/glad200 |
Alternate Journal | J Gerontol A Biol Sci Med Sci |
PubMed ID | 37596830 |
PubMed Central ID | PMC10809041 |
Grant List | / MD / NIMHD NIH HHS / United States N01HC65236 / HL / NHLBI NIH HHS / United States N01HC65235 / HL / NHLBI NIH HHS / United States N01HC65234 / HL / NHLBI NIH HHS / United States N01HC65237 / HL / NHLBI NIH HHS / United States / NS / NINDS NIH HHS / United States / DK / NIDDK NIH HHS / United States R01 HL146132 / HL / NHLBI NIH HHS / United States / DC / NIDCD NIH HHS / United States / DE / NIDCR NIH HHS / United States |
The Association Between Ankle-Brachial Index and Daily Patterns of Physical Activity: Results From the Hispanic Community Health Study/Study of Latinos.
MS#:
1167
ECI:
Manuscript Affiliation:
Coordinating Center - Collaborative Studies Coordinating Center - UNC at Chapel Hill
Manuscript Status:
Published