{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T18:44:18Z","timestamp":1784313858312,"version":"3.55.0"},"reference-count":49,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2019,8,14]],"date-time":"2019-08-14T00:00:00Z","timestamp":1565740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vasc Med"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:p>Few studies have explicitly identified factors that explain an individual\u2019s willingness to engage in community-based exercise for claudication. Identifying the unique characteristics of those inclined toward physical activity would inform interventions that encourage walking. We examined the utility of behavioral economics-related concepts in understanding walking among Veterans with claudication. Patients who received care at the Michael E. DeBakey Veterans Affairs Medical Center in Houston, Texas, were surveyed on symptom severity, behavioral economics, stress, and depression. The primary outcome was a binary variable measuring current walking for exercise and defined as walking for at least 30 minutes every day. Multivariable logistic regression models were used to identify variables, both clinically and statistically significant, at a p-value &lt; 0.05. Between April 2017 and March 2018, we received 148 (30%) responses. A total of 35% ( n = 51) of respondents indicated that they walked recreationally for exercise compared to 65% ( n = 94) who did not. Characteristics that were significantly associated with walking included regularly saving money (adjusted odds ratio (aOR) = 10.7, p = 0.001), seeking complex problem-solving (aOR = 0.12, p = 0.002), and severe symptoms (aOR = 0.24, p = 0.017). Individuals describing a preference for the future rather than immediate benefit also reported currently walking for exercise. Defining the characteristics of those who exercise may help inform strategies designed to increase walking among those who do not adhere to recommendations.<\/jats:p>","DOI":"10.1177\/1358863x19865610","type":"journal-article","created":{"date-parts":[[2019,8,14]],"date-time":"2019-08-14T04:38:30Z","timestamp":1565757510000},"page":"519-527","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Delayed gratification and adherence to exercise among patients with claudication"],"prefix":"10.1177","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5334-5799","authenticated-orcid":false,"given":"Sherene E","family":"Sharath","sequence":"first","affiliation":[{"name":"Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine \/ Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4329-506X","authenticated-orcid":false,"given":"MinJae","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Clinical and Translational Sciences, Department of Internal Medicine, The University of Texas McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panos","family":"Kougias","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine \/ Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendell C","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Behavioral Sciences, Center for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston, School of Public Health, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nader","family":"Zamani","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine \/ Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neal R","family":"Barshes","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine \/ Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,8,14]]},"reference":[{"key":"bibr1-1358863X19865610","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)61249-0"},{"key":"bibr2-1358863X19865610","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2016.02.009"},{"key":"bibr3-1358863X19865610","first-page":"81","volume":"26","author":"Norgren L","year":"2007","journal-title":"Int Angiol"},{"key":"bibr4-1358863X19865610","doi-asserted-by":"publisher","DOI":"10.1097\/01.RVI.0000240426.53079.46"},{"key":"bibr5-1358863X19865610","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0000000000000046"},{"key":"bibr6-1358863X19865610","first-page":"84","volume":"16","author":"Galea MN","year":"2008","journal-title":"J Aging Phys Act"},{"key":"bibr7-1358863X19865610","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvn.2014.12.001"},{"key":"bibr8-1358863X19865610","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvn.2017.03.001"},{"key":"bibr9-1358863X19865610","doi-asserted-by":"publisher","DOI":"10.1126\/science.1231320"},{"key":"bibr10-1358863X19865610","doi-asserted-by":"publisher","DOI":"10.4324\/9781410605061"},{"key":"bibr11-1358863X19865610","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1414293"},{"key":"bibr12-1358863X19865610","doi-asserted-by":"publisher","DOI":"10.4278\/ajhp.110624-QUAN-264"},{"key":"bibr13-1358863X19865610","doi-asserted-by":"publisher","DOI":"10.1123\/jpah.2014-0203"},{"key":"bibr14-1358863X19865610","doi-asserted-by":"publisher","DOI":"10.4278\/ajhp.101111-CIT-371"},{"key":"bibr15-1358863X19865610","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.418"},{"key":"bibr16-1358863X19865610","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0806819"},{"key":"bibr17-1358863X19865610","doi-asserted-by":"publisher","DOI":"10.1037\/gpr0000061"},{"key":"bibr18-1358863X19865610","unstructured":"Westat. 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