Efficacy of Nordic walking on prognosis of cardiovascular diseases: a meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

ZHANG Zhiwei ¹ , WANG Mengxue ¹ , YANG Jiapeng ¹ , XU Xingyang ¹ ,  JIN Hui ²

1. Medical School, Southeast University, Nanjing, 210009, P.R.China;
2. School of Public Health, Southeast University, Nanjing, 210009, P.R.China;

Corresponding author：

JIN Hui, Email: jinhui_hld@163.com

Keywords：

Nordic walking; Cardiovascular disease; Prognosis; Field intervention trial; meta-analysis; Systematic review

DOI：

10.7507/1672-2531.201711095

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objectives To systematically review the efficacy of Nordic walking on prognosis of cardiovascular diseases. Methods PubMed, Web of Science, EMbase, The Cochrane Library, CBM, CNKI and VIP databases were electronically searched to collect intervention studies on the efficacy of Nordic walking on prognosis of cardiovascular diseases from inception to June, 2018. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies, then, meta-analysis was performed by RevMan 5.3 software. Results A total of 9 studies involving 328 patients were included. The results of meta-analysis showed that: compared with control group, there were an obvious decrease in the values of LDL (MD=–11.38, 95%CI –17.51 to –5.25, P=0.000 3), TG (MD=–21.14, 95%CI –32.33 to–9.96, P=0.000 2), SBP (MD=–7.96, 95%CI −11.45 to –4.46, P<0.000 01) and TC, DBP, BMI (P<0.05). However, there were no obvious differences between two groups in HDL. Conclusions Nordic walking can improve the prognosis of patients with cardiovascular diseases, yet the long-term effect is unclear. Due to limited quality and quantity of the included studies, more higher quality studies are required to verify above conclusions.

Citation： ZHANG Zhiwei, WANG Mengxue, YANG Jiapeng, XU Xingyang, JIN Hui. Efficacy of Nordic walking on prognosis of cardiovascular diseases: a meta-analysis. Chinese Journal of Evidence-Based Medicine, 2019, 19(2): 147-155. doi: 10.7507/1672-2531.201711095 Copy

1.	Tschentscher M, Niederseer D, Niebauer J. Health benefits of Nordic walking: a systematic review. Am J Prev Med, 2013, 44(1): 76-84.
2.	Girold S, Rousseau J, Le Gal M, et al. Nordic walking versus walking without poles for rehabilitation with cardiovascular disease: Randomized controlled trial. Ann Phys Rehabil Med, 2017, 60(4): 223-229.
3.	Morgan RL, Thayer KA, Santesso N, et al. Evaluation of the risk of bias in non-randomized studies of interventions (ROBINS-I) and the’target experiment’concept in studies of exposures: Rationale and preliminary instrument development. Environ Int, 2018, 120: 382-387.
4.	Latosik E, Zubrzycki IZ, Ossowski Z, et al. Physiological Responses Associated with Nordic-walking training in systolic hypertensive postmenopausal women. J Hum Kinet, 2014, 43: 185-190.
5.	Kawamoto R, Kohara K, Katoh T, et al. Brachial-ankle pulse wave velocity is a predictor of walking distance in community-dwelling adults. Aging Clin Exp Res, 2015, 27(2): 187-193.
6.	Vehí C, Falces C, Sarlat MÀ, et al. Nordic walking for cardiovascular prevention in patients with ischemic heart disease or metabolic syndrome. Med Clin (Barc), 2016, 147(12): 537-539.
7.	Collins EG, O’connell S, McBurney C, et al. Comparison of walking with poles and traditional walking for peripheral arterial disease rehabilitation. J Cardiopulm Rehabil Prev, 2012, 32(4): 210-218.
8.	Piotrowicz E, Buchner T, Piotrowski W, et al. Influence of home-based telemonitored Nordic walking training on autonomic nervous system balance in heart failure patients. Arch Med Sci, 2015, 11(6): 1205-1212.
9.	Rybicki JR, Leszczyńska-Bolewska BM, Grochulska WE, et al. Oxygen uptake during Nordic walking training in patients rehabilitated after coronary events. Kardiol Pol, 2015, 73(1): 17-23.
10.	Sentinelli F, La Cava V, Serpe R, et al. Positive effects of Nordic Walking on anthropometric and metabolic variables in women with type 2 diabetes mellitus. Sci Sports, 2015, 30(1): 25-32.
11.	Hagner-Derengowska M, Kałużny K, Hagner W, et al. The influence of a ten-week Nordic walking training-rehabilitation program on the level of lipids in blood in overweight and obese postmenopausal women. J Phys Ther Sci, 2015, 27(10): 3039-3044.
12.	Figard-Fabre H, Fabre N, Leonardi A, et al. Efficacy of Nordic walking in obesity management. Int J Sports Med, 2011, 32(6): 407-414.
13.	Skórkowska-Telichowska K, Kropielnicka K, Bulińska K, et al. Nordic walking in the second half of life. Aging Clin Exp Res, 2016, 28(6): 1035-1046.
14.	Bombieri F, Schena F, Pellegrini B, et al. Walking on four limbs: A systematic review of Nordic Walking in Parkinson disease. Parkinsonism Relat Disord, 2017, 38: 8-12.
15.	Fritschi JO, Brown WJ, Laukkanen R, et al. The effects of pole walking on health in adults: a systematic review. Scand J Med Sci Sports, 2012, 22(5): e70-e78.
16.	Keast ML, Slovinec D’Angelo ME, Nelson CR, et al. Randomized trial of Nordic walking in patients with moderate to severe heart failure. Can J Cardiol, 2013, 29(11): 1470-1476.
17.	Jastrzebski D, Ochman M, Ziora D, et al. Pulmonary rehabilitation in patients referred for lung transplantation. Adv Exp Med Biol, 2013, 755: 19-25.

1. Tschentscher M, Niederseer D, Niebauer J. Health benefits of Nordic walking: a systematic review. Am J Prev Med, 2013, 44(1): 76-84.
2. Girold S, Rousseau J, Le Gal M, et al. Nordic walking versus walking without poles for rehabilitation with cardiovascular disease: Randomized controlled trial. Ann Phys Rehabil Med, 2017, 60(4): 223-229.
3. Morgan RL, Thayer KA, Santesso N, et al. Evaluation of the risk of bias in non-randomized studies of interventions (ROBINS-I) and the’target experiment’concept in studies of exposures: Rationale and preliminary instrument development. Environ Int, 2018, 120: 382-387.
4. Latosik E, Zubrzycki IZ, Ossowski Z, et al. Physiological Responses Associated with Nordic-walking training in systolic hypertensive postmenopausal women. J Hum Kinet, 2014, 43: 185-190.
5. Kawamoto R, Kohara K, Katoh T, et al. Brachial-ankle pulse wave velocity is a predictor of walking distance in community-dwelling adults. Aging Clin Exp Res, 2015, 27(2): 187-193.
6. Vehí C, Falces C, Sarlat MÀ, et al. Nordic walking for cardiovascular prevention in patients with ischemic heart disease or metabolic syndrome. Med Clin (Barc), 2016, 147(12): 537-539.
7. Collins EG, O’connell S, McBurney C, et al. Comparison of walking with poles and traditional walking for peripheral arterial disease rehabilitation. J Cardiopulm Rehabil Prev, 2012, 32(4): 210-218.
8. Piotrowicz E, Buchner T, Piotrowski W, et al. Influence of home-based telemonitored Nordic walking training on autonomic nervous system balance in heart failure patients. Arch Med Sci, 2015, 11(6): 1205-1212.
9. Rybicki JR, Leszczyńska-Bolewska BM, Grochulska WE, et al. Oxygen uptake during Nordic walking training in patients rehabilitated after coronary events. Kardiol Pol, 2015, 73(1): 17-23.
10. Sentinelli F, La Cava V, Serpe R, et al. Positive effects of Nordic Walking on anthropometric and metabolic variables in women with type 2 diabetes mellitus. Sci Sports, 2015, 30(1): 25-32.
11. Hagner-Derengowska M, Kałużny K, Hagner W, et al. The influence of a ten-week Nordic walking training-rehabilitation program on the level of lipids in blood in overweight and obese postmenopausal women. J Phys Ther Sci, 2015, 27(10): 3039-3044.
12. Figard-Fabre H, Fabre N, Leonardi A, et al. Efficacy of Nordic walking in obesity management. Int J Sports Med, 2011, 32(6): 407-414.
13. Skórkowska-Telichowska K, Kropielnicka K, Bulińska K, et al. Nordic walking in the second half of life. Aging Clin Exp Res, 2016, 28(6): 1035-1046.
14. Bombieri F, Schena F, Pellegrini B, et al. Walking on four limbs: A systematic review of Nordic Walking in Parkinson disease. Parkinsonism Relat Disord, 2017, 38: 8-12.
15. Fritschi JO, Brown WJ, Laukkanen R, et al. The effects of pole walking on health in adults: a systematic review. Scand J Med Sci Sports, 2012, 22(5): e70-e78.
16. Keast ML, Slovinec D’Angelo ME, Nelson CR, et al. Randomized trial of Nordic walking in patients with moderate to severe heart failure. Can J Cardiol, 2013, 29(11): 1470-1476.
17. Jastrzebski D, Ochman M, Ziora D, et al. Pulmonary rehabilitation in patients referred for lung transplantation. Adv Exp Med Biol, 2013, 755: 19-25.

Chinese Journal of Evidence-Based Medicine

Efficacy of Nordic walking on prognosis of cardiovascular diseases: a meta-analysis

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