Footsteps to Wellness: A Systematic Review and Meta-Analysis of Walking Pace and Coronary Artery Disease Event.

Autor:	Nurrobi YAS; Cardiology and Vascular Medicine, Pertamina Hospital, Balikpapan, IDN., Winston K; Hospital Medicine, Bhakti Medicare Hospital, Cicurug, IDN., Rahman AL; General Medicine, Hasri Ainun Habibie Regional Hospital, Parepare, IDN., Falakhi MF; General Medicine, Muhammadiyah Gresik Hospital, Gresik, IDN., Aristya MP; General Medicine, Metropolitan Medical Centre Hospital, Jakarta, IDN., Toaha AF; General Medicine, Labuang Baji Hospital, Makassar, IDN., Larasaty IN; General Medicine, Halu Oleo University, Kendari, IDN., Dewangga R; Emergency Medicine, Rumah Sakit Umum Daerah (RSUD) Gunung Jati, Cirebon, IDN.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Mar 25; Vol. 16 (3), pp. e56926. Date of Electronic Publication: 2024 Mar 25 (Print Publication: 2024).
DOI:	10.7759/cureus.56926
Abstrakt:	Coronary artery disease (CAD) poses a global health challenge, necessitating effective preventive strategies. Despite the pivotal role of physical activity in cardiovascular health, many fall short of recommended guidelines for daily physical activity. Simple and accessible, walking presents an opportunity, with increased pace emerging as a potential strategy for reducing the risk of cardiovascular diseases. Thus, we aimed to elucidate the potential association between walking pace and the risk of CAD events in adults without a prior history of CAD through a systematic review. We searched PubMed, Scopus, Web of Science, and ScienceDirect without publication date restrictions to identify prospective cohorts that analyzed walking pace and adult CAD events. The literature search conducted from April 02, 2023, to August 21, 2023, identified a total of four studies (six cohorts) for meta-analysis using random-effects models. The Newcastle-Ottawa Scale was used to assess study quality, and data extraction involved two independent reviewers. The analysis calculated overall relative risks (RRs) and 95% confidence intervals (CIs) for those with the quickest walking paces compared to those with the slowest walking paces. A funnel plot analysis for publication bias and subgroup analysis were also conducted. Results from the meta-analysis involving 160,519 participants and 3,351 CAD events demonstrated a 46% decreased risk for those walking at the quickest pace (pooled RR = 0.54, 95% CI = 0.45-0.66). No significant heterogeneity was observed. In conclusion, walking pace emerges as a significant risk factor for CAD events in adults without a prior history of CAD. It serves as a potential screening tool to identify individuals at higher risk. Promoting a faster walking pace as a daily activity may effectively mitigate the burden of CAD. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Nurrobi et al.)
Databáze:	MEDLINE
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