Effects of Nordic walking on cardiovascular performance and quality of life in coronary artery disease
| Autor: | Iveta Nagyova, Rastislav Kucinsky, Viliam Rus, Marian Jendrichovsky, Marketa Lachytova |
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| Rok vydání: | 2020 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_specialty medicine.medical_treatment Population Walk Test Physical Therapy Sports Therapy and Rehabilitation Physical exercise Coronary Artery Disease Walking Metabolic equivalent Coronary artery disease 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires medicine Clinical endpoint Humans Single-Blind Method Prospective Studies education Aged Rating of perceived exertion education.field_of_study Cardiac Rehabilitation Rehabilitation business.industry Middle Aged medicine.disease Quality of Life Physical therapy Exercise intensity Female 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | European Journal of Physical and Rehabilitation Medicine. 56 |
| ISSN: | 1973-9095 1973-9087 |
| DOI: | 10.23736/s1973-9087.20.06120-1 |
| Popis: | Background Cardiometabolic effects of physical exercise depend on its intensity, duration, and type. Conventional cardiovascular rehabilitation (CCVR) programs have significant advantages, but non-conventional activities such as Nordic walking (NW) may offer additional health benefits. Aim The aim of this study was to determine the feasibility and effectiveness of NW on cardiovascular performance and quality of life in patients with coronary artery disease (CAD) compared to a CCVR program. Design This was a pseudo-randomized, prospective, single-blinded, parallel-group trial. Setting The study was conducted at a resort/spa type facility located in a mountainous natural environment, 650 meters above sea level. Population Eighty-three CAD patients were allocated to either a Nordic walking or a control group. Methods The NW group (N.=53; age 59.1±7.0 years) underwent a three-week outdoor exercise program consisting of 40 minutes of walking four-times per week, whereas the controls performed traditional walking instead of NW. A patient's prescribed exercise intensity was according to exertion tolerance within 50-70% of peak oxygen consumption (VO 2max ); rating of perceived exertion 'mild/moderate' (12 to 14 points) on the 0-20 Borg Scale. Primary endpoint: cardiovascular and functional performance (exercise ergometry [EE], metabolic equivalent of tasks [METs], ejection fraction [EF], Six-Minute Walking Test [6MWT]). Secondary endpoint was quality of life (Short-Form 36 Health Survey). Statistical analysis was performed by generalized estimating equations with Cohen's d effect size (ES). Results NW led to higher cardiovascular performance compared to CCVR (ΔEE: +11.0% vs. +3.2%, small ES; ΔMETs: +9.8% vs. +1.5%, medium ES) and better functional performance (Δ6MWT: +8.3% vs. +5.1%, small ES). No significant differences were detected in EF (P=0.240) and SF-36 (PCS, P=0.425; MCS, P=0.400). Conclusions A three-week NW training program had clinically important effects, above and beyond CCVR, on cardiovascular and functional performance in CAD patients. Clinical rehabilitation impact Nordic walking is an accessible, safe, and effective low-threshold cardiac rehabilitation exercise training modality that seems to be particularly well-suited for people with limited functional and motivational capacities. |
| Databáze: | OpenAIRE |
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