Citation: | SUN Shuyi, SUN Guozhen, YU Tianxi, GAO Min, HUANG Yangxi, LIU Shenxinyu, WANG Jie. Effect of Nordic walking on exercise capacity and quality of life in patients with heart disease: a Meta-analysis[J]. Journal of Clinical Medicine in Practice, 2023, 27(16): 50-56. DOI: 10.7619/jcmp.20231469 |
To systematically review the efficacy of Nordic walking (NW) on exercise capacity and quality of life in patients with heart disease.
PubMed, The Cochrane Library, Web of Science, EMbase, CINHAL, MEDLINE, CNKI, WanFang Data, VIP and SinoMed databases were electronically searched for randomized controlled trials (RCTs) on effect of NW in patients with heart disease from inception to March, 2022. Strict quality evaluation and data extraction were carried out for the included literature, RevMan 5.3 was used to perform a Meta analysis.
A total of 8 RCTs were included, with 459 subjects in total. The results of Meta-analysis showed that NW could increase 6 min walking distance (6MWD)[MD=26.43, 95%CI, 7.81 to 45.04, P < 0.01] and metabolic equivalent (MET)[MD=0.60, 95%CI, 0.19 to 1.01, P < 0.01] compared with conventional cardiovascular rehabilitation. However, there were no significant differences in quality of life score (physical and psychological scores in SF-36 Scale), peak oxygen uptake, anxiety score and depression score compared with traditional cardiac rehabilitation (P>0.05).
Cardiac rehabilitation measures based on NW can increase the exercise intensity and improve the exercise ability of patients with heart disease compared to conventional cardiovascular rehabilitation. Due to limited quality and quantity of the included studies, higher quality studies are required to verify above conclusion.
[1] |
VIRANI S S, ALONSO A, APARICIO H J, et al. Heart disease and stroke statistics-2021 update: a report from the American heart association[J]. Circulation, 2021, 143(8): e254-e743.
|
[2] |
HEIDENREICH P A, BOZKURT B, AGUILAR D, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure: a report of the American college of cardiology/american heart association joint committee on clinical practice guidelines[J]. J Am Coll Cardiol, 2022, 79(17): e263-e421.
|
[3] |
OMMEN S R, MITAL S, BURKE M A, et al. 2020 AHA/ACC guideline for the diagnosis and treatment of patients with hypertrophic cardiomyopathy: executive summary: a report of the American college of cardiology/american heart association joint committee on clinical practice guidelines[J]. J Am Coll Cardiol, 2020, 76(25): 3022-3055. doi: 10.1016/j.jacc.2020.08.044
|
[4] |
JANUARY C T, WANN L S, CALKINS H, et al. 2019 AHA/ACC/HRS focused update of the 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: a report of the American college of cardiology/american heart association task force on clinical practice guidelines and the heart rhythm society[J]. J Am Coll Cardiol, 2019, 74(1): 104-132. doi: 10.1016/j.jacc.2019.01.011
|
[5] |
SCHWAAB B. Cardiac rehabilitation[J]. Rehabilitation, 2022, 61(6): 395-407. doi: 10.1055/a-1746-4855
|
[6] |
冯雪, 李四维, 刘红樱, 等. 中西医结合冠状动脉旁路移植术Ⅰ期心脏康复专家共识[J]. 中国循环杂志, 2017, 32(4): 314-317. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXH201704003.htm
|
[7] |
TSCHENTSCHER M, NIEDERSEER D, NIEBAUER J. Health benefits of Nordic walking: a systematic review[J]. Am J Prev Med, 2013, 44(1): 76-84. doi: 10.1016/j.amepre.2012.09.043
|
[8] |
HIGGINS J P, GREEN S. Cochrane handbook for systematic reviews of interventions. Version 5.1.0[updated March 2011]. The Cochrane Collaboration[J]. Res Synth Methods, 2011, 2(2): 126-130. doi: 10.1002/jrsm.38
|
[9] |
刘海宁, 吴昊, 姚灿, 等. Meta分析中连续性数据的深度提取方法[J]. 中国循证医学杂志, 2017, 17(1): 117-121. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXZ201701019.htm
|
[10] |
VOLODINA K A, LINCHAK R M, ACHKASOV E E, et al. Effect of physical rehabilitation on echocardiographic parameters in patients with acute coronary syndrome[J]. Bull Exp Biol Med, 2018, 164(4): 420-424.
|
[11] |
VOLODINA K A, ACHKASOV E, BUVALIN N, et al. Nordic Walking could improve outcomes of the non-ST-segment elevation myocardial infarction[J]. J Pharm Sci Res, 2019, 11(1): 229-232.
|
[12] |
WILK M, KOCUR P, RÓZANSKA A, et al. Assessment of the selected physiological effects of Nordic Walking performed as a part of a physical exercise program during the second phase of rehabilitation after a myocardial infarction[J]. Rehabilitacja Medyczna, 2005, 9(2): 33-39.
|
[13] |
REED J L, TERADA T, COTIE L M, et al. The effects of high-intensity interval training, Nordic walking and moderate-to-vigorous intensity continuous training on functional capacity, depression and quality of life in patients with coronary artery disease enrolled in cardiac rehabilitation: a randomized controlled trial (CRX study)[J]. Prog Cardiovasc Dis, 2022, 70: 73-83.
|
[14] |
NAGYOVA I, JENDRICHOVSKY M, KUCINSKY R, et al. Effects of Nordic walking on cardiovascular performance and quality of life in coronary artery disease[J]. Eur J Phys Rehabil Med, 2020, 56(5): 616-624.
|
[15] |
KOCUR P, DESKUR-SMIELECKA E, WILK M, et al. Effects of Nordic walking training on exercise capacity and fitness in men participating in early, short-term inpatient cardiac rehabilitation after an acute coronary syndrome: a controlled trial[J]. Clin Rehabil, 2009, 23(11): 995-1004.
|
[16] |
KEAST M L, SLOVINEC D'ANGELO M E, NELSON C R, et al. Randomized trial of Nordic walking in patients with moderate to severe heart failure[J]. Can J Cardiol, 2013, 29(11): 1470-1476.
|
[17] |
PRINCE S A, WOODING E, MIELNICZUK L, et al. Nordic walking and standard exercise therapy in patients with chronic heart failure: a randomised controlled trial comparison[J]. Eur J Prev Cardiol, 2019, 26(16): 1790-1794.
|
[18] |
CORRÀ U, AGOSTONI P G, ANKER S D, et al. Role of cardiopulmonary exercise testing in clinical stratification in heart failure. A position paper from the Committee on Exercise Physiology and Training of the Heart Failure Association of the European Society of Cardiology[J]. Eur J Heart Fail, 2018, 20(1): 3-15.
|
[19] |
王英歌, 徐义君, 陶春花, 等. 临床路径联合阻抗运动对老年缺血性脑卒中患者认知功能障碍、运动功能及生活质量的影响[J]. 实用临床医药杂志, 2022, 26(6): 6-9, 13. doi: 10.7619/jcmp.20213211
|
[20] |
WESTPHAL J G, SCHULZE P C. Risk stratification and survival in patients with HFmrEF: the role of cardiopulmonary exercise testing[J]. Eur Heart J, 2021, 42(Supplement1): 76-83.
|
[21] |
MYERS J, PRAKASH M, FROELICHER V, et al. Exercise capacity and mortality among men referred for exercise testing[J]. N Engl J Med, 2002, 346(11): 793-801.
|
[22] |
GIROLD S, ROUSSEAU J, GAL M L, et al. Nordic walking versus walking without poles for rehabilitation with cardiovascular disease: Randomized controlled trial[J]. Ann Phys Rehabil Med, 2017, 60(4): 223-229.
|
[23] |
LEJCZAK A, JOSIAK K, WEGRZYNOWSKA-TEODORCZYK K, et al. Nordic walking may safely increase the intensity of exercise training in healthy subjects and in patients with chronic heart failure[J]. Adv Clin Exp Med, 2016, 25(1): 145-149.
|
[24] |
TAYLOR J L, POPOVIC D, LAVIE C J. Exercise modalities and intensity to improve functional capacity and psychological/mental health in cardiac rehabilitation: a role for Nordic walking[J]. Can J Cardiol, 2022, 38(8): 1135-1137.
|
[25] |
LIBLIK K, MULVAGH S L, HINDMARCH C C T, et al. Depression and anxiety following acute myocardial infarction in women[J]. Trends Cardiovasc Med, 2022, 32(6): 341-347.
|
[26] |
BONACCIO M, CASTELNUOVO A D, COSTANZO S, et al. Health-related quality of life and risk of composite coronary heart disease and cerebrovascular events in the Moli-sani study cohort[J]. Eur J Prev Cardiol, 2018, 25(3): 287-297.
|
[27] |
PETER R S, MEYER M L, MONS U, et al. Long-term trajectories of anxiety and depression in patients with stable coronary heart disease and risk of subsequent cardiovascular events[J]. Depress Anxiety, 2020, 37(8): 784-792.
|
[28] |
THOMPSON COON J, BODDY K, STEIN K, et al. Does participating in physical activity in outdoor natural environments have a greater effect on physical and mental wellbeing than physical activity indoors A systematic review[J]. Environ Sci Technol, 2011, 45(5): 1761-1772.
|
[29] |
赵璨. 北欧式持杖健步走对糖尿病前期非酒精性脂肪肝绝经后女性腹部、肝脏脂肪及血脂的影响[D]. 上海: 上海体育学院, 2016.
|
[30] |
BULLO V, GOBBO S, VENDRAMIN B, et al. Nordic walking can be incorporated in the exercise prescription to increase aerobic capacity, strength, and quality of life for elderly: a systematic review and meta-analysis[J]. Rejuvenation Res, 2018, 21(2): 141-161.
|