The effects of nordic walking on the cardiovascular risk factors in older adults: A systematic review and meta-analysis

IF 3.5 3区医学 Q2 GERIATRICS & GERONTOLOGY

Archives of gerontology and geriatrics Pub Date : 2024-10-18 DOI:10.1016/j.archger.2024.105663

Jiao Liu, Jong-Hee Kim

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引用次数: 0

Abstract

Objective

This study aimed to investigate the effects of Nordic walking on cardiovascular risk factors in the elderly population through a systematic review and meta-analysis of randomized controlled trials.

Methods

Literature searches were conducted in PubMed, Embase, Cochrane Library, and Web of Science through November 2023. Two authors independently assessed heterogeneity in subgroups, performed sensitivity and meta-regression analyses, and extracted data. Outcomes were measured using mean difference (MD) or standardized mean difference (SMD), each with a corresponding 95 % confidence interval (CI).

Results

A total of 22 studies comprising 1,271 subjects, with an average age of 62.21±7.76 years were included in the meta-analysis. Nordic walking significantly reduced body mass index (MD = -0.67, 95 % CI [-1.12; -0.23], p < 0.01), body weight (MD = -1.76, 95 % CI [-2.91; -0.62], p < 0.01), waist circumference (MD = -2.21, 95 % CI [-4.13; -0.29], p = 0.02), and body fat percentage (MD = -1.54, 95 % CI [-2.61; -0.48], p < 0.01). It also significantly enhanced maximal oxygen consumption (SMD = 0.60, 95 % CI [0.11; 1.10], p < 0.01), and reduced systolic blood pressure (MD = -2.92, 95 % CI [-5.23; -0.60], p < 0.01), low-density lipoprotein (SMD = -0.27, 95 % CI [-0.43; -0.12], p < 0.01), total cholesterol (SMD = -0.20, 95 % CI [-0.35; -0.05], p < 0.01), triglycerides (SMD = -0.30, 95 % CI [-0.47; -0.13], p < 0.01) in older adults, while also improving diastolic blood pressure in people over 65 years of age (MD =-5.26, [-8.79,-1.72], p < 0.01).

Conclusions

Nordic walking mitigates cardiovascular risk factors in older adults and is particularly effective in improving diastolic blood pressure in individuals over 65 years of age.

查看原文本刊更多论文

溯溪行走对老年人心血管风险因素的影响：系统回顾和荟萃分析。

研究目的本研究旨在通过对随机对照试验进行系统回顾和荟萃分析，探讨北欧式健走对老年人群心血管风险因素的影响：在 PubMed、Embase、Cochrane Library 和 Web of Science 上进行文献检索，直至 2023 年 11 月。两位作者独立评估了亚组的异质性，进行了敏感性分析和元回归分析，并提取了数据。研究结果采用平均差（MD）或标准化平均差（SMD）来衡量，每种方法都有相应的95%置信区间（CI）：荟萃分析共纳入了 22 项研究，包括 1,271 名受试者，平均年龄（62.21±7.76）岁。北欧式健走能明显降低体重指数（MD = -0.67，95 % CI [-1.12; -0.23]，P <0.01）、体重（MD = -1.76，95 % CI [-2.91; -0.62]，P <0.01）、腰围（MD = -2.21，95 % CI [-4.13; -0.29]，P =0.02）和体脂百分比（MD = -1.54，95 % CI [-2.61; -0.48]，P <0.01）。它还能大大提高最大耗氧量（SMD = 0.60，95 % CI [0.11；1.10]，p < 0.01），降低收缩压（MD = -2.92，95 % CI [-5.23；-0.60]，p < 0.01）、低密度脂蛋白（SMD = -0.27，95 % CI [-0.43；-0.12]，p < 0.01）、总胆固醇（SMD = -0.20，95 % CI [-0.35；-0.05]，p < 0.01）、甘油三酯（SMD = -0.30，95 % CI [-0.47；-0.13]，p < 0.01），同时还能改善 65 岁以上人群的舒张压（MD =-5.26，[-8.79,-1.72]，p < 0.01）：结论：北欧式健走能减轻老年人的心血管风险因素，尤其能有效改善65岁以上人群的舒张压。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of gerontology and geriatrics 医学-老年医学

CiteScore

7.30

自引率

5.00%

发文量

198

审稿时长

16 days

期刊介绍： Archives of Gerontology and Geriatrics provides a medium for the publication of papers from the fields of experimental gerontology and clinical and social geriatrics. The principal aim of the journal is to facilitate the exchange of information between specialists in these three fields of gerontological research. Experimental papers dealing with the basic mechanisms of aging at molecular, cellular, tissue or organ levels will be published. Clinical papers will be accepted if they provide sufficiently new information or are of fundamental importance for the knowledge of human aging. Purely descriptive clinical papers will be accepted only if the results permit further interpretation. Papers dealing with anti-aging pharmacological preparations in humans are welcome. Papers on the social aspects of geriatrics will be accepted if they are of general interest regarding the epidemiology of aging and the efficiency and working methods of the social organizations for the health care of the elderly.