Journal of Rare Cardiovascular Diseases

ISSN: 2299-3711 (Print) e-ISSN: 2300-5505 (Online)

The Effects of Walking on Cardiovascular Health in Adults and the Elderly: A Systematic Review

İsmail İlbak, Tamara Ilic, Stefan Stojanović, Ratko Pavlović, Nikola Radulović, Nikolina Gerdijan, Irina Kylymnyk

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Abstract

This systematic review aimed to comprehensively examine the effects of walking on the cardiovascular health of adults and elderly individuals. By evaluating the impacts of various forms and durations of walking on cardiovascular parameters, this study synthesizes findings from the existing literature. Conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, the study involved a thorough review of articles identified through searches in electronic databases, including PubMed, Google Scholar, Cochrane, MEDLINE, and Web of Science, using predefined keywords. A total of 15 articles meeting the inclusion criteria were analyzed. The findings indicate that walking generally exerts positive effects on cardiovascular health and plays a significant role in preventing cardiovascular diseases, particularly in elderly individuals. Walking at low to moderate intensities was highlighted for its beneficial effects on cardiovascular parameters. However, the lack of efficacy observed in some studies appears to be influenced by individual differences, frequency, duration, and the design of walking protocols. Future research should focus on longer-term studies with protocols tailored to individual characteristics to achieve clearer and more generalizable outcomes. Journal of Rare Cardiovascular Diseases 2024; 4(8): 174–178

 

key word

Late adulthood, Aging, Cardiovascular Health, Walking

 

References

Grant, Gordon, et al. “Walking, sustainability and health: findings from a study of a walking for health group.” Health & Social Care in the Community 25.3 (2017): 1218-1226.

Hulteen, Ryan M., et al. “Global participation in sport and leisure-time physical activities: A systematic review and meta-analysis.” Preventive Medicine 95 (2017): 14-25.

Murtagh, Elaine M., et al. “Outdoor walking speeds of apparently healthy adults: A systematic review and meta-analysis.” Sports Medicine 51 (2021): 125-141.

Hanson, Sarah, and Andy Jones. “Is there evidence that walking groups have health benefits? A systematic review and meta-analysis.” British Journal of Sports Medicine 49.11 (2015): 710-715.

Murtagh, Elaine M., Marie H. Murphy, and Janne Boone-Heinonen. “Walking: the first steps in cardiovascular disease prevention.” Current opinion in cardiology 25.5 (2010): 490-496.

Antman, Elliott M. Cardiovascular Therapeutics E-Book: A Companion to Braunwald’s Heart Disease. Elsevier Health Sciences, 2012.

Libby, Peter. Braunwald’s Heart Disease-E-Book: A Textbook of Cardiovascular Medicine. Elsevier Health Sciences, 2021.

Pescatello, Linda S. “Physical activity, cardiometabolic health and older adults: recent findings.” Sports Medicine 28 (1999): 315-323.

Ungvari, Zoltan, et al. “The multifaceted benefits of walking for healthy aging: From Blue Zones to molecular mechanisms.” Geroscience 45.6 (2023): 3211-3239.

Lyu, Yuyan, et al. “Associations of walking activity with hypertensive mediated organ damage in community-dwelling elderly chinese: the northern Shanghai study.” Frontiers in Cardiovascular Medicine 8 (2021): 734766.

Schopfer, David W., and Daniel E. Forman. “Cardiac rehabilitation in older adults.” Canadian Journal of Cardiology 32.9 (2016): 1088-1096.

Franklin, Barry A., and Thijs MH Eijsvogels. “A narrative review on exercise and cardiovascular disease: Physical activity thresholds for optimizing health outcomes.” Heart and Mind 7.1 (2023): 34-39.

Woolf-May, Kate, et al. “The efficacy of accumulated short bouts versus single daily bouts of brisk walking in improving aerobic fitness and blood lipid profiles.” Health Education Research 14.6 (1999): 803-815.

Hakim, Amy A., et al. “Effects of walking on coronary heart disease in elderly men: the Honolulu Heart Program.” Circulation 100.1 (1999): 9-13.

Bertoni, Alain G., et al. “The association between physical activity and subclinical atherosclerosis: the Multi-Ethnic Study of Atherosclerosis.” American Journal of Epidemiology 169.4 (2009): 444-454.

Gray, Stuart R., et al. “The effect of a 12 week walking intervention on markers of insulin resistance and systemic inflammation.” Preventive Medicine 48.1 (2009): 39-44.

Johnson, S. T., et al. “Improved cardiovascular health following a progressive walking and dietary intervention for type 2 diabetes.” Diabetes, Obesity and Metabolism 11.9 (2009): 836-843.

Morrison, Kimberley, et al. “Effect of a sand or firm-surface walking program on health, strength, and fitness in women 60–75 years old.” Journal of Aging and Physical Activity 17.2 (2009): 196-209.

Roussel, Michel, et al. “Influence of a walking program on the metabolic risk profile of obese postmenopausal women.” Menopause 16.3 (2009): 566-575.

Costello, Ellen, Kerry Raivel, and Raina Wilson. “The effects of a twelve-week home walking program on cardiovascular parameters and fatigue perception of individuals with multiple sclerosis: a pilot study.” Cardiopulmonary Physical Therapy Journal 20.1 (2009): 5-12.

Wennberg, Patrik, et al. “Reduced risk of myocardial infarction related to active commuting: inflammatory and haemostatic effects are potential major mediating mechanisms.” European Journal of Preventive Cardiology 17.1 (2010): 56-62.

Park, Jong-Hwan, et al. “Low-volume walking program improves cardiovascular-related health in older adults.” Journal of Sports Science & Medicine 13.3 (2014): 624.

Soares-Miranda, Luisa, et al. “Physical activity and risk of coronary heart disease and stroke in older adults: the cardiovascular health study.” Circulation 133.2(2016): 147-155.

Kimata, Chieko, Bradley Willcox, and Beatriz L. Rodriguez. “Effects of walking on coronary heart disease in elderly men with diabetes.” Geriatrics 3.2 (2018): 21.

Johansson, Melker Staffan, et al. “Can we walk away from cardiovascular disease risk or do we have to ‘huff and puff’? A cross-sectional compositional accelerometer data analysis among adults and older adults in the Copenhagen City Heart Study.” International Journal of Behavioral Nutrition and Physical Activity 17 (2020): 1-18.

Prasertsri, Piyapong, et al. “Effects of Long‐Term Regular Continuous and Intermittent Walking on Oxidative Stress, Metabolic Profile, Heart Rate Variability, and Blood Pressure in Older Adults with Hypertension.” Journal of Environmental and Public Health 2022.1 (2022): 5942947.

Karmakar, Palash, et al. “Enhancing Physical and Psychosocial Health of Older Adults in Saudi Arabia through Walking: Comparison between Supervised Group-Based and Non-Supervised Individual-Based Walking.” European Journal of Investigation in Health, Psychology and Education 13.11 (2023): 2342-2357.