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Inicio Medicina Clínica (English Edition) Nordic walking for cardiovascular prevention in patients with ischaemic heart di...
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Vol. 147. Issue 12.
Pages 537-539 (December 2016)
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Vol. 147. Issue 12.
Pages 537-539 (December 2016)
Brief report
DOI: 10.1016/j.medcle.2016.12.051
Nordic walking for cardiovascular prevention in patients with ischaemic heart disease or metabolic syndrome
Marcha nórdica para prevención cardiovascular en pacientes con cardiopatía isquémica crónica o síndrome metabólico
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Cristina Vehía,
Corresponding author
CVEHI@clinic.ub.es

Corresponding author.
, Carles Falcesa, Miquel Àngel Sarlatb, Ana Gonzaloc, Rut Andreaa, Marta Sitgesa
a Servicio de Cardiología, Instituto Cardiovascular, Hospital Clínic, Universidad de Barcelona, Barcelona, Spain
b Centre d’Atenció Primària Bordeta-Magòria, Institut Català de la Salut, Barcelona, Spain
c Centre d’Atenció Primària La Marina, Institut Català de la Salut, Barcelona, Spain
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Table 1. Incidence of baseline risk factors.
Table 2. Pre-post programme comparative data.
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Abstract
Background and objective

The incidence of atherosclerotic diseases has increased in Europe due in part to the population's sedentary lifestyle. Physical activity is useful for cardiovascular prevention. Nordic walking (NW) mobilizes a great number of muscular groups and is very popular in northern Europe. There is no data available on its impact in the healthcare system of the Mediterranean area. We propose the implementation of a NW programme to promote physical activity and control cardiovascular risk factors (CVRF), as well as to improve quality of life and the adherence to medical treatment in patients with a chronic ischaemic heart disease or metabolic syndrome.

Methods

We selected patients with uncontrolled CVRFs. These patients performed 2 weekly sessions of NW over the course of one year. Baseline data extracted from the patients’ medical history, quality of life questionnaires and on adherence to treatment was compared with the results obtained at the end of the programme.

Results

A reduction in the rate of CVRFs from 4.78 to 3 was observed, with an evident trend towards the improvement of the patients’ quality of life and a better adherence to the treatment.

Conclusions

The implementation of a NW programme is feasible in the public healthcare system and can aid in the management of CVRFs.

Keywords:
Nordic walking
Ischaemic heart disease
Prevention
Rehabilitation
Resumen
Antecedentes y objetivo

La enfermedad aterosclerótica ha aumentado en Europa debido, en parte, al estilo de vida sedentario de la población. El ejercicio físico es efectivo en prevención cardiovascular. La marcha nórdica (MN) moviliza numerosos grupos musculares y es muy popular en el norte de Europa. No se tienen datos en el entorno sanitario del área mediterránea. Proponemos un programa de MN para promover la actividad física y el control de factores de riesgo cardiovascular (FRCV), mejorar la calidad de vida y el cumplimiento terapéutico en pacientes con cardiopatía isquémica crónica o síndrome metabólico.

Métodos

Se seleccionaron pacientes con FRCV no controlados. Realizaron 2 sesiones semanales durante un año. Los datos basales de la historia clínica, cuestionarios de calidad de vida y cumplimiento terapéutico se compararon con los obtenidos tras el programa.

Resultados

Los FRCV no controlados se redujeron de 4,78 a 3, con una tendencia a la mejoría de la calidad de vida y el cumplimiento terapéutico.

Conclusiones

Un programa de MN es factible en el sistema sanitario público y puede ser útil para mejorar el control de los FRCV.

Palabras clave:
Marcha nórdica
Cardiopatía isquémica
Prevención
Rehabilitación

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