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In Today's Issue
- 3 critical reasons you have cellulite...
- Cut Heart Disease With Walking
- Overweight? Shocking Proof that it may not be your fault
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Cut Heart Disease With Walking
Dear Reader,
Good news for walkers. An extra walk every day holds off dangerous heart disease. You'll want to aim for about 10,000 walking steps each day. The number is based on the findings of a large international research project that focused on adults with a high risk of type 2 diabetes and heart disease. Those at lower risk of disease might not get the same benefit from all those steps, but would still see some.
The work was conducted by experts from the UK and US, with help from other teams
from universities and research facilities all over the world. It was funded by the drug maker of the medication used in the study. None of the news coverage you may have seen made it clear that the study involved adults who were at high risk of diabetes and heart disease, or that the findings were associations, not cause and effect. Walking cannot be credited with causing the reduction seen.
The team recruited 9,306 subjects, of an average age of 63 years old, who had impaired glucose
tolerance and either existing cardiovascular disease (if over 50) or one cardiovascular risk factor (if over 65).
The work was a cohort study (best for answering this type of question), looking at seeing if the amount of walking someone d id and the change in the amount of walking over time was linked with the risk of a cardiovascular event in those at high risk who have impaired glucose tolerance. The subjects were participating a randomized controlled trial of two different
medications (nateglinide and valsartan) and a lifestyle modification program that had the goal of upping the amount of physical activity to 150 minutes each week.
Continues below...
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Cut Heart Disease With Walking Continued...
The average number of steps that was taken at the start and after 1 year was measured using a pedometer. The subjects were followed for an average of 6 years for any cardiovascular events, that is a death from cardiovascular disease, a non-fatal stroke or a hart attack.
For those at risk, the team saw that every extra 2,000 steps a day at the start of the study was linked to a 10% reduced risk of a heart "event" like a heart attack. A year later, each added 2,000 steps a day you took beyond the original amount was linked to an added 8% difference in the risk of heart events. The team also saw that increasing/decreasing the number of steps taken also changed the cardiovascular event rate for everyone, no matter the number of steps they took at the start of
the project, what's known as a baseline measurement.
The team did adjust for a number of things, but due to the cohort design of the project it is still possible that there were other differences than steps taken. Also, cohort studies like this one cannot show cause and effect, and the population was a high risk one. Others may get a different benefit from the number of steps taken.
The work, that at the very least emphasizes the benefits of walking, appears in the journal The
Lancet.
To your good health,
Kirsten Whittaker
Daily Health Bulletin Editor
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Sources:
http://www.nhs.uk/news/2013/12December/Pages/Walking-reduces-heart-disease-in-people-at-risk.aspx
NHS physical activity guidelines for adults:
http://www.nhs.uk/Livewell/fitness/Pages/physical-activity-guidelines-for-adults.aspx
Study abstract, early online publication 12.20.13, The Lancet:
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)62061-9/fulltext
American Heart Association info on walking:
http://www.startwalkingnow.org/whystart_benefits_walking.jsp
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