Effects of frequency, intensity, duration and volume of walking interventions on CVD risk factors: a systematic review and meta-regression analysis of randomised controlled trials among inactive healthy adults

Pekka Oja, Paul Kelly, Elaine Murtagh, Marie H Murphy, Charlie Foster, Silvia Titze

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Abstract Objective Walking interventions in healthy populations show clinically relevant improvements for many cardiovascular disease (CVD) risk factors. We aimed to assess the changes in CVD risk factors and the dose– response relationship between frequency, intensity, duration and volume of walking and cardiovascular risk factors based on randomised controlled trials (RCTs). Design A systematic review with meta-analysis and meta-regression. Data sources Four electronic databases searched from January 1971 to April 2017. Eligibility criteria Walking RCTs reporting one or more CVD risk factor outcomes; trials including at least one group with walking intervention and a no-walking control group; duration ≥8 weeks; participants ≥18 years old, inactive but healthy; risk factors assessed preintervention and postintervention; English-language articles in peer-reviewed journals. Results Thirty-seven RCTs, involving 2001 participants (81% women) and assessing 13 CVD risk factors, were identified. Pooled meta-analysis showed favourable effects (P≤0.05) of walking intervention for seven CVD risk factors (body mass, body mass index, body fat, systolic and diastolic blood pressure, fasting glucose and VO2max). There were no significant effects (P>0.05) for waist circumference, waist-to-hip ratio and four blood lipid variables. Despite testing 91 possible dose– response relationships, linear meta-regression analysis adjusted for age indicated just 7 (or 7.7%) statistically significant findings. Summary/conclusion Walking interventions benefit a number of CVD risk factors. Despite multiple studies and tested metrics, only a few dose–response relationships were identified and the possibility of chance findings cannot be ruled out. There is insufficient evidence to quantify the frequency, length, bout duration, intensity and volume of the walking required to improve CVD risk factors. PROSPERO registration number CRD42016039409.
LanguageEnglish
Pages1-8
Number of pages8
JournalBritish Journal of Sports Medicine
Early online date31 May 2018
DOIs
Publication statusE-pub ahead of print - 31 May 2018

Fingerprint

Walking
Meta-Analysis
Randomized Controlled Trials
Regression Analysis
Blood Pressure
Waist-Hip Ratio
Information Storage and Retrieval
Waist Circumference
Adipose Tissue
Linear Models
Fasting
Body Mass Index
Databases
Lipids

Cite this

@article{8311f581565a428b91b14b74321df74b,
title = "Effects of frequency, intensity, duration and volume of walking interventions on CVD risk factors: a systematic review and meta-regression analysis of randomised controlled trials among inactive healthy adults",
abstract = "Abstract Objective Walking interventions in healthy populations show clinically relevant improvements for many cardiovascular disease (CVD) risk factors. We aimed to assess the changes in CVD risk factors and the dose– response relationship between frequency, intensity, duration and volume of walking and cardiovascular risk factors based on randomised controlled trials (RCTs). Design A systematic review with meta-analysis and meta-regression. Data sources Four electronic databases searched from January 1971 to April 2017. Eligibility criteria Walking RCTs reporting one or more CVD risk factor outcomes; trials including at least one group with walking intervention and a no-walking control group; duration ≥8 weeks; participants ≥18 years old, inactive but healthy; risk factors assessed preintervention and postintervention; English-language articles in peer-reviewed journals. Results Thirty-seven RCTs, involving 2001 participants (81{\%} women) and assessing 13 CVD risk factors, were identified. Pooled meta-analysis showed favourable effects (P≤0.05) of walking intervention for seven CVD risk factors (body mass, body mass index, body fat, systolic and diastolic blood pressure, fasting glucose and VO2max). There were no significant effects (P>0.05) for waist circumference, waist-to-hip ratio and four blood lipid variables. Despite testing 91 possible dose– response relationships, linear meta-regression analysis adjusted for age indicated just 7 (or 7.7{\%}) statistically significant findings. Summary/conclusion Walking interventions benefit a number of CVD risk factors. Despite multiple studies and tested metrics, only a few dose–response relationships were identified and the possibility of chance findings cannot be ruled out. There is insufficient evidence to quantify the frequency, length, bout duration, intensity and volume of the walking required to improve CVD risk factors. PROSPERO registration number CRD42016039409.",
author = "Pekka Oja and Paul Kelly and Elaine Murtagh and Murphy, {Marie H} and Charlie Foster and Silvia Titze",
year = "2018",
month = "5",
day = "31",
doi = "10.1136/bjsports-2017-098558",
language = "English",
pages = "1--8",
journal = "British Journal of Sports Medicine",
issn = "0306-3674",

}

TY - JOUR

T1 - Effects of frequency, intensity, duration and volume of walking interventions on CVD risk factors: a systematic review and meta-regression analysis of randomised controlled trials among inactive healthy adults

AU - Oja, Pekka

AU - Kelly, Paul

AU - Murtagh, Elaine

AU - Murphy, Marie H

AU - Foster, Charlie

AU - Titze, Silvia

PY - 2018/5/31

Y1 - 2018/5/31

N2 - Abstract Objective Walking interventions in healthy populations show clinically relevant improvements for many cardiovascular disease (CVD) risk factors. We aimed to assess the changes in CVD risk factors and the dose– response relationship between frequency, intensity, duration and volume of walking and cardiovascular risk factors based on randomised controlled trials (RCTs). Design A systematic review with meta-analysis and meta-regression. Data sources Four electronic databases searched from January 1971 to April 2017. Eligibility criteria Walking RCTs reporting one or more CVD risk factor outcomes; trials including at least one group with walking intervention and a no-walking control group; duration ≥8 weeks; participants ≥18 years old, inactive but healthy; risk factors assessed preintervention and postintervention; English-language articles in peer-reviewed journals. Results Thirty-seven RCTs, involving 2001 participants (81% women) and assessing 13 CVD risk factors, were identified. Pooled meta-analysis showed favourable effects (P≤0.05) of walking intervention for seven CVD risk factors (body mass, body mass index, body fat, systolic and diastolic blood pressure, fasting glucose and VO2max). There were no significant effects (P>0.05) for waist circumference, waist-to-hip ratio and four blood lipid variables. Despite testing 91 possible dose– response relationships, linear meta-regression analysis adjusted for age indicated just 7 (or 7.7%) statistically significant findings. Summary/conclusion Walking interventions benefit a number of CVD risk factors. Despite multiple studies and tested metrics, only a few dose–response relationships were identified and the possibility of chance findings cannot be ruled out. There is insufficient evidence to quantify the frequency, length, bout duration, intensity and volume of the walking required to improve CVD risk factors. PROSPERO registration number CRD42016039409.

AB - Abstract Objective Walking interventions in healthy populations show clinically relevant improvements for many cardiovascular disease (CVD) risk factors. We aimed to assess the changes in CVD risk factors and the dose– response relationship between frequency, intensity, duration and volume of walking and cardiovascular risk factors based on randomised controlled trials (RCTs). Design A systematic review with meta-analysis and meta-regression. Data sources Four electronic databases searched from January 1971 to April 2017. Eligibility criteria Walking RCTs reporting one or more CVD risk factor outcomes; trials including at least one group with walking intervention and a no-walking control group; duration ≥8 weeks; participants ≥18 years old, inactive but healthy; risk factors assessed preintervention and postintervention; English-language articles in peer-reviewed journals. Results Thirty-seven RCTs, involving 2001 participants (81% women) and assessing 13 CVD risk factors, were identified. Pooled meta-analysis showed favourable effects (P≤0.05) of walking intervention for seven CVD risk factors (body mass, body mass index, body fat, systolic and diastolic blood pressure, fasting glucose and VO2max). There were no significant effects (P>0.05) for waist circumference, waist-to-hip ratio and four blood lipid variables. Despite testing 91 possible dose– response relationships, linear meta-regression analysis adjusted for age indicated just 7 (or 7.7%) statistically significant findings. Summary/conclusion Walking interventions benefit a number of CVD risk factors. Despite multiple studies and tested metrics, only a few dose–response relationships were identified and the possibility of chance findings cannot be ruled out. There is insufficient evidence to quantify the frequency, length, bout duration, intensity and volume of the walking required to improve CVD risk factors. PROSPERO registration number CRD42016039409.

U2 - 10.1136/bjsports-2017-098558

DO - 10.1136/bjsports-2017-098558

M3 - Article

SP - 1

EP - 8

JO - British Journal of Sports Medicine

T2 - British Journal of Sports Medicine

JF - British Journal of Sports Medicine

SN - 0306-3674

ER -