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Walking Pace Is Associated with Lower Risk of All-Cause and Cause-Specific Mortality

Carlos A Celis-Morales1, Stuart Gray1, Fanny Petermann1

  • 1BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UNITED KINGDOM.

Medicine and Science in Sports and Exercise
|October 11, 2018
PubMed

Insights

Brisk walking pace is linked to a reduced risk of death from all causes, cardiovascular disease, and respiratory conditions. This health benefit is independent of the total time spent walking.

Area of Science:

  • Public Health
  • Epidemiology
  • Exercise Science

Background:

  • Walking pace is a known factor associated with mortality from all causes and cardiovascular disease (CVD).
  • The relationship between walking pace and other health outcomes, and whether it is independent of total walking time, remains unclear.

Purpose of the Study:

  • To investigate the association between usual walking pace and a variety of health outcomes.
  • To determine if walking pace offers health benefits beyond the total duration of physical activity.

Main Methods:

  • Utilized data from 318,185 UK Biobank participants (aged 40-69).
  • Walking pace and time were self-reported.
  • Cox proportional hazard models analyzed associations with all-cause mortality, CVD incidence/mortality, respiratory disease, and cancer incidence/mortality over a mean follow-up of 5.0 years.

Main Results:

  • Brisk walkers had a significantly lower risk of all-cause mortality (HR 0.79 men, 0.73 women), CVD mortality (HR 0.62 men, 0.80 women), and respiratory disease mortality (HR 0.58 men, 0.66 women) compared to slow walkers.
  • A brisk pace was associated with substantially lower risks for chronic obstructive pulmonary disease.
  • No significant associations were found for overall cancer incidence, colorectal, or breast cancer, but brisk walking was linked to a higher risk of prostate cancer.

Conclusions:

  • Usual walking pace is independently associated with a reduced risk of mortality from several major health conditions.
  • Encouraging a brisk walking pace may be a simple yet effective public health strategy to improve longevity and reduce disease burden.
Abstract

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