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Efectos de caminar en la enfermedad coronaria en hombres mayores: el Programa del Corazón de Honolulu
A A Hakim1, J D Curb, H Petrovitch
1Division of Biostatistics and Epidemiology, University of Virginia School of Medicine, Charlottesville, VA, USA.
Circulation
|July 7, 1999
Resumen
Caminar más de 1,5 millas al día reduce significativamente el riesgo de enfermedad coronaria en hombres mayores. Incluso una caminata moderada ofrece cierta protección, destacando los beneficios de un estilo de vida activo para los adultos mayores.
Área de la Ciencia:
- Gerontología Gerontología.
- Salud Cardiovascular La salud cardiovascular.
- La medicina preventiva es la medicina preventiva de las enfermedades.
Sus antecedentes:
- El impacto de caminar en el riesgo de enfermedad coronaria (CHD) en los ancianos sigue sin estar claro.
- Investigaciones anteriores no han establecido un vínculo definitivo entre los hábitos de caminar y la morbilidad o mortalidad por ECC en poblaciones mayores.
Objetivo del estudio:
- Investigar la asociación entre la distancia a pie y el riesgo de desarrollar enfermedad coronaria en una cohorte de hombres mayores.
Principales métodos:
- El Programa del Corazón de Honolulu examinó la distancia a pie (millas / día) en 2678 hombres mayores físicamente capaces (de 71 a 93 años).
- El incidente de enfermedad coronaria fue seguido durante un período de seguimiento de 2-4 años.
- El análisis estadístico comparó el riesgo de ECC basado en distancias a pie.
Principales resultados:
- Los hombres que caminaban menos de 0,25 millas al día tenían un riesgo dos veces mayor de ECC en comparación con los que caminaban más de 1,5 millas al día (5,1% frente a 2,5%).
- Las personas que caminaban de 0,25 a 1,5 millas / día también mostraron un riesgo significativamente mayor de ECC que los caminantes más largos (4,5% frente a 2,5%).
- Estas asociaciones se mantuvieron significativas después de ajustar por la edad y otros factores de riesgo cardiovascular.
Conclusiones:
- El aumento de la distancia a pie se asocia con un menor riesgo de enfermedad coronaria en hombres mayores físicamente capaces.
- Fomentar la caminata en la población anciana puede producir beneficios significativos para la salud cardiovascular.
- Los hallazgos apoyan la evidencia más amplia de que los estilos de vida activos benefician la salud cardiovascular en diversos grupos de edad.
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