TY - JOUR
T1 - The effect of a home-based walking program on risk factors for coronary heart disease in hypercholeserolaemic men
T2 - a randomized controlled trial
AU - Coghill, Nikki
AU - Cooper, Ashley R
N1 - Title of Publication Reviewed: The effect of a walking programme on risk factors for coronary heart disease: A randomised controlled study Author of Publication Reviewed: Coghill N, Cooper A
PY - 2008/6/1
Y1 - 2008/6/1
N2 - Background
Hypercholesterolaemia and physical inactivity significantly contribute towards risk of coronary heart disease. Increased physical activity may be an effective way to improve lipid profiles in hypercholesterolaemic individuals. The aim of this study was to investigate whether a home-based physical activity program meeting current guidelines improved the lipid profile of hypercholesterolaemic men.
Methods
Sixty-seven hypercholesterolaemic men (55.1 (4.9) years), from Bristol England, recruited between 2002–2004, were randomized to either 12 weeks of brisk walking sufficient to expend at least 300 kcal each walk or control condition. Fasting lipids including total cholesterol (TC), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C), triglycerides (TG), glucose, insulin, blood pressure and anthropometric characteristics were measured at baseline and follow-up. Compliance was monitored using accelerometers and activity logs.
Results
After controlling for baseline differences, TC/HDL-C was significantly lower in the intervention group at follow-up (− 0.28, 95% CI: − 0.52, − 0.03, p = 0.03). An increase in HDL-C (0.07 mmol/l: − 0.01, 0.12, p = 0.07) and reduction in TG (− 0.30 mmol/l: − 0.64, 0.03, p = 0.07) in intervention participants were of borderline statistical significance. Weight significantly decreased in intervention participants (− 1.40 kg: − 2.43, − 0.38, p < 0.01). No other significant between group effects were found. Compliance to the walking program was 97.6%.
Conclusions
Twelve weeks of moderate intensity walking was sufficient to improve TC/HDL-C in hypercholesterolaemic men, primarily through improvement in HDL-C.
AB - Background
Hypercholesterolaemia and physical inactivity significantly contribute towards risk of coronary heart disease. Increased physical activity may be an effective way to improve lipid profiles in hypercholesterolaemic individuals. The aim of this study was to investigate whether a home-based physical activity program meeting current guidelines improved the lipid profile of hypercholesterolaemic men.
Methods
Sixty-seven hypercholesterolaemic men (55.1 (4.9) years), from Bristol England, recruited between 2002–2004, were randomized to either 12 weeks of brisk walking sufficient to expend at least 300 kcal each walk or control condition. Fasting lipids including total cholesterol (TC), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C), triglycerides (TG), glucose, insulin, blood pressure and anthropometric characteristics were measured at baseline and follow-up. Compliance was monitored using accelerometers and activity logs.
Results
After controlling for baseline differences, TC/HDL-C was significantly lower in the intervention group at follow-up (− 0.28, 95% CI: − 0.52, − 0.03, p = 0.03). An increase in HDL-C (0.07 mmol/l: − 0.01, 0.12, p = 0.07) and reduction in TG (− 0.30 mmol/l: − 0.64, 0.03, p = 0.07) in intervention participants were of borderline statistical significance. Weight significantly decreased in intervention participants (− 1.40 kg: − 2.43, − 0.38, p < 0.01). No other significant between group effects were found. Compliance to the walking program was 97.6%.
Conclusions
Twelve weeks of moderate intensity walking was sufficient to improve TC/HDL-C in hypercholesterolaemic men, primarily through improvement in HDL-C.
UR - http://dx.doi.org/10.1016/j.ypmed.2008.01.002
U2 - 10.1016/j.ypmed.2008.01.002
DO - 10.1016/j.ypmed.2008.01.002
M3 - Article
SN - 0091-7435
VL - 46
SP - 545
EP - 551
JO - Preventive Medicine
JF - Preventive Medicine
IS - 6
ER -