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Walking and running – similar mortality reduction in hypertensive patients

Moderate and vigorous exercise produce similar reductions in mortality for patients suffering from hypertension, according to a study1 published recently in Hypertension.

Authors applied Cox-proportional hazard analyses to energy expenditure (metabolic equivalents hours/d [METh/d]) in 6,973 walkers and 3,907 runners who used hypertensive medications at baseline. A total of 1,121 died during 10.2-year follow-up: 695 cardiovascular disease, 124 cerebrovascular disease, 353 ischaemic heart disease, 122 heart failure, and 260 dysrrhythmias.

Relative to <1.07 METh/d, running or walking 1.8 to 3.6 METh/d produced significantly lower all-cause, cardiovascular disease, cerebrovascular disease, dysrhythmia, and heart failure mortality, as did ≥3.6 METh/d with all-cause, cardiovascular disease, cerebrovascular disease, and dysrhythmia mortality.

Diabetes mellitus and chronic kidney disease mortality also decreased significantly with METh/d. All results remained significant when body mass index adjusted. Merely meeting guideline levels (1.07–1.8 METh/d) did not significantly reduced mortality. The dose-response was significantly nonlinear for all end points except diabetes mellitus, and cerebrovascular and chronic kidney disease. Results did not differ between running and walking.

References

1. Williams PT. Walking and running produce similar reductions in cause-specific disease mortality in hypertensives. Hypertension 2013. http://dx.doi.org/10.1161/​HYPERTENSIONAHA.113.01608

Published on: August 30, 2013

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