{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T14:35:14Z","timestamp":1776436514141,"version":"3.51.2"},"reference-count":49,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,8,31]],"date-time":"2024-08-31T00:00:00Z","timestamp":1725062400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Nordic walking (NW) has been reported to be beneficial in various chronic diseases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine whether NW improves function in patients with heart failure (HF) with low left ventricular ejection fraction more than conventional cardiac rehabilitation or usual care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Systematic literature searches in PubMed, ScienceDirect, and Web of Science were conducted. According to patient, intervention, comparison, and outcome (PICO) principles, a stepwise selection process was completed to identify eligible studies. Only randomized controlled trials (RCTs) were included in this systematic review and meta\u2010analysis. Pooled effects were determined using a random effect analysis model for the meta\u2010analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 282 participants from four RCTs were included. The improvement of peak oxygen consumption (peak VO<jats:sub>2<\/jats:sub>) was greater in the NW group than in the control group (mean difference [MD]\u2009=\u20092.18\u2009mL\/kg\/min; 95% confidence interval [CI]\u2009=\u20091.35\u20133.01; <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.01). The improvement of the 6\u2010minute walk test (6MWT) distance was also greater in the NW group than in the control group (MD\u2009=\u200916.51 meters; 95% CI\u2009=\u20093.23\u201329.80; <jats:italic>p<\/jats:italic>\u2009=\u2009.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This systematic review highlights the benefits of NW training in patients with chronic HF, particularly those with systolic dysfunction. Specifically, NW walking was associated with increased peak VO<jats:sub>2<\/jats:sub> and 6MWT improvement compared to conventional cardiac rehabilitation or usual care. These results suggest that NW may be a useful component of cardiac rehabilitation. However, additional larger studies with a wider range of patients are needed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.13254","type":"journal-article","created":{"date-parts":[[2024,8,31]],"date-time":"2024-08-31T13:54:26Z","timestamp":1725112466000},"page":"210-221","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A systematic review and meta\u2010analysis of Nordic walking for chronic heart failure with low left ventricular ejection fraction"],"prefix":"10.1002","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2984-4031","authenticated-orcid":false,"given":"Aulia Syavitri","family":"Dhamayanti","sequence":"first","affiliation":[{"name":"Faculty of Medicine Universitas Muhammadiyah Malang  Malang Indonesia"},{"name":"Department of Physical Medicine and Rehabilitation, Faculty of Medicine Universitas Brawijaya  Malang 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