Stroke

Updated 15 February 2013

Walking linked to fewer strokes in women

Women who walk several hours every week are less likely to suffer a stroke than women who walk less or not at all, according to new research from Spain.

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Women who walk several hours every week are less likely to suffer a stroke than women who walk less or not at all, according to new research from Spain.

"The message for the general population remains similar: regularly engaging in moderate recreational activity is good for your health," lead author José María Huerta of the Murcia Regional Health Authority in Spain said.

While the current study cannot prove that regular walking caused fewer strokes to occur in the women who participated, it contributes to a small body of evidence for potential relationships between specific kinds of exercise and risk for specific diseases.

How the study was done

Women who walked briskly for 210 minutes or more per week had a lower stroke risk than inactive women but also lower than those who cycled and did other higher-intensity workouts for a shorter amount of time.

In all, nearly 33 000 men and women answered a physical activity questionnaire given once in the mid-1990s as part of a larger European cancer project. During the 12-year follow-up period, a total of 442 strokes occurred among the men and women, according to a report.

The results for women who were regular walkers translated to a 43% reduction in stroke risk compared to the inactive group, Huerta said.

What the study shows

There was no reduction for men based on exercise type or frequency, however.

"We have no clear explanation for this," Huerta wrote in an email. He suspects the men may have entered the study in better physical condition than the women, but there was no evidence to support that guess.

Huerta also declined to compare the study participants' risk levels to those of the general population, citing the subjects' unusual characteristics: a majority of men and women in the study were blood donors, who tend to be in good health.

"I wouldn't make much of the results because they are for a very specific population," Dr Wilson Cueva of the University of Chicago in Illinois said.

Dr Cueva, who was not involved with the research, pointed out that the study relied too heavily on subjective measurements, like the participants' memory of exercise routines.

"There is no objective way to measure how much exercise they actually did," he said.

Guidelines set by the WHO and US Centers for Disease Control and Prevention recommend at least 150 minutes - or two-and-a-half hours - of moderate exercise such as brisk walking each week.

Dr Cueva urges people to heed those guidelines for now. The way the Spanish study was designed, it's difficult to draw any conclusions he said. But, "We know that exercise is related to reduced risk of stroke and other diseases."

(Reuters Health, January 2013)

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Dr. Ashleigh Bhanjan is a specialist neurologist at the Life Entabeni hospital in Durban. Dr. Bhanjan completed his internship at Johannesburg General hospital and his community service at Ladysmith Provincial hospital before qualifying as a Fellow of the College of Neurologists of South Africa in 2008. Since 2009, he has been practicing at the Life Entabeni hospital as a specialist neurologist with a particular interest in stroke neurology.

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