It is your doctor's responsibility to get you recovered enough to at least do average walking, 2-3 mph, if not fast walking,>3 mph. Don't let your doctor weasel their way out of that responsibility by quoting the crapastic saying: 'All strokes are different, all stroke recoveries are different.' If that is said you don't have a competent doctor.
The association of walking pace and incident heart failure and subtypes among postmenopausal women
Funding information: U.S. Department of Health and Human Services, Grant/Award Numbers: HHSN268201600004C, HHSN268201600003C, HHSN268201600002C, HHSN268201600001C, HHSN268201600018C; National Heart, Lung, and Blood Institute; National Institutes of Health, Grant/Award Number: NHLBI RO1 HL130591 WHISH-2
Abstract
Background
To investigate the association between walking pace and the risk of heart failure (HF) and HF sub-types.
Methods
We examined associations of self-reported walking pace with risk of incident HF and HF subtypes of preserved (HFpEF) and reduced (HFrEF) ejection fractions, among 25,183 postmenopausal women, ages 50–79 years. At enrollment into the Women's Health Initiative cohort in 1993–1998, this subset of women was free of HF, cancer, or the inability to walk one block, with self-reported information on walking pace and walking duration. Multivariable Cox regression was used to examine associations of walking pace (casual <2 mph [referent], average 2–3 mph, and fast >3 mph) with incident HF. We also examined the joint association of walking pace and duration with incident HF.
Results
There were 1455 incident adjudicated acute decompensated HF hospitalization cases during a median of 16.9 years of follow-up. There was a strong inverse association between walking pace and overall risk of HF (HR = 0.73, 95% CI [0.65, 0.83] for average vs. casual walking; HR = 0.66, 95%CI [0.56, 0.78] for fast vs. casual walking). There were similar associations of walking pace with HFpEF (HR = 0.73, 95%CI [0.62, 0.86] average vs. casual; HR = 0.63, 95%CI [0.50, 0.80] for fast vs. casual) and with HFrEF (HR = 0.72, 95%CI [0.57, 0.91] for average vs. casual; HR = 0.74, 95%CI [0.54, 0.99] for fast vs. casual). The risk of HF associated with fast walking with less than 1 h/week walking duration was comparable with the risk of HF among casual and average walkers with more than 2 h/week walking duration.
Conclusion
Walking pace was inversely associated with risks of overall HF, HFpEF, and HFrEF in postmenopausal women. Whether interventions to increase the walking pace in older adults will reduce HF risk and whether fast pace will compensate for the short duration of walking warrants further study.
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