Nordic Working as a Tool to Improve the Quality of Life in People With Coronary Artery Disease: A Literature Review

Introduction Cardiovascular diseases, particularly coronary artery disease, are the leading cause of death worldwide, especially in economically and socio–health developed countries. Therapeutic education plays a fundamental role in improving the quality of life and preventing recurrences. In this context, Nordic Walking, a group activity that is accessible and easy to practice, could represent an opportunity to promote a healthy lifestyle. Objective To evaluate whether Nordic Walking in adults with coronary artery disease is effective in improving the quality of life, and to analyse the role of the nurse in this activity. Matherial and methods A literature review was conducted on PubMed, Cinhal, and Web of Science (from July 2024 to January 2025) using the PICO framework to formulate the research question. Studies involving adults with coronary artery disease engaged in Nordic Walking programs were selected, while other cardiac conditions or different sports activities were excluded. The analysis included randomized controlled trials and systematic reviews. Results Six studies were included in the literature review. Nordic Walking, when integrated into cardiac rehabilitation programs, led to significant improvements in terms of physical performances (6MWT test, METs, UGT) and, in several cases, in quality of life (SF–36, WHOQOL–BREF). The activity proved to be safe, well–tolerated, and effective on both physical and psychological factors. Discussion and conclusion Nordic Walking is considered an effective intervention to improve the quality of life in patients affected by coronary artery disease, thanks to the complete activation of muscle groups, improved circulation and positive effects on psychological and social well–being. The nurse plays a crucial role in clinical monitoring during the activity, in educating patients on self–assessment of vital parameters, and in promoting this discipline as a tool for secondary prevention. Evidence suggests a positive impact, especially when Nordic Walking is integrated into standard cardiological rehabilitation programs. However, further studies are needed to establish standardised protocols and to fully assess the preventive and therapeutic potential of this discipline.