Factors Associated with Level of Physical Activity After Minor Stroke

Abstract

Objectives: To explore factors from the acute phase, and after three and 12 months, associated with level of self-reported physical activity 12 months after a minor ischemic stroke with National Institutes of Health Stroke Scale (NIHSS) score 3 in persons 70 years or younger. Materials and method: In this longitudinal cohort study patients were recruited consecutively from two stroke units. Activity level were measured with three sets of questions addressing the average number of frequency (times exercising each week), the average intensity, and duration (the average time), and a sum score was constructed. The association between physical activity 12 months after stroke and sociodemographic factors, NIHSS, body mass index, balance, and neuropsychiatric symptoms were explored using multiple linear regression. Results: This study included 101 patients, with mean age (SD) 55.5 (11.4) years, NIHSS median (Q 1 , Q 3 ) 0.0 (0.0, 1.0), and 20 % were female. Multiple linear regression analyses showed sick leave status at stroke onset, balance at three and 12 months, and anxiety, depression, apathy, and fatigue at 12 months to be factors associated with physical activity at 12 months after stroke. Conclusion: We found that pre-stroke sick leave, post-stroke balance, and neuropsychiatric symptoms were associated with the level of physical activity one year after minor stroke. This might be of importance when giving information about physical activity and deciding about post-stroke follow-up.

Physical Activity Trajectories and Functional Recovery After Acute Stroke Among Adults in Sweden

“…Overall, the study population had low physical activity levels, with approximately half of the participants being inactive. Among those who increased their physical activity, only a small number ( Figure 1 ) engaged in moderate- to vigorous-intensity exercise, which was a lower percentage than what has been reported in previous studies (approximately 40% active), 9 , 29 , 30 despite most participants experiencing a mild stroke. The decreaser group had a maximum decrease rate between 1 and 3 months and was followed by a plateau, which was consistent with results from previous studies.…”

Association between serum cystatin C level and post‐stroke cognitive impairment in patients with acute mild ischemic stroke

“…Previous studies (Fens et al., 2013; McHutchison et al., 2019) found that about 50% of patients with MIS showed a decline in their ability in daily work and to return to society, and about 40% of patients with MIS had cognitive dysfunction and communication difficulties. MIS is a type of stroke characterized by mild symptoms and short duration that rarely causes neurological deficits (Hamre et al., 2021), which are more likely to be overlooked. However, the higher incidence of PSCI in MIS patients would also bring serious harm to our society (Fens et al., 2013; McHutchison et al., 2019).…”

Physical activity to prevent stroke mortality in Brazil (1990-2019)

“…Due to the heavy burden of stroke mortality around the world, actions to prevent this neurological disorder are fundamental to the quality of life of the population. Among actions for stroke prevention, physical activity stands out in a preventive and therapeutic way in stroke survivors 4 . A systematic review with meta-analysis found 26 articles that analyzed the dose-response relationship between physical activity and stroke 5 .…”