Moderate-to-vigorous physical activity and the risk of stroke recurrence in patients with a history of minor ischemic stroke in Japan: a retrospective analysis

Ushio, Masuko; Kanaoka, Maki; Kinoshita, Yumiko; Maeno, Satoko; Fujita, Kimie

doi:10.1080/10749357.2018.1507309

Cited by 17 publications

(15 citation statements)

References 30 publications

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“…Insufficient levels of moderate–vigorous physical activity (typically < 10 MET hours/week) have been identified as predictive of recurrent ischaemic stroke [ 53 ]. From the range of predictor variables tested in this study, cardiovascular fitness presents the most utility as a determinant, not just for physical activity participation but for combined health behaviours after stroke, presenting a legitimate target in stroke secondary prevention.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Adherence to Lifestyle Recommendations in Stroke Secondary Prevention

Lennon

Hall

Blake

2021

IJERPH

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The risk of recurrent vascular events is high following ischaemic stroke or transient ischaemic attack (TIA). Unmanaged modifiable risk factors present opportunities for enhanced secondary prevention. This cross-sectional study (n = 142 individuals post-ischaemic stroke/TIA; mean age 63 years, 70% male) describes adherence rates with risk-reducing behaviours and logistical regression models of behaviour adherence. Predictor variables used in the models com-prised age, sex, stroke/TIA status, aetiology (TOAST), modified Rankin Scale, cardiovascular fit-ness (VO2peak) measured as peak oxygen uptake during incremental exercise (L/min) and Hospital Anxiety and Depression Score (HADS). Of the study participants, 84% abstained from smoking; 54% consumed ≥ 5 portions of fruit and vegetables/day; 31% engaged in 30 min moderate-to-vigorous physical activity (MVPA) at least 3 times/week and 18% were adherent to all three behaviours. VO2peak was the only variable predictive of adherence to all three health behaviours (aOR 12.1; p = 0.01) and to MVPA participation (aOR 7.5; p = 0.01). Increased age (aOR 1.1; p = 0.03) and lower HADS scores (aOR 0.9; p = 0.02) were predictive of smoking abstinence. Men were less likely to consume fruit and vegetables (aOR 0.36; p = 0.04). Targeted secondary prevention interventions after stroke should address cardiovascular fitness training for MVPA and combined health behaviours; management of psychological distress in persistent smokers and consider environmental and social factors in dietary interventions, notably in men.

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Section: Discussionmentioning

confidence: 99%

Predictors of Adherence to Lifestyle Recommendations in Stroke Secondary Prevention

Lennon

Hall

Blake

2021

IJERPH

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“…Especially in minor stroke cases, secondary prevention is essential, and targeting the intensity of PA seems opportune, since this parameter is lowered compared to healthy peers [8,51]. Moreover, previous studies showed that when persons who suffered from a stroke exercise at high intensities, their quality of life improves and the likelihood of stroke recurrence is reduced [39,52,53]. Future studies should seek to determine the intensity threshold that improves PC most effectively, so it can be used to set targets in interventions.…”

Section: Discussionmentioning

confidence: 99%

Intensity of daily physical activity – a key component for improving physical capacity after minor stroke?

Braakhuis

Roelofs

Berger

et al. 2020

Disability and Rehabilitation

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“…Stroke management guidelines recommend physical activity as a rehabilitation process because it has been shown to improve physical fitness, reduce stroke disability, and improve the overall quality of life. Patients with a history of mild ischemic stroke who have a low MVPA (moderate-to-vigorous physical activity) and a high VFL value (visceral fat level) are risk factors for stroke recurrence [22].…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Recurrence of Stroke: a Cross-Sectional Study in the University of Muhammadiyah Malang Hospital

Setyowati

Aini

Marta

et al. 2021

ijhsrd

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Background: a recurrence of stroke, is a matter of concern because it can worsen the situation, increase the treatment costs, and increase death risk. Stroke recurrence caused by multifactorial cases. The objective of this study is to analyze the factors associated with stroke recurrence in the university of muhammadiyah malang hospital. Methods: This study used a cross-sectional observation analytic study. A total sample of 64 people was collected using the purposive sampling technique. The dependent variable in this study was stroke recurrence. The independent variables were the factors that cause stroke recurrence (family history of the disease, comorbidities, physical activity, stress, and knowledge). This study used the Global Physical Activity Questionnaire(GPAQ), the International Stress Management Association(ISMA), and socio-demographic questionnaire to collect the data. The data were analyzed using the Chi-Square test. Results: a total of 47 patients (73.43%) had stroke recurrence, the majority of the second recurrence. Most types of stroke were ischemic stroke (81.25%). The risk factor significantly associated with stroke recurrence was hypertension (sig 0.026 <0.05). Conclusion: Uncontrolled hypertension increases the process of atherosclerosis that can lead to bleeding and brain infarction.

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Moderate-to-vigorous physical activity and the risk of stroke recurrence in patients with a history of minor ischemic stroke in Japan: a retrospective analysis

Abstract: Patients with a history of mild ischemic stroke had low MVPA and high VFL values, which together may be a risk factor for RIS.

Cited by 17 publications

References 30 publications

Predictors of Adherence to Lifestyle Recommendations in Stroke Secondary Prevention

Predictors of Adherence to Lifestyle Recommendations in Stroke Secondary Prevention

Intensity of daily physical activity – a key component for improving physical capacity after minor stroke?

Analysis of the Recurrence of Stroke: a Cross-Sectional Study in the University of Muhammadiyah Malang Hospital

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