Walking speed and home adaptations are associated with independence after stroke: a population-based prevalence study

Abstract

This study aimed at estimating the prevalence of stroke in older adults in Brazil, and at identifying the sociodemographic, health-related, health service-related, and environmental factors associated with independence in daily activities. Across-sectional, population-based study (Brazilian Longitudinal Study of Aging 2015-2016) was conducted. 536 individuals (≥ 50 years), from 9,412 participants, have had stroke and were included. Prevalence of stroke was 5.3% among individuals aged 50 years and over, increasing up to 8.0% among individuals aged 75 years and over, showing a dissimilar pattern between sex. Independence was associated with walking speed (Prevalence Ratio (PR) 2.72, 95%CI: 1.96 to 3.77), physical activity (PR 1.24; 95%CI: 1.04 to 1.47) and use of walking devices (PR 0.63; 95%CI: 0.41 to 0.96). A significant interaction was found between walking speed plus home adaptations and performance of daily living activities (PR 3.42; 95%CI: 1.04 to 11.29). The probability of independence was 40% among slow walkers (< 0.4 m/s), increasing up to 70% among fast walkers (> 0.8 m/s), and to 90% among those who also have home adaptations. Faster walking speed combined with home adaptations was the main factor associated with long-term independence after stroke.

Estatística Cardiovascular – Brasil 2023

“…It included 536 individuals aged 50 years and older who had experienced a stroke. 80 The prevalence of stroke was found to be 5.3% among individuals aged 50 years and older, increasing to 8.0% among those aged 75 years and older, with differences between sexes. Factors associated with independence in daily activities included walking speed, physical activity, and use of walking devices.…”

“…Incluiu 536 indivíduos com idade a partir de 50 anos que haviam tido um AVC. 80 A prevalência de AVC foi de 5,3% entre aqueles com idade de 50 anos ou mais, aumentando para 8,0% entre aqueles com idade de 75 anos ou mais, com diferenças entre os sexos. Os fatores associados com independência nas atividades cotidianas incluíram velocidade de marcha, atividade física e uso de dispositivos para caminhar.…”