Post‐discharge sedentary behavior and light‐intensity physical activity‐associated stroke recurrence in patients with minor ischemic stroke: A preliminary retrospective observational study.

Background and purpose: Evidence regarding whether reducing sedentary behavior and increasing physical activity levels to prevent stroke recurrence is insufficient. Therefore, this study preliminarily investigated whether post‐discharge sedentary behavior and physical activity levels in patients wit...

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Publicado en:Physiotherapy Research International Vol. 29; no. 3; pp. 1 - 9
Autores principales: Ashizawa, Ryota, Honda, Hiroya, Take, Koki, Yoshizawa, Kohei, Kameyama, Yuto, Yamashita, Shota, Wakabayashi, Toshiyuki, Yoshimoto, Yoshinobu
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jul2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2024
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      pub: Wiley-Blackwell
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        178647838
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        10.1002/pri.2110
        178647838
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        atl: Post‐discharge sedentary behavior and light‐intensity physical activity‐associated stroke recurrence in patients with minor ischemic stroke: A preliminary retrospective observational study.
      aug:
        au:
          Ashizawa, Ryota
          Honda, Hiroya
          Take, Koki
          Yoshizawa, Kohei
          Kameyama, Yuto
          Yamashita, Shota
          Wakabayashi, Toshiyuki
          Yoshimoto, Yoshinobu
        affil: Department of Rehabilitation, Seirei Mikatahara General Hospital, Hamamatsu‐shi Shizuoka,, Japan
      sug:
        subj:
          Sedentary Behavior
          Patient Discharge
          Physical Fitness
          Exercise Intensity
          Recurrence Risk Factors
          Ischemic Stroke
          Stroke Patients Psychosocial Factors
          Risk Assessment
          Human
          Retrospective Design
          Nonexperimental Studies
          Accelerometry
          Record Review
          Logistic Regression
          Descriptive Statistics
          Odds Ratio
          Confidence Intervals
          Scales
          Sleep Quality
          Hospitalization
          Comparative Studies
          Mann-Whitney U Test
          Chi Square Test
          Walking Speed
          Data Analysis Software
          Cerebral Hemorrhage
          Male
          Female
          Middle Age
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          Sleep Disorders
          Depression
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          Aged: 65+ years
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      ab: Background and purpose: Evidence regarding whether reducing sedentary behavior and increasing physical activity levels to prevent stroke recurrence is insufficient. Therefore, this study preliminarily investigated whether post‐discharge sedentary behavior and physical activity levels in patients with minor ischemic stroke were associated with stroke recurrence. Methods: This retrospective observational study included 73 patients (aged 72.0 years) with minor ischemic stroke from a previous study. The outcome was recurrent stroke 2 years after stroke onset, assessed using medical records. Exposure factors including sedentary behavior and physical activity levels 6 months post‐discharge were measured using accelerometers; patients were classified into the recurrence or non‐recurrence groups. Logistic regression analyses were then conducted to determine whether sedentary behavior and physical activity 6 months after discharge were associated with stroke recurrence. Results: Six patients experienced stroke recurrence (recurrence rate, 8.2%). The recurrence group showed greater sedentary behavior (recurrence group 68.0%, non‐recurrence group 52.0%, p = 0.007) and less light‐intensity physical activity (LPA) (recurrence group 21.0%, non‐recurrence group 37.0%, p = 0.002) than in the non‐recurrence group. Logistic regression analysis showed that sedentary behavior (odds ratio = 1.083, 95% confidence interval = 1.007–1.165, p = 0.032) and LPA (odds ratio = 0.874, 95% confidence interval = 0.785–0.975, p = 0.015) were independent factors for recurrence of stroke. Discussion: Post‐discharge sedentary behavior and LPA in patients with minor ischemic stroke were associated with stroke recurrence. Results suggest that reducing post‐discharge sedentary behavior and increasing LPA may be crucial for reducing the risk of stroke recurrence in patients with minor ischemic stroke.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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