Self-Reported Physical Activity and Cardiovascular Disease Risk Factors in Patients with Lacunar Stroke.


Journal

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
ISSN: 1532-8511
Titre abrégé: J Stroke Cerebrovasc Dis
Pays: United States
ID NLM: 9111633

Informations de publication

Date de publication:
Aug 2019
Historique:
received: 01 02 2019
revised: 03 04 2019
accepted: 25 04 2019
pubmed: 28 5 2019
medline: 14 8 2019
entrez: 28 5 2019
Statut: ppublish

Résumé

Physical inactivity is a major modifiable risk factor for stroke. The aim was to explore if stroke patients admitted with lacunar stroke adhere to the international recommendations on physical activity prestroke (≥150 minutes of moderate-intensity activity, or ≥75 minutes of vigorous-intensity activity, or an equivalent combination). Further, to assess association between prestroke physical activity and cardiovascular disease (CVD) risk factors. A cross-sectional study, including patients with lacunar stroke according to the Trial of Org 10172 in Acute Stroke Treatment criteria. Data collected included prestroke physical activity using the self-reported Physical Activity Scale. Cardiorespiratory fitness was estimated as the power output from the Graded Cycling Test with Talk Test and sociodemographic factors including age, sex, education, and CVD risk factors including pre-existing diabetes, history of hypertension, body mass index, and lipids were assessed. We included 19 women and 52 men (mean age 64 years). Overall, 79% of the recruited patients adhered to the physical activity recommendations prestroke, but only 35% did vigorous-intensity activity. Prestroke physical activity was associated with a history of hypertension. A high proportion of the lacunar stroke patients reported to adhere to the recommendations on physical activity prestroke; however, only one third engaged in vigorous-intensity activity. Studies are warranted to investigate if vigorous-intensity activity is effective as secondary prevention in patients with a lacunar stroke.

Sections du résumé

BACKGROUND BACKGROUND
Physical inactivity is a major modifiable risk factor for stroke. The aim was to explore if stroke patients admitted with lacunar stroke adhere to the international recommendations on physical activity prestroke (≥150 minutes of moderate-intensity activity, or ≥75 minutes of vigorous-intensity activity, or an equivalent combination). Further, to assess association between prestroke physical activity and cardiovascular disease (CVD) risk factors.
METHODS METHODS
A cross-sectional study, including patients with lacunar stroke according to the Trial of Org 10172 in Acute Stroke Treatment criteria. Data collected included prestroke physical activity using the self-reported Physical Activity Scale. Cardiorespiratory fitness was estimated as the power output from the Graded Cycling Test with Talk Test and sociodemographic factors including age, sex, education, and CVD risk factors including pre-existing diabetes, history of hypertension, body mass index, and lipids were assessed.
RESULTS RESULTS
We included 19 women and 52 men (mean age 64 years). Overall, 79% of the recruited patients adhered to the physical activity recommendations prestroke, but only 35% did vigorous-intensity activity. Prestroke physical activity was associated with a history of hypertension.
CONCLUSIONS CONCLUSIONS
A high proportion of the lacunar stroke patients reported to adhere to the recommendations on physical activity prestroke; however, only one third engaged in vigorous-intensity activity. Studies are warranted to investigate if vigorous-intensity activity is effective as secondary prevention in patients with a lacunar stroke.

Identifiants

pubmed: 31130306
pii: S1052-3057(19)30212-5
doi: 10.1016/j.jstrokecerebrovasdis.2019.04.031
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2168-2176

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

Auteurs

Rikke Steen Krawcyk (R)

Department of Physiotherapy and Occupational Therapy, and Department of Neurology, Neurovascular Research Unit, Herlev Gentofte Hospital, Copenhagen, Denmark.

Anders Vinther (A)

Department of Physiotherapy and Occupational Therapy, QD-Research Unit, Herlev Gentofte Hospital, Copenhagen, Denmark.

Nicolas Caesar Petersen (NC)

Center for Translational Neuromedicine, University of Copenhagen, Copenhagen, Denmark.

Jens Faber (J)

Department of Internal Medicine, division of Endocrinology, Herlev Gentofte Hospital, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.

Shazia Rehman (S)

Department of Radiology, Herlev Gentofte Hospital, Copenhagen, Denmark.

Helle K Iversen (HK)

Department of Neurology, Stroke Center Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Thomas Christensen (T)

Department of Neurology, Nordsjællands Hospital, Hillerød, University of Copenhagen, Denmark.

Christina Kruuse (C)

Department of Neurology, Neurovascular Research Unit, Herlev Gentofte Hospital, Copenhagen, Denmark. Electronic address: ckruuse@dadlnet.dk.

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Classifications MeSH