Pre-stroke physical activity is associated with post-stroke physical activity and sedentary behavior in the acute phase.

Autor: Tanaka H; Rehabilitation Unit, Kyoto University Hospital, 54 Shogoin-Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan. tanaka.hiroki.8w@kyoto-u.ac.jp., Kitamura G; Rehabilitation Unit, Kyoto University Hospital, 54 Shogoin-Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan., Tamura M; Rehabilitation Unit, Kyoto University Hospital, 54 Shogoin-Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan., Nankaku M; Rehabilitation Unit, Kyoto University Hospital, 54 Shogoin-Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan., Taniguchi M; Graduate School of Medicine, Human Health Sciences, Kyoto University, Kyoto, Japan., Kikuchi T; Department of Neurosurgery, Kyoto University Graduate School of Medicine, Kyoto, Japan., Maki T; Department of Neurology, Kyoto University Graduate School of Medicine, Kyoto, Japan., Ikeguchi R; Rehabilitation Unit, Kyoto University Hospital, 54 Shogoin-Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.; Department of Orthopaedic Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan., Miyamoto S; Department of Neurosurgery, Kyoto University Graduate School of Medicine, Kyoto, Japan., Takahashi R; Department of Neurology, Kyoto University Graduate School of Medicine, Kyoto, Japan., Matsuda S; Rehabilitation Unit, Kyoto University Hospital, 54 Shogoin-Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.; Department of Orthopaedic Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan., Ichihashi N; Graduate School of Medicine, Human Health Sciences, Kyoto University, Kyoto, Japan.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2023 Dec 02; Vol. 13 (1), pp. 21298. Date of Electronic Publication: 2023 Dec 02.
DOI: 10.1038/s41598-023-48232-z
Abstrakt: This study investigated the link between pre-stroke and acute-stage physical activity (PA) and sedentary behavior. Forty individuals with stroke (aged 73.6 ± 8.9 years) were enrolled. Post-stroke activity, including metabolic equivalents (METs), sedentary behavior, light PA, and moderate-to-vigorous PA (MVPA), was measured using a tri-axial accelerometer (ActiGraph wGT3X-BT) over 11 consecutive days starting from the 4th day post-stroke. Pre-stroke PA levels were assessed using the International Physical Activity Questionnaire (IPAQ). We measured skeletal muscle mass index (SMI) and phase angle using a bioelectrical impedance analyzer (Inbody S10) upon admission. Physical therapists assessed the Brunnstrom recovery stage (BRS) within 3 days post-stroke. Total daily activity averaged 1.05 ± 0.05 METs. Throughout the day, 91.2 ± 5.1, 7.6 ± 4.1, and 1.2 ± 1.3% was spent in sedentary behavior, light PA, and MVPA, respectively. Only pre-stroke PA was independently associated with METs (β = 0.66), sedentary behavior (β = -0.58), light PA (β = 0.50), and MVPA (β = 0.71) after adjusting for age, sex, stroke severity, and activities of daily living. This suggests that pre-stroke PA might play a crucial role in reducing sedentary behavior and promoting PA during the acute phase.
(© 2023. The Author(s).)
Databáze: MEDLINE
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