Prestroke physical activity could influence acute stroke severity (part of PAPSIGOT)

Neurology
Malin ReinholdssonKatharina S Sunnerhagen

Abstract

To investigate the influence of prestroke physical activity (PA) on acute stroke severity. Data from patients with first stroke were retrieved from registries with a cross-sectional design. The variables were PA, age, sex, smoking, diabetes, hypertension and statin treatment, stroke severity, myocardial infarction, new stroke during hospital stay, and duration of inpatient care at stroke unit. PA was assessed with Saltin-Grimby's 4-level Physical Activity Level Scale, and stroke severity was assessed with the National Institutes of Health Stroke Scale (NIHSS). Logistic regression was used to predict stroke severity, and negative binomial regression was used to compare the level of PA and stroke severity. The study included 925 patients with a mean age of 73.1 years, and 45.2% were women. Patients who reported light or moderate PA levels were more likely to present a mild stroke (NIHSS score 0 to 5) compared with physically inactive patients in a model that also included younger age as a predictor (odds ratio = 2.02 for PA and odds ratio = 0.97 for age). The explanatory value was limited at 6.8%. Prestroke PA was associated with less severe stroke, and both light PA such as walking at least 4 h/wk and moderate PA 2-3 h/wk appear...Continue Reading

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Citations

Apr 13, 2019·International Journal of Stroke : Official Journal of the International Stroke Society·Frederike van WijckGillian Mead
Apr 24, 2019·Current Neurology and Neuroscience Reports·Sharon Flora KramerAmy Brodtmann
Mar 14, 2019·PloS One·Karin TörnbomKatharina S Sunnerhagen
Oct 9, 2020·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Masashi KanaiShinichi Shimada
Feb 3, 2021·International Journal of Stroke : Official Journal of the International Stroke Society·Stanley H HungAmy Brodtmann
Apr 1, 2021·Stroke; a Journal of Cerebral Circulation·Mauro F F MedianoSilvia Koton
Apr 29, 2021·Scientific Reports·Adam ViktorissonKatharina S Sunnerhagen
May 1, 2021·International Journal of Environmental Research and Public Health·Olive LennonCatherine Blake
May 14, 2021·Journal of Physical Activity & Health·Jason P BrandenburgLuisa V Giles
Jun 3, 2021·Healthcare·Paulina Magdalena OstrowskaRita Hansdorfer-Korzon
Jul 26, 2021·Neuromuscular Disorders : NMD·Linda Kahr AndersenJohn Vissing
Oct 6, 2021·Scientific Reports·Tamar AbzhandadzeKatharina S Sunnerhagen

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