Do People With Stroke Meet Aerobic and Muscle-Strengthening Activity Guidelines? Data From the Canadian Longitudinal Study on Aging.

IF 2.6 3区医学 Q2 CLINICAL NEUROLOGY

Journal of Neurologic Physical Therapy Pub Date : 2025-01-01 Epub Date: 2024-10-17 DOI:10.1097/NPT.0000000000000496

Kenneth S Noguchi, Lisa C Carlesso, Marla K Beauchamp, Stuart M Phillips, Lehana Thabane, Ada Tang

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引用次数: 0

Abstract

Background and purpose: It is unclear to what extent Canadians with stroke engage in moderate-vigorous physical activity (MVPA) and muscle-strengthening activities (MSA). The purpose of this study was to describe overall physical activity, aerobic MVPA, and MSA participation in Canadians with stroke; determine the functioning, disability, and health classes that best characterize this population; and examine the relationship between-class membership and physical activity participation.

Methods: Activity levels were quantified using the Physical Activity Scale for the Elderly in 2094 adults with stroke or transient ischemic attack (mean age 67.9 years, 9.5 years poststroke) from the CLSA. Means and percentages were used to characterize participation. Latent class analysis was used to create health and disability classes, and activity levels were compared between classes.

Results: Only 6.2% (95% confidence interval [CI], 4.8%-8.0%) met both MVPA and MSA guidelines. Most (88.2%, 95% CI, 85.0%-88.9%) engaged in MVPA <3 times/wk and 76.7% (95% CI, 73.7%-79.1%) never engaged in MSA. In latent class analyses, 2 classes for males and females were characterized by high-positive or low-negative levels of intrinsic capacity (eg, grip strength), functional mobility (eg, walking speed), and environment (eg, social support). Those in the low-negative classes had the lowest Physical Activity Scale for the Elderly scores and aerobic MVPA levels compared to the high-positive (healthiest) classes. MSA participation was not different between classes.

Discussion and conclusions: Canadians with stroke are not engaging in sufficient physical activity. Clinicians should encourage regular participation in physical activity, especially among those with lower levels of intrinsic capacity, functional mobility, and environmental support.

Video Abstract available for more insights from the authors (see Supplementary Digital Content 3 available at: http://links.lww.com/JNPT/A494).

查看原文本刊更多论文

中风患者是否符合有氧和肌肉强化活动指南？数据来自加拿大老龄化纵向研究。

背景和目的：目前尚不清楚加拿大中风患者在多大程度上参与了中等强度的身体活动（MVPA）和肌肉强化活动（MSA）。本研究的目的是描述加拿大中风患者的整体身体活动、有氧MVPA和MSA参与情况；确定最能体现这一人群特征的功能、残疾和健康等级；并检验班级成员和体育活动参与之间的关系。方法：使用里昂证券的2094例中风或短暂性脑缺血发作（平均年龄67.9岁，中风后9.5年）的老年人体力活动量表对活动水平进行量化。使用平均值和百分比来描述参与情况。潜在类别分析用于创建健康和残疾类别，并比较类别之间的活动水平。结果：只有6.2%（95%可信区间[CI]， 4.8%-8.0%）同时符合MVPA和MSA指南。大多数（88.2%,95% CI, 85.0%-88.9%）从事MVPA讨论和结论：加拿大中风患者没有进行足够的身体活动。临床医生应鼓励定期参加体育活动，特别是那些内在能力、功能活动能力和环境支持水平较低的人。视频摘要可从作者获得更多见解（见补充数字内容3可在：http://links.lww.com/JNPT/A494）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Neurologic Physical Therapy CLINICAL NEUROLOGY-REHABILITATION

CiteScore

5.70

自引率

2.60%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Neurologic Physical Therapy (JNPT) is an indexed resource for dissemination of research-based evidence related to neurologic physical therapy intervention. High standards of quality are maintained through a rigorous, double-blinded, peer-review process and adherence to standards recommended by the International Committee of Medical Journal Editors. With an international editorial board made up of preeminent researchers and clinicians, JNPT publishes articles of global relevance for examination, evaluation, prognosis, intervention, and outcomes for individuals with movement deficits due to neurologic conditions. Through systematic reviews, research articles, case studies, and clinical perspectives, JNPT promotes the integration of evidence into theory, education, research, and practice of neurologic physical therapy, spanning the continuum from pathophysiology to societal participation.