Association between walking space and physical activity for hospitalized patients with stroke: a cross-sectional study.

Sota Kobayashi, Satoshi Hasegawa, Shun Yamazaki, Tsubasa Tsugane, Shigeru Takahashi, Mieko Kaneko, Tomoyuki Asakura, Shigeru Usuda
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Abstract

[Purpose] This study aimed to investigate the associations among physical activity, sedentary patterns, and walking spaces in patients hospitalized after stroke. [Participants and Methods] This cross-sectional observational study included 52 patients (mean age, 72.6 ± 11.3 years) hospitalized following stroke. A triaxial accelerometer worn at the waist on the nonparetic side was used to estimate the time spent in sedentary behavior, light intensity physical activity, and moderate-to-vigorous intensity physical activity. Duration of sedentary behavior was categorized into two groups (either short bouts of 1 to 29 min or prolonged bouts of 30 min or more). Walking ability was categorized into four groups: Group D, walking dependence; Group R, walking independence within the room; Group W, walking independence within the ward; and Group F, walking independence within the facility. [Results] Groups W and F showed significantly longer durations of light intensity physical activity and shorter durations of prolonged sedentary behaviors (more than 30 min) compared to Group D. No differences in light intensity physical activity, sedentary behavior, or prolonged sedentary bouts were observed between groups R and D. Multivariate regression analysis revealed that walking ability was significantly associated with time spent in sedentary behavior and light intensity physical activity. [Conclusion] Increasing physical activity levels during hospitalization in patients with stroke depends not only on walking independence but also on the extent of available walking space.

Abstract Image

住院中风患者步行空间与身体活动的关系:一项横断面研究。
【目的】本研究旨在探讨卒中住院患者身体活动、久坐模式和步行空间之间的关系。[参与者和方法]本横断面观察性研究纳入52例脑卒中住院患者(平均年龄72.6±11.3岁)。在非父母侧腰部佩戴的三轴加速度计用于估计久坐行为、轻强度体力活动和中等至高强度体力活动所花费的时间。久坐行为的持续时间被分为两组(1 - 29分钟的短时间或30分钟以上的长时间)。行走能力分为四组:D组,行走依赖;R组,在房间内独立行走;W组,病房内行走独立;F组,在设施内独立行走。[结果]与d组相比,W组和F组的轻强度体力活动持续时间更长,长时间久坐行为(超过30分钟)持续时间更短。多变量回归分析显示,行走能力与久坐行为和低强度体力活动的时间显著相关。[结论]卒中患者住院期间增加身体活动水平不仅取决于行走独立性,还取决于可用行走空间的大小。
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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