Highlights
- lNondisabled stroke survivors reported low levels of transport-related physical activity.
- lNondisabled stroke survivors had low levels of adherence to aerobic exercise guidelines.
- lSedentary time was higher among nondisabled stroke survivors than among healthy controls.
- lEnvironmental factors affected survivors’ levels of physical activity and sedentary behavior.
- lThe factors related to physical activity differed between those who had a stroke and those who had experienced ischemic heart disease.
Abstract
Objectives
To investigate the levels of physical activity and sedentary behavior, and the factors
associated with these, in middle-aged and elderly stroke survivors who had no limitations
to their physical activity.
Study design and main outcome measures
We analyzed physical activity and sedentary behavior patterns using data from 12,986
community-dwelling adults aged ≥50 years without activity limitation: 377 stroke survivors,
531 ischemic heart disease (IHD) survivors, and 12,078 healthy controls in the Korean
National Health and Nutrition Examination Survey. The prevalence and associated factors
of compliance to aerobic activity guidelines and prolonged sedentary time were investigated
using complex-sample statistics.
Results
Stroke survivors spent less time in transport-related activities and walking than
healthy controls. Stroke survivors, despite having no restriction in daily and social
activities, had lower rates of compliance with aerobic activity guidelines (32.4%)
and a higher prevalence of long sedentary time (56.6%) than IHD survivors (aerobic
activity, 36.3%; sedentary behavior, 55.1%) and healthy controls (aerobic activity,
42.4%; sedentary behavior, 46.2%). Stroke survivors with hypertension were less likely
to engage in recommended aerobic activity. Higher levels of education were positively
associated with both aerobic activity compliance and long sedentary time. Although
older age was associated with long sedentary time, stroke survivors with hypercholesterolemia
and those who were married and living with their spouses were less likely to have
a long sedentary time.
Conclusions
Nondisabled stroke survivors tended to spend less time in aerobic activity and more
time in sedentary behavior than IHD survivors and healthy controls, and environmental
factors had a considerable impact on their levels of physical activity and sedentary
behavior.
Keywords
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Article info
Publication history
Published online: November 12, 2021
Accepted:
November 9,
2021
Received in revised form:
October 14,
2021
Received:
October 1,
2020
Identification
Copyright
© 2021 Elsevier B.V. All rights reserved.
