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

Neurology ◽  
2018 ◽  
Vol 91 (16) ◽  
pp. e1461-e1467 ◽  
Author(s):  
Malin Reinholdsson ◽  
Annie Palstam ◽  
Katharina S. Sunnerhagen
Keyword(s):  
Physical Activity ◽  
Acute Stroke ◽  
Odds Ratio ◽  
Negative Binomial ◽  
Negative Binomial Regression ◽  
Activity Level ◽  
Stroke Severity ◽  
Cross Sectional ◽  
Severe Stroke ◽  
Younger Age

ObjectiveTo investigate the influence of prestroke physical activity (PA) on acute stroke severity.MethodsData 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.ResultsThe 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 to be beneficial. Physical inactivity was associated with increased stroke severity.ConclusionsThis study suggests that PA and younger age could result in a less severe stroke. Both light PA such as walking at least 4 h/wk and moderate PA 2–3 h/wk appear to be beneficial.

scholarly journals Prevalence and Correlates of Musculoskeletal Pain in Adults with Type 2 Diabetes in Populations with Low-Risk of Obesity: A Cross- Sectional Study

2020 ◽  
Vol 30 (6) ◽  
Author(s):  
Adedapo W Awotidebe ◽  
Auwalu Shehu
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Musculoskeletal Pain ◽  
Odds Ratio ◽  
Activity Level ◽  
Low Risk ◽  
Point Prevalence ◽  
Cross Sectional ◽  
Factors Associated

BACKGROUND፡ There are few data concerning the prevalence and predictors of musculoskeletal pain among adults with type 2 diabetes in population with low-risk of obesity. Our objective was to describe the point prevalence and factors associated with increased risk of musculoskeletal pain in this population.METHODS: A cross-sectional data of 200 adults with type 2 diabetes, aged ≥ 18 years who were attending two tertiary hospitals were examined. Musculoskeletal pain and physical activity were collected with Nordic Musculoskeletal Questionnaire (NMQ) and International Physical Activity Questionnaire (IPAQSF) respectively. We used logistic regression to examine the risks associated with musculoskeletal pain.RESULTS: The point prevalence of musculoskeletal pain was 72.7% and similar between men (72.3%) and women (73.1%). In the last 7days, advancing age (odds ratio=1.09;95%CI:1.02-1.16) and comorbidity (odds ratio=3.0;95%CI:1.07-8.39) were risk factors associated with musculoskeletal pain. In the last 12 months, only comorbidity (odds ratio=5.57;95%CI:1.62-19.17) was a risk factor for increasing musculoskeletal pain. However, a unit increase in physical activity level (odds ratio=0.06;95%CI:0.008-0.51) was associated with decreased odds of musculoskeletal pain.CONCLUSIONS: The prevalence of musculoskeletal pain was high and physical activity was associated with a decreased risk thereof. A further research should be evaluated on the influence of physical activity on musculoskeletal pain.

scholarly journals Cross-sectional analysis of self-reported sedentary behaviors and chronic knee pain among South Korean adults over 50 years of age in KNHANES 2013-2015

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sook-Hyun Lee ◽  
Chihyoung Son ◽  
Sujung Yeo ◽  
In-Hyuk Ha
Keyword(s):  
Physical Activity ◽  
Sedentary Behavior ◽  
Knee Pain ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Cross Sectional Study ◽  
Activity Level ◽  
Sedentary Behaviors ◽  
Cross Sectional ◽  
Chronic Knee Pain

Abstract Background An increasing amount of evidence supports an association between sedentary behaviors and chronic knee pain. However, the association between the total daily duration of sedentary behavior and chronic knee pain in the general population remains unclear. We aimed to analyze the association between sedentary behavior and chronic knee pain in a study population representative of the general Korean population aged > 50 years while also considering the physical activity or body mass index (BMI). Methods This cross-sectional study used data from the 6th Korean National Health and Nutrition Examination Survey (KNHANES VI) of 2013–2015, which was completed by 22,948 Korean adult participants aged > 50 years. The participants were divided into two groups based on the status of the chronic knee pain. Data were analyzed using multivariable logistic regression after adjustment for age, sex, and individual factors. Results Longer sedentary behavior was correlated with chronic knee pain (p for trend = 0.02). Sedentary behavior exceeding 10 h/day was significantly associated with chronic knee pain (adjusted odds ratio, 1.28; p = 0.03). Participants with high levels of physical activity were less likely to suffer from chronic knee pain (adjusted odds ratio, 0.78; p = 0.00), and women with over 10 daily hours of sedentary behavior with high levels of physical activity were more likely to have chronic knee pain. A significant association was noted between chronic knee pain and obesity (≥30.0 kg/m2) individuals (adjusted odds ratio, 3.48; p = 0.04). Conclusions Longer duration of sedentary behaviors was correlated with chronic knee pain. Our study suggests the need to encourage reductions in overall sedentary behavior to < 10 h daily. A high physical activity level is recommended, particularly for women > 50 years and those with obesity.

scholarly journals Acute Hospital Admission for Stroke Is Characterised by Inactivity

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
R. Sheedy ◽  
S. F. Kramer ◽  
L. Johnson ◽  
N. Shields ◽  
L. Churilov ◽  
...  
Keyword(s):  
Physical Activity ◽  
Acute Stroke ◽  
Physical Activity Behaviour ◽  
Cross Sectional Study ◽  
Inpatient Setting ◽  
Stroke Severity ◽  
Stroke Survivors ◽  
Accelerometer Data ◽  
Cross Sectional ◽  
Inpatient Hospitalisation

Background. Measuring physical activity behaviours of stroke survivors in the inpatient setting is challenging. Authors of observational studies of early poststroke report that stroke survivors are “inactive and alone”. Using activity monitoring devices may help refine clinical practice and inform therapeutic activity targets. Aim. To measure the physical activity behaviour of stroke survivors during acute inpatient hospitalisation. We hypothesized that greater levels of inactivity would be positively associated with stroke severity and age. Method. Using a cross-sectional study design, consecutive stroke patients admitted to an acute stroke unit (Geelong, Australia) and recruited within 48 hours of admission had their physical activity recorded using an ActivPAL™ accelerometer device over a minimum of 3 days. Activity was categorised as time spent inactive (lying or sitting), standing, or stepping. The number of steps per day was recorded. Demographic and ActivPal™ data are described. Results. Seventy-eight stroke survivors were recruited of whom 54 had complete data for 3 days, all starting within 2 days poststroke. Of the 54 participants, 32 had a mild stroke, 17 moderate, and five severe stroke. Nine were able to walk independently at admission. The median age was 82.5 years (interquartile range (IQR) 74-86), 26 were female. On average, during their inpatient stay, participants spent a median of 98% of their admission inactive. A median of 18 minutes per day was spent standing and less than a minute per day was spent walking amounting to a median of 169 steps taken per day. Conclusion. The ActivePal™ device was feasible to use in an acute stroke setting. We observed high levels of inactivity in the first days post-stroke, highlighting the ongoing challenge of promoting activity in the acute stroke period. To our knowledge, this is the largest study to provide objective data on time spent upright, walking, and sedentary using accelerometer data in an acute stroke setting.

Investigating a Message Tailoring Strategy to Improve Efficacy of Activity Promotion Interventions: A Study Protocol (Preprint)

2016 ◽  
Author(s):  
Leila Sadat Rezai ◽  
Catherine Marie Burns
Keyword(s):  
Physical Activity ◽  
Regulatory Focus ◽  
Message Framing ◽  
Physical Activity Behaviour ◽  
Activity Level ◽  
Regulatory Focus Theory ◽  
Cross Sectional ◽  
Physically Active ◽  
Activity Promotion ◽  
Focus Theory

BACKGROUND There have been challenges in designing effective behaviour-change interventions, including those that promote physical activity. One of the key reasons is that many of those systems do not account for individuals’ characteristics and their psychological differences, which affect their approach toward adopting target behaviour. For decades, tailoring has been used as a common technique to effectively communicate health-related information to persuade people to follow a healthier living. However, its use in the design of persuasive technologies has not been adequately investigated. OBJECTIVE The objective of this research is to explore the effects of tailoring when it is grounded in Higgins’ regulatory focus theory. METHODS A combination of cross-sectional and longitudinal studies has been proposed to examine how individuals’ intention to become more physically active would be affected by receiving health messages that may or may not match their self-regulatory orientation. The research would also subjectively, as well as objectively, measures the changes in individuals’ physical activity level. RESULTS The anticipated completion date for the consequent studies is December 2016. CONCLUSIONS In this article, the importance of refining message-framing research questions and a stepwise approach to develop an efficient experimental design to examine a new tailoring strategy is discussed. A set of small studies is proposed that would inform the best approach to design the principal experiment. The findings of principal experiment will provide a deeper insight into the relationship between regulatory-focus theory, persuasive message construction, and individuals’ physical activity behaviour.

scholarly journals Epidemiology of hypertension in selected towns of Wollega zones, Western Ethiopia, 2019: A community-based cross-sectional study

2021 ◽  
Vol 9 ◽  
pp. 205031212110245
Author(s):  
Getu Mosisa ◽  
Bikila Regassa ◽  
Bayise Biru
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Alcohol Consumption ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional

Introduction: Hypertension remains an emerging public health problem globally, particularly in developing countries. Age, income level, obesity, alcohol consumption, smoking, vegetables and fruit consumption, physical activity and chat chewing were some risk factors of hypertension. However, there are limited data on the epidemiology of hypertension in Ethiopia. This study aimed to assess Epidemiology of Hypertension among the community of selected towns of Wollega zones. Methods: A community-based cross-sectional study was conducted from 1 to 30 June 2019 in selected towns of Wollega zones. A multistage sampling technique was used to select 840 study participants. Data were collected using the WHO STEP wise approach. The data were coded and entered into EpiData 3, and exported to SPSS version 20.0 for analysis. Bivariate and multivariable logistic regression analyses were conducted. Statistical significance was declared at p-value < 0.05. Results: The study included a total of 838 respondents with a response rate of 99.7%. The prevalence of hypertension was found to be 189 (22.6%) (95% confidence interval = 19.9%–25.2%). Of this, 108 (12.9%) and 81 (9.7%) of female and male were hypertensive, respectively. Age groups of 30–44 years (adjusted odds ratio = 2.65 (1.43, 4.89)), 45–59 years (adjusted odds ratio = 3.55 (1.79, 7.04)), above 60 years (adjusted odds ratio = 2.97 (1.43, 6.18)), having history of alcohol consumption (adjusted odds ratio = 4.29 (2.4, 7.66)), involving in vigorous physical activity (adjusted odds ratio = 0.096 (0.028, 0.33)), not walking to and from the work (adjusted odds ratio = 13.12 (8.34, 20.67)), being overweight (adjusted odds ratio = 1.98 (1.21, 3.25)), inadequate fruits serving per day (adjusted odds ratio = 2.93 (1.75, 4.88)) were significantly associated with hypertension. Conclusion: The prevalence of hypertension was found to be high in the study area. Older age, alcohol consumption, not engaging in vigorous activity, physical inactivity, being overweight and inadequate intake of fruits were found to be risk factors for hypertension. Therefore, health care providers should provide extensive health education and promotion on recommended lifestyle modification to tackle the burden of hypertension.

scholarly journals The Association between Dry Eye Disease and Physical Activity as well as Sedentary Behavior: Results from the Osaka Study

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Motoko Kawashima ◽  
Miki Uchino ◽  
Norihiko Yokoi ◽  
Yuichi Uchino ◽  
Murat Dogru ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sedentary Behavior ◽  
Dry Eye ◽  
Visual Display ◽  
Dry Eye Disease ◽  
Activity Level ◽  
Eye Disease ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Large Groups

Purpose. To assess the association of dry eye disease (DED) with physical activity and sedentary behavior.Methods. The cross-sectional survey conducted included Japanese office workers who use visual display terminals (n=672). DED was assessed according to the Japanese Dry Eye Diagnostic Criteria, and participants were categorized into “definite DED,” “probable DED,” or “non-DED” groups based on the results of DED examinations. Physical activity and sedentary behavior of participants were assessed using the International Physical Activity Questionnaire (IPAQ), and physical activity level was calculated in metabolic equivalent units per week (MET, min/week). Participants were classified as having a high, moderate, or low level of physical activity.Results. Participants with abnormal tear break-up time (BUT) (≤5 s) were involved in sedentary behavior for significantly longer duration than those with normal BUT (P=0.035). Non-DED participants (14.5%) tended to have higher levels of physical activity than definite DED participants (2.5%). Participants with definite DED had significantly lower MET scores than those with non-DED (P=0.025).Conclusions. Our findings suggest that a lower level of physical activity and sedentary behavior are associated with DED; however, longitudinal/intervention studies with large groups of participants are needed to validate these findings.

scholarly journals Effect of Comorbidity Assessed by the Charlson Comorbidity Index on the Length of Stay, Costs and Mortality among Older Adults Hospitalised for Acute Stroke

2018 ◽  
Vol 15 (11) ◽  
pp. 2532 ◽  
Author(s):  
Richard Ofori-Asenso ◽  
Ella Zomer ◽  
Ken Chin ◽  
Si Si ◽  
Peter Markey ◽  
...  
Keyword(s):  
Older Adults ◽  
Length Of Stay ◽  
Acute Stroke ◽  
Charlson Comorbidity Index ◽  
Negative Binomial ◽  
Cox Regression ◽  
Negative Binomial Regression ◽  
Tertiary Hospital ◽  
Hospital Death ◽  
Comorbidity Index

The burden of comorbidity among stroke patients is high. The aim of this study was to examine the effect of comorbidity on the length of stay (LOS), costs, and mortality among older adults hospitalised for acute stroke. Among 776 older adults (mean age 80.1 ± 8.3 years; 46.7% female) hospitalised for acute stroke during July 2013 to December 2015 at a tertiary hospital in Melbourne, Australia, we collected data on LOS, costs, and discharge outcomes. Comorbidity was assessed via the Charlson Comorbidity Index (CCI), where a CCI score of 0–1 was considered low and a CCI ≥ 2 was high. Negative binomial regression and quantile regression were applied to examine the association between CCI and LOS and cost, respectively. Survival was evaluated with the Kaplan–Meier and Cox regression analyses. The median LOS was 1.1 days longer for patients with high CCI than for those with low CCI. In-hospital mortality rate was 18.2% (22.1% for high CCI versus 11.8% for low CCI, p < 0.0001). After controlling for confounders, high CCI was associated with longer LOS (incidence rate ratio [IRR]; 1.35, p < 0.0001) and increased likelihood of in-hospital death (hazard ratio [HR]; 1.91, p = 0.003). The adjusted median, 25th, and 75th percentile costs were AUD$2483 (26.1%), AUD$1446 (28.1%), and AUD$3140 (27.9%) higher for patients with high CCI than for those with low CCI. Among older adults hospitalised for acute stroke, higher global comorbidity (CCI ≥ 2) was associated adverse clinical outcomes. Measures to better manage comorbidities should be considered as part of wider strategies towards mitigating the social and economic impacts of stroke.

scholarly journals Level aktifitas fisik dan faktor risiko penyakit kardiovaskuler pada karyawan kantor di universitas

2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Febriani Fajar Ekawati ◽  
Tri Winarti Rahayu ◽  
Hendrig Joko Prasetyo
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Blood Pressure ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Pearson Correlation ◽  
Activity Level ◽  
Noncommunicable Diseases ◽  
Cross Sectional ◽  
University Employees

Noncommunicable Diseases (NCDs) merupakan salah satu penyebab kematian utama di dunia. Kurangnya aktivitas fisik dapat meningkatkan risiko penyakit ini. Meskipun telah banyak penelitian yang menyelidiki tentang hubungan aktivitas fisik dan faktor risiko penyakit kardiovaskuler, hanya terdapat beberapa penelitian di Indonesia yang menelaah tentang peran aktivitas fisik dalam perkembangan penyakit kardiovaskuler. Penelitian ini bertujuan untuk mendeskripsikan tentang tingkat aktivitas fisik dan menyelidiki hubungannya dengan faktor risiko penyakit kardiovaskuler pada karyawan kantor di lingkungan Universitas Sebelas Maret (UNS). Penelitian ini menggunakan desain penelitian potong lintang, dengan jumlah sampel sebanyak 44 orang. Data level aktivitas fisik diperoleh dari International Physical Activity Questionnaire (IPAQ). Sedangkan faktor-faktor risiko penyakit kardiovaskuler (gula darah, kolesterol, tekanan darah, lingkar pinggang, dan IMT) diukur dengan menggunakan alat ukur yang sesuai. Hasil penelitian menunjukkan bahwa level aktivitas fisik karyawan berkategori Rendah sebesar 6.82%, Sedang sebesar 72.73%, dan Tinggi sebesar 20.45%. Berdasarkan uji Pearson Correlation, tekanan darah baik sistolik dan diastolik mempunyai hubungan yang signifikan dengan level aktivitas fisik. Tidak ada hubungan yang signifikan antara level aktivitas fisik dengan faktor risiko lainnya dalam penelitian ini. Secara umum penelitian ini menunjukkan bahwa level aktivitas fisik karyawan di lingkungan UNS adalah berkategori sedang, dan tekanan darah mempunyai hubungan yang signifikan dengan aktivitas fisik. Physical activity level and cardiovascular risk factors among university employees AbstractNoncommunicable Diseases (NCDs) are one of the leading deaths in the world. Insufficiency of physical activity (PA) escalate the risk of NCDs. Although the reports of the studies investigating the relationship between PA and cardiovascular risk factors are abundance, only a few studies in Indonesia examined the role of PA in the development of cardiovascular diseases. The aim of this study was to describe the level of PA and investigate the relationships between PA and cardiovascular risk factors among UNS employees. This was a cross sectional study with a sample of 44 university employees. PA level was assessed using IPAQ. Meanwhile cardiovascular risk factors such as plasma glucose, cholesterol, blood pressure, waist circumference, and BMI were measured using an appropriate tool for each measure. The results revealed that participants with low level of PA (6.82%), moderate category (72.73%), and high category (20.45%). Pearson Correlation analysis showed blood pressure both systolic and diastolic had a significant association with PA level. There was no a significant association between PA level and others cardiovascular risk factors in this research. Generally, this study exhibited the level of PA among UNS employees in the moderate category, and blood pressure had a significant association with PA.

scholarly journals Relations of Food Pattern and Physical Activity with Academic Achievement and Cognitive Function

2020 ◽  
Vol 2 (2) ◽  
pp. 56-65
Author(s):  
Ayu Wulandari ◽  
Zulhaida Lubis ◽  
Evawani Aritonang
Keyword(s):  
Physical Activity ◽  
Academic Achievement ◽  
Cognitive Function ◽  
Cross Sectional Study ◽  
Activity Level ◽  
P Value ◽  
Moderate Physical Activity ◽  
Cross Sectional ◽  
Food Pattern ◽  
Food Patterns

Introduction: The results of the initial survey showed that there were seven children with low food pattern and moderate physical activity was having a cognitive function and low academic achievement at school, and three children with good food pattern and moderate physical activity were having good cognitive and high academic achievement in school. This study was to determine the relations of food patterns and physical activity with academic achievement and cognitive function. Methods: This study was a cross-sectional study that was conducted at Elementary School 2 Blangkeujeren, West Labuhanhaji Sub-district, South Aceh District from March 2017 to June 2017. This study used a total sampling design is 81 students. Subjects are all students in grade five (42 students) and six (39 students). Data were collected by using questionnaires include Food Frequency Questionary (FFQ), Food Recall 24 hours, Physical Activity Level (PAL). Last year's report card value and the Mini-Mental State Examination (MMSE) were used to assess cognitive children. Results: The relationship between the type and the amount of macro and micronutrient intake obtained p-value<0.05. This study also showed a relationship between food patterns and cognitive function in children. Based on the research results, there is a relationship between physical activity and academic achievement (p<0.05). There is a relationship between physical activity and cognitive function in children. Conclusion: There is a relationship between food patterns, physical activity, academic achievement, and cognitive function.

scholarly journals Analysis of physical activity level and sedentary behavior before and after stroke: A cross-sectional study

2021 ◽  
Author(s):  
João Victor de Araújo Souza ◽  
Monalisa Silva de França ◽  
Nayara Karina Ferreira Pereira ◽  
Denise Soares de Araújo ◽  
Roberta de Oliveira Cacho ◽  
...  
Keyword(s):  
Physical Activity ◽  
Analytical Study ◽  
Chronic Phase ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Activity Level ◽  
Systemic Hypertension ◽  
Cross Sectional ◽  
Before And After ◽  
Regular Practice

Introduction: Stroke is a major cause of death and mortality worldwide. The sedentary lifestyle is a modifiable risk factor and the regular practice of physical activity can reduce the recurrence of stroke and its symptoms. Objective: To characterize the level of physical activity of post-stroke patients before and after the event. Methodology: This is a cross-sectional, analytical study. The population of the study consisted of patients diagnosed with stroke, in the chronic phase under treatment or that have already been discharged from the Physiotherapy School Clinic of FACISA in Santa Cruz-RN. The individuals were evaluated by the Modified Baecker Questionnaire for the Elderly (QBMI) that classifies the level of physical activity in: sedentary (-9), active (9 to 16), and athletes (+16). The normality of the variables was verified by the Shapiro-Wilk test. Wilcoxon’s test was used for comparative analysis of QBMI before and after stroke. Results: Nineteen patients participated (8 male and 11 female) with a mean age of 63 years, of these, 11 had systemic hypertension. Before, 3 were classified as sedentary (score mean: 5.34), 5 active (score mean: 12.254) and 1 athlete ( score mean: 27.04). After the stroke, 18 were classified as sedentary (score mean: 1.46) (p=0.001). Conclusion: There was a reduction in the participants’ level of physical activity, showing greater sedentariness after stroke, although physical activity is essential for secondary prevention of stroke.

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