Department of Neuromedicine and Movement Science, Trondheim, Norway.
J Rehabil Med. 2019 Oct 29;51(10):755-760. doi: 10.2340/16501977-2610.
To explore mechanisms affecting mental health in patients with stroke. The aims were to investigate the association between pre-stroke physical activity and symptoms of anxiety and depression 3 months after stroke, and to investigate how self-reported physical activity changed from before to 3 months after the stroke.
Secondary analyses of a prospective observational multicentre study.
Stroke patients from 11 Norwegian stroke units.
Symptoms of anxiety and depression were measured using the Hospital Anxiety and Depression Scale, and physical activity was assessed by self-report. Negative binomial regression was used to analyse associations.
The analysed sample consisted of 205 patients; mean age was 74 years (standard deviation (SD) 11.5); 46% were women. Higher activity levels before stroke were associated with fewer symptoms of depression in multivariable analyses with regression coefficient of 0.84 (95% confidence interval 0.73-0.97), p = 0.015. Eighty-five (41.5%) patients reported similar activity levels before and after stroke.
In this group of patients with mild symptoms of emotional distress, it seems that pre-stroke physical activity might be protective against post-stroke depression, but not anxiety. Many patients with mild-to-moderate stroke report being equally active before and after the stroke.
探讨影响脑卒中患者心理健康的机制。本研究旨在探讨脑卒中前体力活动与脑卒中后 3 个月焦虑和抑郁症状之间的关系，并探讨自我报告的体力活动从脑卒中前到 3 个月后的变化情况。
前瞻性观察性多中心研究的二次分析。
来自挪威 11 个卒中单元的卒中患者。
使用医院焦虑抑郁量表评估焦虑和抑郁症状，通过自我报告评估体力活动。采用负二项回归分析来分析相关性。
分析样本包括 205 例患者；平均年龄为 74 岁（标准差 11.5）；46%为女性。多变量分析中，卒中前较高的活动水平与抑郁症状较少相关，回归系数为 0.84（95%置信区间 0.73-0.97），p=0.015。85 例（41.5%）患者报告卒中前后活动水平相似。
在这群有轻度情绪困扰症状的患者中，卒中前的体力活动似乎可以预防卒中后抑郁，但不能预防焦虑。许多有轻中度卒中的患者报告在卒中前后的活动水平相似。
