Department of Physiotherapy, Oslo University Hospital (OUS), Norway; Department of Geriatric Medicine, OUS, Norway; Institute of Clinical Medicine, University of Oslo (UiO), Norway; Department of Neurology, OUS, Norway.
Department of Internal Medicine, Central Hospital, Karlstad, Sweden; Department of Neurology, Central Hospital, Karlstad and Örebro, Sweden; School of Medical Sciences, Örebro University, Sweden.
J Stroke Cerebrovasc Dis. 2021 Apr;30(4):105628. doi: 10.1016/j.jstrokecerebrovasdis.2021.105628. Epub 2021 Jan 25.
To explore factors from the acute phase, and after three and 12 months, associated with level of self-reported physical activity 12 months after a minor ischemic stroke with National Institutes of Health Stroke Scale (NIHSS) score ≤ 3 in persons 70 years or younger.
In this longitudinal cohort study patients were recruited consecutively from two stroke units. Activity level were measured with three sets of questions addressing the average number of frequency (times exercising each week), the average intensity, and duration (the average time), and a sum score was constructed. The association between physical activity 12 months after stroke and sociodemographic factors, NIHSS, body mass index, balance, and neuropsychiatric symptoms were explored using multiple linear regression.
This study included 101 patients, with mean age (SD) 55.5 (11.4) years, NIHSS median (Q, Q) 0.0 (0.0, 1.0), and 20 % were female. Multiple linear regression analyses showed sick leave status at stroke onset, balance at three and 12 months, and anxiety, depression, apathy, and fatigue at 12 months to be factors associated with physical activity at 12 months after stroke.
We found that pre-stroke sick leave, post-stroke balance, and neuropsychiatric symptoms were associated with the level of physical activity one year after minor stroke. This might be of importance when giving information about physical activity and deciding about post-stroke follow-up.
探讨与发病后 3 个月和 12 个月的急性期相关的因素，以及与发病后 12 个月 NIHSS 评分≤3 的 70 岁以下小卒中患者自我报告的身体活动水平相关的因素。
在这项纵向队列研究中，连续从两个卒中单元招募了患者。通过三组问题测量活动水平，分别是平均频率（每周锻炼次数）、平均强度和持续时间（平均时间），并构建一个总和得分。使用多元线性回归探讨了发病后 12 个月的身体活动与社会人口因素、NIHSS、体重指数、平衡和神经精神症状之间的关系。
本研究纳入了 101 例患者，平均年龄（标准差）为 55.5（11.4）岁，NIHSS 中位数（四分位数间距）为 0.0（0.0，1.0），20%为女性。多元线性回归分析显示，发病时的病假状态、发病后 3 个月和 12 个月的平衡以及发病后 12 个月的焦虑、抑郁、淡漠和疲劳是与发病后 12 个月身体活动相关的因素。
我们发现，发病前的病假、发病后的平衡以及神经精神症状与小卒中后一年的身体活动水平有关。在提供身体活动信息和决定卒中后随访时，这可能很重要。
