Rahman Md Sazedur, Adams Jon, Peng Wenbo, Sibbritt David
School of Public Health, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.
Top Stroke Rehabil. 2025 Mar;32(2):161-172. doi: 10.1080/10749357.2024.2377517. Epub 2024 Jul 15.
This longitudinal study aimed to explore the impacts of adopting a healthy lifestyle on self-reported physical and mental health outcomes among Australian females who are living with stroke.
The study utilized data retrieved from the Australian Longitudinal Study on Women's Health's 1946-51 cohort (from survey 5 conducted in 2007 to survey 9 conducted in 2019), focusing on 531 female stroke survivors. The dependent variables for this study were self-reported physical and mental health status, whereas the independent variables were lifestyle behaviors, including physical activity, smoking, alcohol consumption, and supplement use. Generalized Estimating Equation models were employed to assess the longitudinal associations between a dependent variable and the independent and confounding variables.
The average age of the participants was 58.1 (SD = 1.4) years in survey 5 and 70.5 years in survey 9. The longitudinal analyses revealed that stroke survivors who engaged in moderate/high levels of physical activity had significantly better physical and mental health status than their inactive or sedentary counterparts. Besides, current smokers had significantly poorer physical and mental health status than nonsmokers. In addition, risky/high-risk alcohol consumers had significantly poorer mental health status compared to no/low-risk alcohol consumers.
Our findings suggest that post-stroke individuals can improve their physical and mental health by maintaining a healthy lifestyle. Specifically, targeted and appropriate programs and strategies are needed to promote physical activity and reduce smoking and alcohol consumption in female stroke survivors in order to optimize their overall health and quality of life.
这项纵向研究旨在探讨采用健康生活方式对澳大利亚中风女性自我报告的身心健康结果的影响。
该研究利用了从澳大利亚女性健康纵向研究1946 - 51队列（从2007年进行的第5次调查到2019年进行的第9次调查）中检索到的数据，重点关注531名女性中风幸存者。本研究的因变量是自我报告的身心健康状况，而自变量是生活方式行为，包括体育活动、吸烟、饮酒和补充剂使用。采用广义估计方程模型来评估因变量与自变量和混杂变量之间的纵向关联。
在第5次调查中，参与者的平均年龄为58.1（标准差 = 1.4）岁，在第9次调查中为70.5岁。纵向分析显示，进行中度/高强度体育活动的中风幸存者的身心健康状况明显优于不活动或久坐的同龄人。此外，目前吸烟者的身心健康状况明显比不吸烟者差。此外，与不饮酒/低风险饮酒者相比，高风险/高饮酒量者的心理健康状况明显较差。
我们的研究结果表明，中风后个体可以通过保持健康的生活方式来改善身心健康。具体而言，需要有针对性的适当计划和策略来促进女性中风幸存者的体育活动，减少吸烟和饮酒，以优化她们的整体健康和生活质量。
