Kähler Maria, Nilsson Hanna M, Rosengren Lina, Jacobsson Lars, Lexell Jan
Department of Health Sciences, Rehabilitation Medicine Research Group, Lund University, Lund, Sweden.
Department of Rehabilitation, Sunderby Hospital, Luleå, Sweden.
PM R. 2025 May;17(5):513-521. doi: 10.1002/pmrj.13297. Epub 2025 Jan 3.
Physical activity (PA) after stroke has significant health benefits if it is conducted regularly, with sufficient intensity and duration. Because of the health benefits, it is important to identify those below the World Health Organization (WHO) recommended level of PA. However, few studies have assessed the level of PA after stroke in relation to the WHO recommendations and which sociodemographic factors and stroke characteristics are associated with those below the WHO recommendations.
To assess survivors of stroke at least 1 year after onset and (1) describe their self-reported level of PA; (2) explore the association between PA, sociodemographics, and stroke characteristics, and (3) determine the characteristics of those below the WHO recommended level of PA.
Cross-sectional descriptive survey.
Community settings.
Data were collected from 160 survivors of stroke (mean age 73 years, 46% women, mean time since stroke onset 35 months).
Not applicable.
The Swedish National Board of Health and Welfare Physical Activity Questionnaire and the following sociodemographics and stroke characteristics: gender, age, marital status, vocational situation, need for home help, use of mobility devices, time since stroke onset, first-time stroke, type of stroke, location of stroke, and stroke treatment.
Two thirds (66.3%) of the participants were below the WHO recommendations. The hierarchical regression analysis explained 13% of the variance in PA with need for home help as a single significant contributor. Those who did not meet the WHO recommendations were significantly older, more likely to live alone, and in need of home help and mobility devices.
A majority of survivors of stroke do not meet the WHO recommended level of PA. Future studies should assess how other factors characterize those who are physically inactive. This knowledge could help rehabilitation professionals to target interventions and self-management programs to promote PA among survivors of stroke.
中风后进行规律、强度和时长足够的体育活动（PA）对健康有显著益处。鉴于这些健康益处，识别未达到世界卫生组织（WHO）推荐PA水平的人群很重要。然而，很少有研究评估中风后PA水平与WHO建议的关系，以及哪些社会人口学因素和中风特征与未达到WHO建议水平的人群相关。
评估中风发病至少1年后的幸存者，（1）描述他们自我报告的PA水平；（2）探讨PA、社会人口学和中风特征之间的关联，以及（3）确定未达到WHO推荐PA水平的人群的特征。
横断面描述性调查。
社区环境。
收集了160名中风幸存者的数据（平均年龄73岁，46%为女性，中风发病后的平均时间为35个月）。
不适用。
瑞典国家卫生和福利委员会体育活动问卷以及以下社会人口学和中风特征：性别、年龄、婚姻状况、职业状况、是否需要家庭帮助、是否使用移动设备、中风发病后的时间、首次中风、中风类型、中风部位和中风治疗。
三分之二（66.3%）的参与者未达到WHO的建议。分层回归分析表明，需要家庭帮助是PA差异的一个显著单一因素，解释了13%的PA差异。未达到WHO建议的人群年龄显著更大，更可能独居，且需要家庭帮助和移动设备。
大多数中风幸存者未达到WHO推荐的PA水平。未来的研究应评估其他哪些因素可表征缺乏身体活动的人群。这些知识可帮助康复专业人员针对干预措施和自我管理项目，以促进中风幸存者的PA。
