Kobayashi Sota, Hasegawa Satoshi, Yamazaki Shun, Tsugane Tsubasa, Takahashi Shigeru, Kaneko Mieko, Asakura Tomoyuki, Usuda Shigeru
Department of Physical Therapy, Niigata University of Health and Welfare: 1398 Shimami-cho, Kita-ku, Niigata-shi, Niigata 950-3198, Japan.
Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Japan.
J Phys Ther Sci. 2025 Sep;37(9):486-492. doi: 10.1589/jpts.37.486. Epub 2025 Sep 1.
[Purpose] This study aimed to investigate the associations among physical activity, sedentary patterns, and walking spaces in patients hospitalized after stroke. [Participants and Methods] This cross-sectional observational study included 52 patients (mean age, 72.6 ± 11.3 years) hospitalized following stroke. A triaxial accelerometer worn at the waist on the nonparetic side was used to estimate the time spent in sedentary behavior, light intensity physical activity, and moderate-to-vigorous intensity physical activity. Duration of sedentary behavior was categorized into two groups (either short bouts of 1 to 29 min or prolonged bouts of 30 min or more). Walking ability was categorized into four groups: Group D, walking dependence; Group R, walking independence within the room; Group W, walking independence within the ward; and Group F, walking independence within the facility. [Results] Groups W and F showed significantly longer durations of light intensity physical activity and shorter durations of prolonged sedentary behaviors (more than 30 min) compared to Group D. No differences in light intensity physical activity, sedentary behavior, or prolonged sedentary bouts were observed between groups R and D. Multivariate regression analysis revealed that walking ability was significantly associated with time spent in sedentary behavior and light intensity physical activity. [Conclusion] Increasing physical activity levels during hospitalization in patients with stroke depends not only on walking independence but also on the extent of available walking space.
[目的] 本研究旨在调查中风后住院患者的身体活动、久坐模式和步行空间之间的关联。[参与者与方法] 这项横断面观察性研究纳入了52例中风后住院患者（平均年龄72.6±11.3岁）。使用佩戴在非患侧腰部的三轴加速度计来估计久坐行为、轻度体力活动和中度至剧烈体力活动所花费的时间。久坐行为的持续时间分为两组（1至29分钟的短时间发作或30分钟及以上的长时间发作）。步行能力分为四组：D组，步行依赖；R组，在房间内步行独立；W组，在病房内步行独立；F组，在设施内步行独立。[结果] 与D组相比，W组和F组的轻度体力活动持续时间显著更长，长时间久坐行为（超过30分钟）的持续时间更短。R组和D组之间在轻度体力活动、久坐行为或长时间久坐发作方面未观察到差异。多因素回归分析显示，步行能力与久坐行为和轻度体力活动所花费的时间显著相关。[结论] 中风患者住院期间增加身体活动水平不仅取决于步行独立性，还取决于可用步行空间的范围。
