■在中风后的慢性期,日常生活活动(ADL)和工具性ADL(IADL)的局限性最初是平稳的,然后才稳步增加。然而,卒中前体力活动水平对这些局限性的益处尚不清楚.为了澄清这种关系,这项研究比较了体力活动对卒中幸存者和无卒中对照者I/ADL局限性长期演变的影响.
■来自2,143名中风幸存者和10,717名匹配的50岁及以上无中风对照组的纵向数据来自健康调查,欧洲的老龄化和退休(份额;2004-2020年)。根据卒中后慢性期的卒中事件之前的波和I/ADL限制的数量评估体力活动。每个卒中幸存者与5个无卒中对照相匹配,这些对照具有基于关键协变量计算的相似倾向评分。将卒中前体力活动对卒中幸存者I/ADL限制的影响与无卒中对照组的影响进行比较,在体力活动和I/ADL评估之间使用线性混合效应模型进行年龄调整,性别,教育水平,以及慢性病的数量。
■在中风幸存者中,卒中前体力活动对卒中后ADL限制的有益作用明显强于与基线年龄相匹配的无卒中对照组,性别,身体质量指数,I/ADL的限制,慢性疾病,和居住国,在任何参与者经历中风之前。
■体力活动是一种有效的预防性干预措施,可降低中风后功能依赖的风险。此外,卒中前体力活动水平是卒中后功能依赖预后的重要变量。
■http://www.share-project.org/data-access.htmlhttps://doi.org/10.6103/SHARE。w1.600https://doi.org/10.6103/SHARE。w2.600https://doi.org/10.6103/SHARE。w4.600https://doi.org/10.6103/SHARE。w5.600https://doi.org/10.6103/SHARE。w6.600https://doi.org/10.6103/SHARE。w7.711https://doi.org/10.6103/SHARE。w8.800.
■https://github.com/matthieuboisgontier/Stroke_Physical-Activity。
UNASSIGNED: In the chronic phase after a stroke, limitations in activities of daily living (ADLs) and instrumental ADL (IADLs) initially plateau before steadily increasing. The benefits of pre-stroke physical activity on these limitations remain unclear. To clarify this relationship, we examined the effect of physical activity on the long-term evolution of functional limitations in a cohort of stroke survivors and compared it to a cohort of matched stroke-free adults.
UNASSIGNED: Longitudinal data from 2,143 stroke survivors and 10,717 stroke-free adults aged 50 years and older were drawn from a prospective cohort study based on the Survey of Health, Ageing and Retirement in Europe (2004-2022; 8 data collection waves). Physical activity was assessed in the pre-stroke wave. Functional limitations were assessed in the post-stroke waves. Each stroke survivor was matched with 5 stroke-free adults who had similar propensity scores computed on the basis of key covariates, including baseline age, sex, body mass index, limitations in ADL and IADL, chronic conditions and country of residence, before any of the participants from either cohort had experienced a stroke.
UNASSIGNED: Results showed an interaction between stroke status and physical activity on ADL limitations (b = -0.076; 95% CI = -0.142 to -0.011), with the effect of physical activity being stronger in stroke survivors (b = -0.345, 95% CI = -0.438 to -0.252) than in stroke-free adults (b = -0.269, 95% CI = -0.269 to -0.241).
UNASSIGNED: The beneficial effect of pre-stroke physical activity on ADL limitations after stroke is stronger than its effect in matched stroke-free adults followed for a similar number of years.
UNASSIGNED: Physical activity, an intervention within the physical therapist\'s scope of practice, is effective in reducing the risk of functional dependence after stroke. Moreover, pre-stroke levels of physical activity can inform the prognosis of functional dependence in stroke survivors.