Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, March 14, 2019

039 - Low Levels of Moderate to Vigorous Physical Activity is Associated With Fewer Years Lived Free of Cardiovascular Disease: The Cardiovascular Lifetime Risk Pooling Project

Hell, I had high levels of vigorous physical activity and had the cardiovascular fitness of an athlete and still had a stroke. Good conscience laundering but not really that helpful. I'll live some 40 years past my stroke which means I'll have lived with cardivascular disease 4/9s of my life(44%).

039 - Low Levels of Moderate to Vigorous Physical Activity is Associated With Fewer Years Lived Free of Cardiovascular Disease: The Cardiovascular Lifetime Risk Pooling Project

Session 10 - Physical Activity

039 - Low Levels of Moderate to Vigorous Physical Activity is Associated With Fewer Years Lived Free of Cardiovascular Disease: The Cardiovascular Lifetime Risk Pooling Project

Itinerary

March 8, 2019, 10:56 AM - 11:07 AM

Galleria Ballroom - 3rd Floor

Authors: Amanda Paluch, Northwestern Univ, Chicago, IL; Hongyan Ning, Mercedes Carnethon, Northwestern Univ Feinberg Sch of Med, Chicago, IL; Kelley Pettee Gabriel, Univ of Texas Health Science Ctr at Houston, Sch of Public Health - Austin Campus, Austin, TX; Norrina Allen, Donald Lloyd-Jones, John Wilkins, Northwestern Univ Feinberg Sch of Med, Chicago, IL
Disclosures: A. Paluch: None. H. Ning: None. M. Carnethon: None. K. Pettee Gabriel: None. N. Allen: None. D. Lloyd-Jones: None. J. Wilkins: None.

Abstract

: Background: Quantifying the associations of moderate to vigorous intensity physical activity (MVPA) with years lived free of cardiovascular disease (CVD) allows for contextualization of the population burden and provides a metric for clinician-patient communication. We hypothesized that individuals with lower levels of MVPA during middle age will have fewer years lived free of CVD compared to those with higher levels.
Methods: A standardized z-score for MVPA was created based on participant-reported physical activity in 28,466 middle aged adults aged 40-59 years (43.6% women) in 6 U.S. prospective cohort studies. Z-scores were then categorized into quartiles for each cohort. Rates (person-years) of incident CVD and death were summed for participants up to age 95 years, or to the oldest age of observation. Irwin’s restricted mean was used to calculate years lived free from CVD and overall survival stratified by sex.
Results: Over 514,324 person-years of follow-up, 3,556 CVD events were observed. Whereas there was no difference in survival time among participants in the upper 3 quartiles, women in the lowest quartile vs. the next lowest quartile lived 3.2 fewer years and men lived 1.2 fewer years free of CVD. Survival after a CVD event was lower for women in the lowest MVPA quartile (mean±S.E: 0.07±0.32 years) compared to all other quartiles (Q2: 0.67±0.16 years to Q4: 0.96±0.16 years). Survival after CVD events was similar across all quartiles of MVPA for men, ranging from 1.1±0.05 to 1.4±0.05 years.
Conclusions: The benefits of physical activity extend multiple decades into older ages. Even modest levels of physical activity during middle age is associated with longer CVD-free survival, particularly among women.