This doesn't help at all. We need interventions that allow us to do the exercise needed. This does nothing of the sort. Measuring failure is useless for survivors. DO YOU NOT UNDERSTAND?
Adherence to physical activity and cardiovascular recommendations during the 2 years after stroke rehabilitation discharge
Abstract
BACKGROUND:
Objective
measurement is essential to represent habitual physical activity. Only
one study objectively measured physical activity for > 12 months
after stroke.
OBJECTIVES:
This study aimed to measure physical activity,
cardiovascular risk factors, mobility, mood, fatigue and cognition
during the 2 years after rehabilitation discharge and to investigate
whether stroke survivors meet physical activity and cardiovascular risk
recommendations.
METHODS:
This was a longitudinal observational study.
Survivors of a first-ever stroke admitted to a large metropolitan
rehabilitation hospital were recruited. Outcomes were measured at
rehabilitation discharge and 6, 12 and 24 months later. Outcomes were
physical activity measured by the SenseWear Armband (e.g.,
moderate-vigorous physical activity, steps/day) and cardiovascular risk
factors (e.g., blood pressure, fasting lipid profile and plasma glucose,
waist circumference, body mass index), mobility, mood, fatigue and
cognition. Changes over time were evaluated with random effects
regression modelling.
RESULTS:
Participants (n=79, 33% female) had mean
(SD) age of 65 (14) years and median gait speed 1.2 m/s (interquartile
range 0.8-1.4) at baseline. We found no change in physical activity
levels over time. Step count and time spent in bouts of
moderate-vigorous physical activity remained low. Many participants
achieved the recommended 30 min of daily moderate-vigorous physical
activity at baseline, but this was decreased at 2 years (72% [57/79]
versus 65% [37/57]). Adherence to cardiovascular recommendations
decreased over time, notably for body mass index, plasma glucose and
triglyceride levels. Waist circumference and body mass index increased
at each time point relative to baseline (by a mean of 3.2 cm and 1.2
kg.m2, respectively, at 2 years, p<0.01).
CONCLUSIONS:
This is the
largest longitudinal study of objectively measured physical activity
after stroke. Adherence to cardiovascular risk recommendations decreased
over time post-stroke, and physical activity levels remained low.
Stroke survivors may benefit from annual multi-disciplinary reviews to
identify increasing risk and initiate appropriate interventions.
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