Deans' stroke musings: Association Between Physical Activity Dose and Mental Health Among Stroke Survivors

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.

Wednesday, June 25, 2025

Association Between Physical Activity Dose and Mental Health Among Stroke Survivors

Why can't your stroke medical 'professionals' deliver recovery instead of this useless association crapola? Are they that fucking incompetent? I'd fire all of you!

Association Between Physical Activity Dose and Mental Health Among Stroke Survivors

Ajith Kumar Vemuri, PhD Seyyed Sina Hejazian, MD https://orcid.org/0000-0002-8448-1539, Alireza Vafaei Sadr, PhD https://orcid.org/0000-0002-5733-6678, Aishwarya Chandrasekaran, MS https://orcid.org/0009-0001-1378-1198, Sasan Bahrami, MD, Shouhao Zhou, PhD https://orcid.org/0000-0002-8124-5047, Jonathan Hakun, PhD, Christopher Sciamanna, MD, Vida Abedi, PhD https://orcid.org/0000-0001-7689-933X, and Ramin Zand, MD, MPH https://orcid.org/0000-0002-9477-0094 ramin.zand@gmail.comAuthor Info & AffiliationsJournal of the American Heart Association

New online

https://doi.org/10.1161/JAHA.124.04118

Abstract

Background

Although physical activity correlates with reduced depressive symptoms among survivors of stroke, how frequency, intensity, and duration of physical activity relate to mental health is unknown. This study aims to find the association of physical activity doses recommended in 2011, 2014, and 2021 American Heart Association/American Stroke Association guidelines with mental health burden (number of days of poor mental health). Analysis was expanded to find the optimal dose linked to mental health burden.

Methods

We used data from the 2011 to 2019 Behavioral Risk Factor Surveillance System, a nationally representative survey. The mental health burden between guideline‐adherent and nonadherent groups was compared. Propensity score matching was used to balance the 2 groups with respect to sociodemographic factors and comorbidities. The relative difference in mental health burden between the groups is reported. The impact of duration, frequency, and intensity was analyzed using nonlinear regression, adjusting for potential confounders. We further performed a comparative analysis among survivors of myocardial infarction.

Results

Survivors of stroke who adhered to 2011, 2014, and 2021 guidelines had 0.6, 0.8, and 0.3 fewer days of poor mental health, with relative differences of 11.1%, 14.8%, and 5.8%, respectively. Among survivors of stroke adhering to 2014 guidelines (3–4 sessions/week, 40 minutes/session), younger (18–64) individuals showed greater relative differences in mental health burden at 15.7%. For those adhering to 2021 guidelines (4 moderate 10‐minute or 2 vigorous 20‐minute sessions), older (≥65) individuals had higher relative differences at 11.1%. Regression analysis showed that the optimal dose is 4 to 6 weekly sessions of moderate physical activity, each lasting 45 minutes.

Conclusions

The findings suggest that physical activity doses recommended in 2011, 2014, and 2021 American Heart Association/American Stroke Association guidelines are associated with lower mental health burden. Furthermore, the amount of physical activity associated with lower mental health may vary by subpopulations (eg, age). Randomized control trials are needed to validate the optimal dose.