Physical activity after ischemic stroke and its association with adverse outcomes: A nationwide population-based cohort study

Are you sure you have the correct understanding of cause and effect? The stroke causes the lack of physical activity and thus adverse outcomes.

 Physical activity after ischemic stroke and its association with adverse outcomes: A nationwide population-based cohort study

Topics in Stroke Rehabilitation , Volume 28(3) , Pgs. 170-180.

NARIC Accession Number: J86310.  What's this?
ISSN: 1074-9357.
Author(s): Kang, Seong-Min ; Kim, Sun-Hyung ; Han, Kyung-Do ; Paik, Nam-Jong ; Kim, Won-Seok.
Publication Year: 2021.
Number of Pages: 11.

Abstract: 

Study identified the changes in physical activity (PA) level between before and after stroke and determined the relationship between PA and adverse outcomes. This observational, retrospective cohort study was performed using the Nationwide Health Insurance Service (NHIS) database in South Korea. Subjects between the ages of 20 to 80 years, who had a first-ever ischemic stroke from 2010 to 2013, were included. Subjects were divided into either the “sufficient” or “insufficient” subgroups, depending on the result of the self-reported PA questionnaire. Adverse outcomes, including all-cause mortality, stroke recurrence, and myocardial infarction (MI), were collected from a post-stroke health checkup to 2017. Of the 34,243 subjects with ischemic stroke, only 21.24 percent had sufficient PA level after stroke. Among those with insufficient PA level, only 17.34 percent improved their PA level after stroke. Subjects with sufficient PA level after stroke, regardless of their PA level prior to stroke, showed a lower risk of composite adverse outcomes. Subjects who went from insufficient to sufficient PA level showed a significantly lower risk of composite adverse outcomes. Achieving a sufficient PA level after ischemic stroke appears to significantly reduce major adverse events. Further effort is needed to promote the PA level after ischemic stroke.
Descriptor Terms: EXERCISE, INTERNATIONAL REHABILITATION, OUTCOMES, SECONDARY CONDITIONS, STROKE.


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Citation: Kang, Seong-Min , Kim, Sun-Hyung , Han, Kyung-Do , Paik, Nam-Jong , Kim, Won-Seok. (2021). Physical activity after ischemic stroke and its association with adverse outcomes: A nationwide population-based cohort study.  Topics in Stroke Rehabilitation , 28(3), Pgs. 170-180. Retrieved 6/22/2021, from REHABDATA database.