Self-Reported Exercise Prevalence and Determinants in the Long Term After Stroke: The North East Melbourne Stroke Incidence Study

Dawn B. Simpson, Michele L. Callisaya, Coralie English, Amanda G. Thrift, Seana L. Gall

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background: Exercise has established benefits following stroke. We aimed to describe self-reported exercise 5 and 10 years after stroke, change in exercise over time, and to identify factors associated with long-term exercise. Methods: Data on exercise (defined as 20 minutes' duration, causing sweating and increased heart rate) were obtained by questionnaire from a population-based stroke incidence study with 10-year follow-up. For change in exercise between 5 and 10 years (n = 276), we created 4 categories of exercise (no exercise, ceased exercising, commenced exercising, continued exercising). Multinomial regression determined associations between exercise categories and exercising before stroke, receiving exercise advice and functional ability and demographic factors. Results: The prevalence of exercise at 5 years (n = 520) was 18.5% (n = 96) (mean age 74.7 [standard deviation (SD) 14] years, 50.6% male) and 24% (n = 78) at 10 years. In those with data at both 5 and 10 years (mean age 69 [standard deviation 14] years, 52.9% male), 15% (n = 42) continued exercising, 10% (n = 27) commenced exercising, 14% (n = 38) ceased exercising, and 61% (n = 169) reported no exercise. Continued exercise was associated with younger age (relative risk [RR] .47 95% confidence interval [CI] .25-0.89), greater Barthel score (RR 2.97 95% CI 1.00-8.86), independent walking (RR 2.32 95% CI 1.16-4.68), better quality of life (RR 10.9 95% CI 2.26-52.8), exercising before stroke (RR 16.0 95%CI 4.98-51.5), and receiving advice to exercise (RR 2.99 95% CI 1.73-5.16). Conclusions: Few people exercise after stroke and fewer commence exercise long term. Innovative interventions to promote and maintain exercise are required after stroke.

Original languageEnglish
Pages (from-to)2855-2863
Number of pages8
JournalJournal of Stroke and Cerebrovascular Diseases
Volume26
Issue number12
DOIs
Publication statusPublished - Dec 2017

Keywords

  • Cardiovascular risk factor management
  • Exercise
  • Long-term survivors
  • Physical activity
  • Recovery
  • Stroke

Cite this

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title = "Self-Reported Exercise Prevalence and Determinants in the Long Term After Stroke: The North East Melbourne Stroke Incidence Study",
abstract = "Background: Exercise has established benefits following stroke. We aimed to describe self-reported exercise 5 and 10 years after stroke, change in exercise over time, and to identify factors associated with long-term exercise. Methods: Data on exercise (defined as 20 minutes' duration, causing sweating and increased heart rate) were obtained by questionnaire from a population-based stroke incidence study with 10-year follow-up. For change in exercise between 5 and 10 years (n = 276), we created 4 categories of exercise (no exercise, ceased exercising, commenced exercising, continued exercising). Multinomial regression determined associations between exercise categories and exercising before stroke, receiving exercise advice and functional ability and demographic factors. Results: The prevalence of exercise at 5 years (n = 520) was 18.5{\%} (n = 96) (mean age 74.7 [standard deviation (SD) 14] years, 50.6{\%} male) and 24{\%} (n = 78) at 10 years. In those with data at both 5 and 10 years (mean age 69 [standard deviation 14] years, 52.9{\%} male), 15{\%} (n = 42) continued exercising, 10{\%} (n = 27) commenced exercising, 14{\%} (n = 38) ceased exercising, and 61{\%} (n = 169) reported no exercise. Continued exercise was associated with younger age (relative risk [RR] .47 95{\%} confidence interval [CI] .25-0.89), greater Barthel score (RR 2.97 95{\%} CI 1.00-8.86), independent walking (RR 2.32 95{\%} CI 1.16-4.68), better quality of life (RR 10.9 95{\%} CI 2.26-52.8), exercising before stroke (RR 16.0 95{\%}CI 4.98-51.5), and receiving advice to exercise (RR 2.99 95{\%} CI 1.73-5.16). Conclusions: Few people exercise after stroke and fewer commence exercise long term. Innovative interventions to promote and maintain exercise are required after stroke.",
keywords = "Cardiovascular risk factor management, Exercise, Long-term survivors, Physical activity, Recovery, Stroke",
author = "Simpson, {Dawn B.} and Callisaya, {Michele L.} and Coralie English and Thrift, {Amanda G.} and Gall, {Seana L.}",
year = "2017",
month = "12",
doi = "10.1016/j.jstrokecerebrovasdis.2017.07.008",
language = "English",
volume = "26",
pages = "2855--2863",
journal = "Journal of Stroke and Cerebrovascular Diseases",
issn = "1052-3057",
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Self-Reported Exercise Prevalence and Determinants in the Long Term After Stroke : The North East Melbourne Stroke Incidence Study. / Simpson, Dawn B.; Callisaya, Michele L.; English, Coralie; Thrift, Amanda G.; Gall, Seana L.

In: Journal of Stroke and Cerebrovascular Diseases, Vol. 26, No. 12, 12.2017, p. 2855-2863.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Self-Reported Exercise Prevalence and Determinants in the Long Term After Stroke

T2 - The North East Melbourne Stroke Incidence Study

AU - Simpson, Dawn B.

AU - Callisaya, Michele L.

AU - English, Coralie

AU - Thrift, Amanda G.

AU - Gall, Seana L.

PY - 2017/12

Y1 - 2017/12

N2 - Background: Exercise has established benefits following stroke. We aimed to describe self-reported exercise 5 and 10 years after stroke, change in exercise over time, and to identify factors associated with long-term exercise. Methods: Data on exercise (defined as 20 minutes' duration, causing sweating and increased heart rate) were obtained by questionnaire from a population-based stroke incidence study with 10-year follow-up. For change in exercise between 5 and 10 years (n = 276), we created 4 categories of exercise (no exercise, ceased exercising, commenced exercising, continued exercising). Multinomial regression determined associations between exercise categories and exercising before stroke, receiving exercise advice and functional ability and demographic factors. Results: The prevalence of exercise at 5 years (n = 520) was 18.5% (n = 96) (mean age 74.7 [standard deviation (SD) 14] years, 50.6% male) and 24% (n = 78) at 10 years. In those with data at both 5 and 10 years (mean age 69 [standard deviation 14] years, 52.9% male), 15% (n = 42) continued exercising, 10% (n = 27) commenced exercising, 14% (n = 38) ceased exercising, and 61% (n = 169) reported no exercise. Continued exercise was associated with younger age (relative risk [RR] .47 95% confidence interval [CI] .25-0.89), greater Barthel score (RR 2.97 95% CI 1.00-8.86), independent walking (RR 2.32 95% CI 1.16-4.68), better quality of life (RR 10.9 95% CI 2.26-52.8), exercising before stroke (RR 16.0 95%CI 4.98-51.5), and receiving advice to exercise (RR 2.99 95% CI 1.73-5.16). Conclusions: Few people exercise after stroke and fewer commence exercise long term. Innovative interventions to promote and maintain exercise are required after stroke.

AB - Background: Exercise has established benefits following stroke. We aimed to describe self-reported exercise 5 and 10 years after stroke, change in exercise over time, and to identify factors associated with long-term exercise. Methods: Data on exercise (defined as 20 minutes' duration, causing sweating and increased heart rate) were obtained by questionnaire from a population-based stroke incidence study with 10-year follow-up. For change in exercise between 5 and 10 years (n = 276), we created 4 categories of exercise (no exercise, ceased exercising, commenced exercising, continued exercising). Multinomial regression determined associations between exercise categories and exercising before stroke, receiving exercise advice and functional ability and demographic factors. Results: The prevalence of exercise at 5 years (n = 520) was 18.5% (n = 96) (mean age 74.7 [standard deviation (SD) 14] years, 50.6% male) and 24% (n = 78) at 10 years. In those with data at both 5 and 10 years (mean age 69 [standard deviation 14] years, 52.9% male), 15% (n = 42) continued exercising, 10% (n = 27) commenced exercising, 14% (n = 38) ceased exercising, and 61% (n = 169) reported no exercise. Continued exercise was associated with younger age (relative risk [RR] .47 95% confidence interval [CI] .25-0.89), greater Barthel score (RR 2.97 95% CI 1.00-8.86), independent walking (RR 2.32 95% CI 1.16-4.68), better quality of life (RR 10.9 95% CI 2.26-52.8), exercising before stroke (RR 16.0 95%CI 4.98-51.5), and receiving advice to exercise (RR 2.99 95% CI 1.73-5.16). Conclusions: Few people exercise after stroke and fewer commence exercise long term. Innovative interventions to promote and maintain exercise are required after stroke.

KW - Cardiovascular risk factor management

KW - Exercise

KW - Long-term survivors

KW - Physical activity

KW - Recovery

KW - Stroke

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U2 - 10.1016/j.jstrokecerebrovasdis.2017.07.008

DO - 10.1016/j.jstrokecerebrovasdis.2017.07.008

M3 - Article

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JO - Journal of Stroke and Cerebrovascular Diseases

JF - Journal of Stroke and Cerebrovascular Diseases

SN - 1052-3057

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ER -