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ORIGINAL RESEARCH article

Front. Neurol.
Sec. Stroke
Volume 15 - 2024 | doi: 10.3389/fneur.2024.1463162

Physical activity and influencing factors in people post stroke or transient ischemic attack across diverse regions in Sweden

Provisionally accepted

The final, formatted version of the article will be published soon.

    Background and Purpose: Physical activity (PA) and sedentary behavior are key targets for secondary stroke prevention, yet their characteristics and contributing factors are not well understood. This study aims to explore PA and sedentary behavior in individuals' post-stroke or transient ischemic attack (TIA) and identify factors linked to low PA (≤5000 steps/day) and prolonged sedentary time (≥8 hours/day).A cross-sectional study comparing sensor-derived (activPAL) PA and sedentary time among community-dwelling individuals post stroke or TIA residing in diverse geographical regions of Sweden. Multiple logistic regression models were performed to determine potential factors associated with low PA and prolonged sedentary time.The study included 101 participants post-stroke (n=68) and TIA (n=33), with a mean age of 70.5 years (65% female), mostly with no or mild disability (91%), living in metropolitan (69%) and rural (31%) areas of Sweden. Most participants (72%) had ≥ 8 hours of sedentary time per day and 38% performed ≤ 5000 steps per day. Using a walking aid (OR=11.43, p=0.002) was independently associated with low PA, whereas contextual factors; living alone (OR=3.49, p=0.029) and living in metropolitan areas (OR=2.79, p=0.036), were associated with prolonged sedentary time.In this study encompassing people post stroke or TIA from diverse geographical regions across Sweden, PA was associated with mobility status whereas sedentary behavior was associated with contextual factors. The results also showed a large variation in PA highlighting the need for tailored strategies to promote PA post stroke or TIA.

    Keywords: Stroke, transient ischemic attack, physical activity, sedentary behavior, environmental factors

    Received: 11 Jul 2024; Accepted: 14 Oct 2024.

    Copyright: © 2024 Bezuidenhout, Humphries and Moulaee Conradsson. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Lucian Bezuidenhout, Karolinska Institutet (KI), Solna, Sweden

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