The Relationship Between Physical Activity and Stroke in Middle-aged and Elderly People After Controlling Demography Variables, Health Status and Lifestyle Variables

Overview

Journal Medicine (Baltimore)

Specialty General Medicine

Date 2023 Dec 20

PMID 38115280

Authors

Yaqun Zhang

Xin Jiang

Affiliations

Soon will be listed here.

Abstract

The increase in the number of stroke patients in China brain has led to the decline in quality of life and the burden of family economic conditions. This study explored the relationship between stroke and physical activity (PA) in middle-aged and elderly Chinese after controlling Demography, health status and lifestyle variables, providing a new basis for the prevention and treatment of stroke in the elderly. The data is from the 2018 China Health and Retirement Longitudinal study. Five thousand seventy people over 50 years old with complete information on PA, stroke, Demography, health status and lifestyle were included in the analysis. SPSS 27.0 software was used to conduct Z test, logistic regression analysis and linear hierarchical regression analysis on the collected data. The results showed that high-level physical exercise was significantly negatively correlated with stroke (P < .05). After adjusting Demographics characteristics (gender, registered residence type, education level, age, widowhood or not), health status characteristics and living habits (arthritis, bad mood, asthma, hyperlipidemia, disability, memory disease, health self-evaluation, hypertension, smoking, depression), There was still statistical significance (P < .05) between PA and stroke. This study concludes that middle-aged and elderly people with high PA have a lower risk of stroke. In the process of preventing and improving stroke symptoms in the elderly, it is important to maintain high PA while also paying attention to health management and a healthy lifestyle.

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References

Kuys S, Brauer S, Ada L . Routine physiotherapy does not induce a cardiorespiratory training effect post-stroke, regardless of walking ability. Physiother Res Int. 2007; 11(4):219-27. DOI: 10.1002/pri.344. View

Aguiar L, Nadeau S, Britto R, Teixeira-Salmela L, Martins J, Samora G . Effects of aerobic training on physical activity in people with stroke: A randomized controlled trial. NeuroRehabilitation. 2020; 46(3):391-401. DOI: 10.3233/NRE-193013. View

Dharma K, Parellangi . Use of mobile-stroke risk scale and lifestyle guidance promote healthy lifestyles and decrease stroke risk factors. Int J Nurs Sci. 2020; 7(4):401-407. PMC: 7644564. DOI: 10.1016/j.ijnss.2020.08.001. View

Zhong C, Voutsinas J, Willey J, Lakshminarayan K, Lacey Jr J, Chung N . Physical Activity, Hormone Therapy Use, and Stroke Risk among Women in the California Teachers Study Cohort. Neuroepidemiology. 2020; 54(4):320-325. PMC: 7371500. DOI: 10.1159/000505970. View

Morris J, Oliver T, Kroll T, Joice S, Williams B . Physical activity participation in community dwelling stroke survivors: synergy and dissonance between motivation and capability. A qualitative study. Physiotherapy. 2016; 103(3):311-321. DOI: 10.1016/j.physio.2016.05.001. View

Martins J, Aguiar L, Nadeau S, Scianni A, Teixeira-Salmela L, de Morais Faria C . Measurement properties of self-report physical activity assessment tools in stroke: a protocol for a systematic review. BMJ Open. 2017; 7(2):e012655. PMC: 5318574. DOI: 10.1136/bmjopen-2016-012655. View

Mayman N, Tuhrim S, Jette N, Dhamoon M, Stein L . Sex Differences in Post-Stroke Depression in the Elderly. J Stroke Cerebrovasc Dis. 2021; 30(9):105948. DOI: 10.1016/j.jstrokecerebrovasdis.2021.105948. View

Pang M, Charlesworth S, Lau R, Chung R . Using aerobic exercise to improve health outcomes and quality of life in stroke: evidence-based exercise prescription recommendations. Cerebrovasc Dis. 2013; 35(1):7-22. DOI: 10.1159/000346075. View

Huang J, Liu L, Yu Y, Chen C, Lo K, Huang Y . Relationship between body mass index and ischaemic stroke in Chinese elderly hypertensive patients. Postgrad Med J. 2020; 97(1146):217-221. DOI: 10.1136/postgradmedj-2019-137457. View

10.

Zheng X, Wang H, Bian X . Clinical Correlation Analysis of Complications in Elderly Patients with Sequelae of Stroke with Different Barthel Index in Tianjin Emergency Department. Biomed Res Int. 2021; 2021:6625440. PMC: 7847317. DOI: 10.1155/2021/6625440. View

11.

MacDonald C, Madika A, Gomes R, Severi G, Sibon I, Debette S . Physical activity and stroke among women - A non-linear relationship. Prev Med. 2021; 150:106485. DOI: 10.1016/j.ypmed.2021.106485. View

12.

Olsson O, Persson H, Alt Murphy M, Sunnerhagen K . Early prediction of physical activity level 1 year after stroke: a longitudinal cohort study. BMJ Open. 2017; 7(8):e016369. PMC: 5634455. DOI: 10.1136/bmjopen-2017-016369. View

13.

Thanassoulis G, Lyass A, Benjamin E, Larson M, Vita J, Levy D . Relations of exercise blood pressure response to cardiovascular risk factors and vascular function in the Framingham Heart Study. Circulation. 2012; 125(23):2836-43. PMC: 3636551. DOI: 10.1161/CIRCULATIONAHA.111.063933. View

14.

Ozkor M, Hayek S, Rahman A, Murrow J, Kavtaradze N, Lin J . Contribution of endothelium-derived hyperpolarizing factor to exercise-induced vasodilation in health and hypercholesterolemia. Vasc Med. 2015; 20(1):14-22. PMC: 9135050. DOI: 10.1177/1358863X14565374. View

15.

van der Ploeg H, Tudor-Locke C, Marshall A, Craig C, Hagstromer M, Sjostrom M . Reliability and validity of the international physical activity questionnaire for assessing walking. Res Q Exerc Sport. 2010; 81(1):97-101. DOI: 10.1080/02701367.2010.10599632. View

16.

Hu F, Stampfer M, Colditz G, Ascherio A, Rexrode K, Willett W . Physical activity and risk of stroke in women. JAMA. 2000; 283(22):2961-7. DOI: 10.1001/jama.283.22.2961. View

17.

Soares-Miranda L, Siscovick D, Psaty B, Longstreth Jr W, Mozaffarian D . Physical Activity and Risk of Coronary Heart Disease and Stroke in Older Adults: The Cardiovascular Health Study. Circulation. 2015; 133(2):147-55. PMC: 4814318. DOI: 10.1161/CIRCULATIONAHA.115.018323. View

18.

Hatakeyama K, Seposo X . Heatstroke-related ambulance dispatch risk before and during COVID-19 pandemic: Subgroup analysis by age, severity, and incident place. Sci Total Environ. 2022; 821:153310. PMC: 8784651. DOI: 10.1016/j.scitotenv.2022.153310. View

19.

Rist P, Buring J, Kase C, Kurth T . Healthy Lifestyle and Functional Outcomes from Stroke in Women. Am J Med. 2016; 129(7):715-724.e2. PMC: 4914459. DOI: 10.1016/j.amjmed.2016.02.002. View

20.

Lekoubou A, Wu E, Bishu K, Ovbiagele B . Prevalence, predictors, and prognosis of mortality among elderly stroke patients with convulsive status epilepticus in the United States. J Neurol Sci. 2022; 440:120342. DOI: 10.1016/j.jns.2022.120342. View