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Eur J Neurol. 2017 Dec;24(12):1525-1531. doi: 10.1111/ene.13463. Epub 2017 Oct 16.

Pre-stroke physical activity is associated with fewer post-stroke complications, lower mortality and a better long-term outcome.

Author information

1
Institute of Population Health Sciences, National Health Research Institutes, Zhunan, Taiwan.
2
Graduate Institute of Biomedical Sciences, College of Medicine, China Medical University, Taichung, Taiwan.
3
Department of Medical Research, China Medical University Hospital, Taichung, Taiwan.
4
Department of Neurology, China Medical University Hospital, Taichung, Taiwan.
5
Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan.
6
Department of Neurology, E-Da Hospital / I-Shou University, Kaohsiung, Taiwan.
7
Department of Neurology, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
8
Department of Neurology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei Medical University College of Medicine, Taipei, Taiwan.
9
Department Neurology, Chung Shan Medical University Hospital, Taichung, Taiwan.
10
Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
11
Department of Neurology, Lin Shin Hospital, Taichung, Taiwan.
12
China Medical University Beigang Hospital, Yunlin, Taiwan.
13
Taipei Veterans General Hospital, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
14
St. Martin De Porres Hospital, Chiayi, Taiwan.
15
Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan.
16
Department of Neurosurgery, E-Da Hospital/ I-Shou University, Kaohsiung, Taiwan.
17
Graduate Institute of Clinical Medical Science, China Medical University, Taichung, Taiwan.

Abstract

BACKGROUND AND PURPOSE:

Physical activity is associated with a reduced incidence of first-time stroke. However, few studies have examined the effect of pre-stroke physical activity on post-stroke complications and clinical outcomes.

METHODS:

A total of 39 835 cases of stroke registered in the nationwide stroke registry system of Taiwan between 2006 and 2009 were analyzed according to five levels of severity as determined by National Institutes of Health Stroke Scale score upon hospital admission. Pre-stroke physical activity was defined in the Taiwan Stroke Registry as dedicated leisure-time physical activity for at least 30 min/day for 3 days/week for more than 6 months. A Cox model was used to compare complications and outcomes between active and inactive groups.

RESULTS:

The active and inactive groups were similar in age distribution and stroke type distribution, but the active group had better National Institutes of Health Stroke Scale scores upon admission. The active group also had significantly fewer post-stroke complications. Active patients had lower hospital mortality and better functional outcomes upon discharge as per the modified Rankin Scale. Improved functional status in the active group was significant at 1, 3 and 6 months post-stroke.

CONCLUSION:

Dedicated leisure-time physical activity for at least 30 min/day, at least three times per week for more than 6 months was associated with decreased stroke severity, fewer post-stroke complications, lower mortality and better outcomes.

KEYWORDS:

complication; epidemiology; outcome; physical activity; stroke

PMID:
28926165
DOI:
10.1111/ene.13463
[Indexed for MEDLINE]

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