Prevalence of physical activity and sedentary behavior among stroke survivors in the United States.
Prevalence of physical activity and sedentary behavior among stroke survivors in the United States.
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DOI：
10.1310/tsr2103-246
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发表时间：
2014-05
影响因子：
2.2
通讯作者：
Evenson KR
中科院分区：
文献类型：
--
作者：
Butler EN;Evenson KR
曾经历过中风、短暂性脑缺血发作或心肌梗塞的成年人中风的风险最高。体力活动可以通过对血压、血管收缩和循环脂质浓度的调节作用来降低中风的继发风险；然而，人们对美国中风幸存者体力活动和久坐行为的普遍程度知之甚少。我们利用国家健康和营养检查调查 (NHANES) 的数据，描述了有自我报告中风病史的成年人的自我报告和客观测量的体力活动和久坐行为。我们还将中风幸存者的体力活动与未患中风的成年人（未暴露）进行比较，以说明在没有疾病的情况下预期的行为。根据自我报告的数据，与未暴露的参与者相比，符合 2008 年美国人身体活动指南中概述的每周身体活动指南的中风参与者较少（17.9% vs 25.0%）。此外，与未暴露的参与者相比，患有中风的参与者报告的休闲活动程度较低（46.1% vs 54.7%）和剧烈（9.1% vs 19.6%）。通过加速度计测量，诊断后的时间与体力活动参与度呈负相关，与未暴露的参与者相比，中风参与者每天的久坐行为时间更长（10.1 小时 vs 8.9 小时）。这项研究的结果为未来的工作提供了基础，通过描述美国中风幸存者中体力活动和久坐行为的流行情况，来衡量体力活动对中风二级预防的影响。
The risk of stroke is greatest among adults who have experienced a previous stroke, transient ischemic attack, or myocardial infarction. Physical activity may reduce the secondary risk of stroke through mediating effects on blood pressure, vasoconstriction, and circulating lipid concentrations; however, little is known about the prevalence of physical activity and sedentary behavior among stroke survivors in the United States. Using data from the National Health and Nutrition Examination Survey (NHANES), we describe self-reported and objectively measured physical activity and sedentary behavior among adults with a self-reported history of stroke. We also contrast physical activity among stroke survivors with that of adults without stroke (unexposed) to illustrate expected behavior in the absence of disease. Fewer participants with stroke met weekly physical activity guidelines as outlined in the 2008 Physical Activity Guidelines for Americans when compared with unexposed participants (17.9% vs 25.0%) according to self-reported data. In addition, participants with stroke reported less moderate (46.1% vs 54.7%) and vigorous (9.1% vs 19.6%) leisure activity compared with unexposed participants. As measured by accelerometer, time since diagnosis was inversely associated with physical activity engagement, and participants with stroke recorded more daily hours of sedentary behavior compared with unexposed participants (10.1 hours vs 8.9 hours). Findings from this study provide a basis for future work seeking to measure the impact of physical activity on the secondary prevention of stroke by characterizing the prevalence of physical activity and sedentary behavior among stroke survivors in the United States.
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影响因子：
24
作者：
Chomistek, Andrea K.;Manson, JoAnn E.;Stefanick, Marcia L.;Lu, Bing;Sands-Lincoln, Megan;Going, Scott B.;Garcia, Lorena;Allison, Matthew A.;Sims, Stacy T.;LaMonte, Michael J.;Johnson, Karen C.;Eaton, Charles B.
通讯作者：
Eaton, Charles B.
影响因子：
5
作者：
Matthews, Charles E.;Chen, Kong Y.;Troiano, Richard P.
通讯作者：
Troiano, Richard P.
影响因子：
1.5
作者：
Hildebrand M;Brewer M;Wolf T
通讯作者：
Wolf T
影响因子：
2.4
作者：
Best, C.;van Wijck, F.;Mead, G.
通讯作者：
Mead, G.
影响因子：
8.3
作者：
Engstad, T;Bonaa, KH;Viitanen, M
通讯作者：
Viitanen, M