Association between physical activity levels and depressive symptoms in patients with minor ischemic stroke.
Association between physical activity levels and depressive symptoms in patients with minor ischemic stroke.
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DOI：
10.1016/j.jstrokecerebrovasdis.2022.106641
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发表时间：
2022-07
期刊：
影响因子：
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通讯作者：
Ryota Ashizawa;H. Honda;Kohei Yoshizawa;Yuto Kameyama;Yoshinobu Yoshimoto
中科院分区：
文献类型：
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作者：
Ryota Ashizawa;H. Honda;Kohei Yoshizawa;Yuto Kameyama;Yoshinobu Yoshimoto
脑卒中后抑郁与脑卒中复发有关，有必要明确其影响因素。这项研究的目的是确定是否在住院期间的身体活动，由加速度计测量，与抑郁症后出院的患者与轻微缺血性stroke.Materials and MethodsThis前瞻性观察性研究评估了76例轻微缺血性中风（年龄71.2岁）入院的急性护理医院。出院后3个月的抑郁症状进行了评估，通过邮寄问卷。在住院期间设定基线，并使用加速度计测量住院期间的久坐行为、轻体力活动和中体力活动。（18.4%）被归入抑郁症状组，久坐行为明显增多（p= 0.021），较少的轻体力活动（p= 0.016）和更多的抑郁症状在住院期间（p= 0.005）比非抑郁症状组。Logistic回归分析显示，久坐行为（OR = 1.130，95%可信区间= 1.013 <$1.281，p = 0.028）和轻度体力活动（OR = 0.853，95%可信区间= 0.746 <$0.976，p = 0.021）是出院后3个月抑郁症状的独立影响因素。中度到剧烈的体力活动不是一个独立的factor.ConclusionsSedentary行为和轻强度的体力活动在住院期间与抑郁症状的轻微缺血性中风患者出院后。减少久坐行为和增加轻强度的体力活动作为住院康复的一部分可能有助于预防中风后抑郁。
ObjectivePost-stroke depression is associated with stroke recurrence and it is necessary to identify its influencing factors. The study aims to determine whether physical activity during hospitalization, as measured by accelerometer, was associated with depression after discharge in patients with minor ischemic stroke.Materials and methodsThis prospective observational study assessed 76 patients with minor ischemic stroke (aged 71.2 years) admitted to an acute care hospital. Depressive symptoms 3 months after discharge from the hospital was assessed using a questionnaire sent by mail. Baseline was set during hospitalization, and accelerometers were used to measure sedentary behavior, light and moderate-to-vigorous physical activities during hospitalization.ResultsThree months after hospital discharge, 14 patients (18.4%) were placed in the depressive symptom group, with significantly more sedentary behavior (p= 0.021), less light physical activity (p= 0.016) and more depressive symptoms during hospitalization (p= 0.005) than in the non-depressive symptom group. Logistic regression analysis showed that sedentary behavior (odds ratio = 1.130, 95% confidence interval = 1.013‒1.281,p= 0.028) and light-intensity physical activity (odds ratio = 0.853, 95% confidence interval = 0.746‒0.976,p= 0.021) were independent factors for depressive symptoms at three months after discharge. Moderate to vigorous physical activity was not an independent factor.ConclusionsSedentary behavior and light-intensity physical activity during hospitalization were associated with depressive symptoms in patients with minor ischemic stroke after discharge. Reducing sedentary behavior and increasing light-intensity physical activity as part of inpatient rehabilitation may help prevent post-stroke depression.