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Pre-stroke physical activity is associated with post-stroke physical activity and sedentary behavior in the acute phase

Tanaka, Hiroki Kitamura, Gakuto Tamura, Mayu Nankaku, Manabu Taniguchi, Masashi Kikuchi, Takayuki Maki, Takakuni Ikeguchi, Ryosuke Miyamoto, Susumu Takahashi, Ryosuke Matsuda, Shuichi Ichihashi, Noriaki 京都大学 DOI:10.1038/s41598-023-48232-z

2023.12.02

概要

This study investigated the link between pre-stroke and acute-stage physical activity (PA) and sedentary behavior. Forty individuals with stroke (aged 73.6 ± 8.9 years) were enrolled. Post-stroke activity, including metabolic equivalents (METs), sedentary behavior, light PA, and moderate-to-vigorous PA (MVPA), was measured using a tri-axial accelerometer (ActiGraph wGT3X-BT) over 11 consecutive days starting from the 4th day post-stroke. Pre-stroke PA levels were assessed using the International Physical Activity Questionnaire (IPAQ). We measured skeletal muscle mass index (SMI) and phase angle using a bioelectrical impedance analyzer (Inbody S10) upon admission. Physical therapists assessed the Brunnstrom recovery stage (BRS) within 3 days post-stroke. Total daily activity averaged 1.05 ± 0.05 METs. Throughout the day, 91.2 ± 5.1, 7.6 ± 4.1, and 1.2 ± 1.3% was spent in sedentary behavior, light PA, and MVPA, respectively. Only pre-stroke PA was independently associated with METs (β = 0.66), sedentary behavior (β = -0.58), light PA (β = 0.50), and MVPA (β = 0.71) after adjusting for age, sex, stroke severity, and activities of daily living. This suggests that pre-stroke PA might play a crucial role in reducing sedentary behavior and promoting PA during the acute phase.

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Acknowledgements

We are extremely grateful to participants in the present study and collaborated nursing staff in the hospital. This

work was supported by JSPS KAKENHI Grant Number JP22K21239.

Author contributions

Conception and design: H.T., G.K., Masashi.T., and N.I. Acquisition of data: H.T., G.K., and Mayu.T. Analysis

and interpretation of data: H.T., G.K., Mayu.T., M.N., Masashi.T., and N.I. Drafting the article: H.T., G.K., M.N.,

Masashi.T., T.K., and T.M. Critically revising the article: R.I., Susumu.M., R.T., Shuichi.M., and N.I. Reviewed

submitted version of manuscript: all authors. Statistical analysis: H.T., Masashi.T. Administrative/technical/

material support: R.I., Shuichi.M. Study supervision: Susumu.M., R.T., Shuichi.M., and N.I.

Competing interests The authors declare no competing interests.

Additional information

Correspondence and requests for materials should be addressed to H.T.

Reprints and permissions information is available at www.nature.com/reprints.

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and

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