Why the study?
Clinical guidelines recommend at least 150 minutes of weekly moderate-to-vigorous physical activity to reduce recurrent stroke risk after TIA or non-disabling stroke, but effective interventions were not well identified.
Do secondary prevention interventions increase time spent in moderate-to-vigorous physical activity in adults following a TIA or non-disabling stroke?
Comparison
Secondary prevention physical activity interventions vs usual care or comparators
Key result
A six-month exercise education intervention significantly increased time spent in moderate-to-vigorous physical activity compared to usual care (difference 11.7 min/day; 95% CI 4.07-19.33).
Authors
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May support exercise education to increase MVPA after TIA or stroke; extends limited evidence from one small RCT.
Systematic Review (n=2,653)
Do secondary prevention interventions increase time spent in moderate-to-vigorous physical activity in adults following a TIA or non-disabling stroke?
Mean Difference: 11.7 (95% CI 4.07–19.33)
There is limited evidence for effective interventions to increase moderate-to-vigorous physical activity after TIA or non-disabling stroke, though supervised exercise programs show some promise.
Sammut et al. (2020) conducted a systematic review in Transient ischemic attack or non-disabling stroke (n=2,653). Secondary prevention interventions (e.g., exercise education) vs. Usual care was evaluated on Time spent in moderate-to-vigorous physical activity (MD 11.7 min/day, 95% CI 4.07-19.33). A six-month exercise education intervention significantly increased time spent in moderate-to-vigorous physical activity compared to usual care (difference 11.7 min/day; 95% CI 4.07-19.33).