Abstract Number: Esoc2026a1153 Main Factor Associated With Physical Activity, Participation and Quality of Life in Mild Stroke Survivors

Abstract Background and aims Stroke remains the third leading cause of disability worldwide, with its prevalence continuing to rise. Enhancing the lifestyle of stroke survivors has therefore become a key priority in secondary prevention. Understanding the determinants that influence long-term lifestyle behaviours is essential for guiding stroke rehabilitation planning and public health strategies aimed at mitigating its substantial socio-economic burden. This study aimed to examine whether walking distance and cardiovascular endurance act as predictive factors of physical activity levels, participation, and quality of life in stroke survivors more than six months post-event. Methods This cross-sectional study included mild stroke survivors with preserved walking ability and no cognitive impairment, from 20 rehabilitation centres in Spain. A regression model was used to examine whether walking distance and cardiovascular endurance predict kilocalories during physical activity (Kcal/day), participation levels, and quality of life. Results Full data from 110 participants were collected (35% female, 61±12 years). Results revealed that walking distance and endurance was significantly associated with Kcal/day (R2= 39%), participation (R2=34%) and quality of life (R2=12%). Conclusions Higher cardiovascular endurance emerged as a strong predictor of greater physical activity, increased participation, and better quality of life in stroke survivors more than six months post-event. Given its robust predictive value and modifiable nature, prioritising cardiovascular endurance within neurorehabilitation programmes may contribute to more effective secondary prevention and potentially reduce long-term healthcare costs. Further research is warranted to identify additional predictors and determine whether similar patterns are present during the acute and sub-acute phases of stroke recovery. Conflict of interest "Name of author: nothing to disclose"