Key result
The likelihood of stroke survivors engaging in moderate to high physical activity significantly declined over time, with participants being 47% less likely to be active at follow-up (AOR 0.53).
Why the study?
The study aimed to determine the longitudinal predictors of lifestyle behaviours among stroke survivors in New South Wales, Australia.
Cohort (n=576)
Odds Ratio: 0.53 (95% CI 0.42–0.68)
Absolute Event Rate: 62.7% vs 76.4%
p-value: p=<0.001
Stroke survivors experience a significant decline in healthy lifestyle behaviors, such as physical activity, over time, highlighting the need for ongoing support in secondary stroke prevention.
May warrant sustained activity monitoring in stroke survivors with diabetes; leaves open whether targeted interventions improve adherence.
This study aimed to determine the longitudinal predictors of lifestyle behaviours among stroke survivors in New South Wales, Australia. This longitudinal study utilised data from the baseline survey (2005-2009) and a sub-study survey (2017) of the 45 and Up Study. Physical activity, alcohol consumption, smoking status, and supplement use were included as dependent variables. Generalised estimating equation models were employed to assess the longitudinal association between the dependent variable and demographic and health status measures. The average age of the participants (n = 576) was 67 (SD = 9) years at baseline and 76 (SD = 9) years at the sub-study survey time, with 54.9% being male. The longitudinal analysis revealed that the likelihood of moderate/high physical activity significantly declined over time and was lower among participants with diabetes, but was higher among those with university education. The likelihood of smoking was significantly higher in females, moderate/high-risk alcohol consumers, and those with depression, but was lower among supplement users. The likelihood of moderate/high-risk alcohol consumption significantly declined with time, and was lower among females, but higher among smokers. The likelihood of supplement use significantly declined over time, but was higher among females and/or those with asthma. Our findings help illustrate that many stroke survivors may benefit from further support in adopting and maintaining a healthy lifestyle as part of their stroke management and long-term rehabilitation, which is crucial to optimising their quality of life and successful secondary stroke prevention.
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Rahman et al. (2024) conducted a cohort in Stroke (n=576). Longitudinal follow-up (time) vs. Baseline period (2005-2009) was evaluated on Moderate/high physical activity (≥ 150 min/week) (AOR 0.53, 95% CI 0.42, 0.68, p=<0.001). The likelihood of stroke survivors engaging in moderate to high physical activity significantly declined over time, with participants being 47% less likely to be active at follow-up (AOR 0.53).
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