Wendy Hendrickx1,2,3, Carlos Riveros4, Torunn Askim5, Johannes B J Bussmann6, Michele L Callisaya7, Sebastien F M Chastin8,9, Catherine M Dean10, Victor E Ezeugwu11, Taryn M Jones10, Suzanne S Kuys12, Niruthikha Mahendran13, Trish J Manns11, Gillian Mead14, Sarah A Moore15, Lorna Paul16, Martijn F Pisters1,3, David H Saunders17, Dawn B Simpson7, Zoë Tieges18, Olaf Verschuren19, Coralie English2. 1. a Department of Rehablilitation, Physiotherapy Science & Sport, Brain Center Rudolf Magnus , University Medical Center Utrecht, Utrecht University , Utrecht , The Netherlands. 2. b School of Health Sciences and Priority Research Centre for Stroke and Brain Injury, Faculty of Health and Medicine , University of Newcastle , Newcastle , Australia. 3. c Center for Physical Therapy Research and Innovation in Primary Care , Julius Health Care Centers , Utrecht , The Netherlands. 4. d Bioinformatics , Hunter Medical Research Institute , Newcastle , Australia. 5. e Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Science , NTNU, Norwegian University of Science and Technology , Trondheim , Norway. 6. f Department of Rehabilitation Medicine Erasmus , MC University Medical Center , Rotterdam , The Netherlands. 7. g Menzies Institute for Medical Research , University of Tasmania , Hobart , Australia. 8. h School of Health and Life Sciences , Glasgow Caledonian University , Glasgow , UK. 9. i Department of Movement and Sports Sciences, Faculty of Medicine and Health Science , Ghent University , Ghent , Belgium. 10. j Department of Health Professions, Faculty of Medicine and Health Sciences , Macquarie University , Sydney , Australia. 11. k Faculty of Rehabilitation Medicine , University of Alberta , Edmonton , Canada. 12. l National Head, School of Physiotherapy , Faculty of Health Sciences Australian Catholic University , Brisbane , Australia. 13. m Discipline of Physiotherapy, Faculty of Health , University of Canberra , Canberra , Australia. 14. n Centre for Clinical Brain Sciences , University of Edinburgh , Edinburgh , UK. 15. o Stroke Research Group , Institute of Neuroscience and Newcastle University Institute for Ageing Newcastle University , UK. 16. p School of Health and Life Sciences , Glasgow Caledonian University , Glasgow , UK. 17. q Physical Activity for Health Research Centre, Institute for Sport, Physical Education and Health Sciences , University of Edinburgh , Edinburgh , UK. 18. r Department of Geriatric Medicine , University of Edinburgh , Edinburgh , UK. 19. s Brain Center Rudolf Magnus, Center of Excellence for Rehabilitation Medicine, De Hoogstraat Rehabilitation , University Medical Center Utrecht, Utrecht University , Utrecht , The Netherlands.
Abstract
Background: High levels of sedentary time increases the risk of cardiovascular disease, including recurrent stroke. Objective: This study aimed to identify factors associated with high sedentary time in community-dwelling people with stroke. Methods: For this data pooling study, authors of published and ongoing trials that collected sedentary time data, using the activPAL monitor, in community-dwelling people with stroke were invited to contribute their raw data. The data was reprocessed, algorithms were created to identify sleep-wake time and determine the percentage of waking hours spent sedentary. We explored demographic and stroke-related factors associated with total sedentary time and time in uninterrupted sedentary bouts using unique, both univariable and multivariable, regression analyses. Results: The 274 included participants were from Australia, Canada, and the United Kingdom, and spent, on average, 69% (SD 12.4) of their waking hours sedentary. Of the demographic and stroke-related factors, slower walking speeds were significantly and independently associated with a higher percentage of waking hours spent sedentary (p = 0.001) and uninterrupted sedentary bouts of >30 and >60 min (p = 0.001 and p = 0.004, respectively). Regression models explained 11-19% of the variance in total sedentary time and time in prolonged sedentary bouts. Conclusion: We found that variability in sedentary time of people with stroke was largely unaccounted for by demographic and stroke-related variables. Behavioral and environmental factors are likely to play an important role in sedentary behavior after stroke. Further work is required to develop and test effective interventions to address sedentary behavior after stroke.
Background: High levels of sedentary time increases the risk of cardiovascular disease, including recurrent stroke. Objective: This study aimed to identify factors associated with high sedentary time in community-dwelling people with stroke. Methods: For this data pooling study, authors of published and ongoing trials that collected sedentary time data, using the activPAL monitor, in community-dwelling people with stroke were invited to contribute their raw data. The data was reprocessed, algorithms were created to identify sleep-wake time and determine the percentage of waking hours spent sedentary. We explored demographic and stroke-related factors associated with total sedentary time and time in uninterrupted sedentary bouts using unique, both univariable and multivariable, regression analyses. Results: The 274 included participants were from Australia, Canada, and the United Kingdom, and spent, on average, 69% (SD 12.4) of their waking hours sedentary. Of the demographic and stroke-related factors, slower walking speeds were significantly and independently associated with a higher percentage of waking hours spent sedentary (p = 0.001) and uninterrupted sedentary bouts of >30 and >60 min (p = 0.001 and p = 0.004, respectively). Regression models explained 11-19% of the variance in total sedentary time and time in prolonged sedentary bouts. Conclusion: We found that variability in sedentary time of people with stroke was largely unaccounted for by demographic and stroke-related variables. Behavioral and environmental factors are likely to play an important role in sedentary behavior after stroke. Further work is required to develop and test effective interventions to address sedentary behavior after stroke.
Authors: Maria-Arantzazu Ruescas-Nicolau; María Luz Sánchez-Sánchez; Sara Cortés-Amador; Sofía Pérez-Alenda; Anna Arnal-Gómez; Assumpta Climent-Toledo; Juan J Carrasco Journal: Int J Environ Res Public Health Date: 2021-04-29 Impact factor: 3.390
Authors: David H Saunders; Gillian E Mead; Claire Fitzsimons; Paul Kelly; Frederike van Wijck; Olaf Verschuren; Karianne Backx; Coralie English Journal: Cochrane Database Syst Rev Date: 2021-06-29
Authors: Jennifer Hall; Sarah Morton; Claire F Fitzsimons; Jessica Faye Hall; Rekesh Corepal; Coralie English; Anne Forster; Rebecca Lawton; Anita Patel; Gillian Mead; David J Clarke Journal: BMC Public Health Date: 2020-06-19 Impact factor: 3.295
Authors: Roderick Wondergem; Martijn F Pisters; Martijn W Heijmans; Eveline J M Wouters; Rob A de Bie; Cindy Veenhof; Johanna M A Visser-Meily Journal: PLoS One Date: 2020-03-26 Impact factor: 3.240