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Level of physical activity in men and women with chronic stroke
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism.ORCID iD: 0000-0002-1508-1435
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.ORCID iD: 0000-0002-8202-7850
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.ORCID iD: 0000-0002-5789-5162
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.ORCID iD: 0000-0002-4364-5074
2019 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 35, no 10, p. 947-955Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Community-dwelling stroke survivors generally show low levels of physical activity (PA). An improved understanding of the factors influencing participation in PA after stroke is imperative to improve levels of PA. Furthermore, gender differences in PA have received little attention in stroke research. The objective of this study was to examine gender differences in PA, physical functioning and psychological factors and the association between these factors and PA in men and women 1-3-year post-stroke.

MATERIALS AND METHODS: A total of 187 community-dwelling individuals with stroke (65-85 years old, 29% women) were included in a secondary analysis based on data from a cross-sectional study. The exclusion criteria were severe cognitive or language dysfunction or dementia. The level of PA was measured by the Physical Activity Scale for the Elderly. Physical function included balance, walking speed and mobility. Psychological factors included depression, health-related quality of life and fall-related self-efficacy. Falls and fear of falling were each measured with a single question.

RESULTS: There were no significant differences in PA levels between men and women. In multiple regression analyses, walking speed (p < 0.001) was associated with PA in men, and balance (p = 0.038) was associated with PA in women.

CONCLUSIONS: The results indicate that strategies to increase PA levels 1-3-year post-stroke could be improved by considering gender-specific factors.

Place, publisher, year, edition, pages
2019. Vol. 35, no 10, p. 947-955
Keywords [en]
Balance, fear of falling gait speed, physical activity, stroke
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:uu:diva-362346DOI: 10.1080/09593985.2018.1460646ISI: 000486491600006PubMedID: 29659314OAI: oai:DiVA.org:uu-362346DiVA, id: diva2:1253087
Available from: 2018-10-03 Created: 2018-10-03 Last updated: 2019-11-01Bibliographically approved

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Vahlberg, BirgitBring, AnnikaHellström, KarinZetterberg, Lena

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