title: Physical activity, sedentary behaviour and metabolic control following stroke: a cross-sectional and longitudinal study.
abstract: BACKGROUND
  Physical activity and sedentary behaviour are key moderators of cardiovascular disease risk and metabolic control. Despite the importance of a physically active lifestyle, little is known about the effects of stroke on physical activity. We assessed physical activity and sedentary behaviour at three time points following stroke compared to a healthy control group.
  
  
  METHODS
  Physical activity and sedentary behaviour were objectively measured using a portable multi-sensor array in 31 stroke participants (73±9 years, National Institute of Health Stroke Scale 2±2, mobile 10 metres with/without aid) within seven days and at three and six months. Stroke data were compared with an age, sex and body mass index matched healthy control group (n = 31).
  
  
  RESULTS
  Within seven days of stroke, total energy expenditure and physical activity were significantly lower and sedentary time higher in the stroke group compared to controls (total energy expenditure 1840±354 vs. 2220±489 kcal, physical activity 28±32 vs. 79±46 min/day, steps 3111±2290 vs. 7996±2649, sedentary time 1383±42 vs. 1339±44 min/day, p<0.01). At three months physical activity levels had increased (64±58 min/day) but plateaued by six months (66±68 min/day).
  
  
  CONCLUSIONS
  Physical activity levels are reduced immediately post-stroke and remain below recommended levels for health and wellbeing at the three and six month time points. Clinicians should explore methods to increase physical activity and reduce sedentary behaviour in both the acute and later stages following stroke.
authors: Institute for Ageing and Health, Newcastle University, Newcastle upon Tyne, United Kingdom. s.a.moore@ncl.ac.uk
authors: Sarah A
authors: SA
authors: Moore
authors: Kate
authors: K
authors: Hallsworth
authors: Thomas
authors: T
authors: Plötz
authors: Gary A
authors: GA
authors: Ford
authors: Lynn
authors: L
authors: Rochester
authors: Michael I
authors: MI
authors: Trenell
mesh_terms: D000367:Age Factors; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D004734:Energy Metabolism / Q000502:physiology*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009043:Motor Activity / Q000502:physiology*; D057185:Sedentary Behavior; D012737:Sex Factors; D018709:Statistics, Nonparametric; D020521:Stroke / Q000503:physiopathology*; D011795:Surveys and Questionnaires; D006113:United Kingdom
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