Interventions for reducing sedentary behavior in people with stroke
Saunders, David H.; Mead, Gillian E.; Fitzsimons, Claire; Kelly, Paul; van Wijck, Frederike; Verschuren, Olaf; Backx, Karianne; English, Coralie
(2021) Stroke, volume 52, issue 12, pp. E846 - E847
(Article)
Abstract
Sedentary behavior is defined as any waking behavior characterized by an energy expenditure =1.5 metabolic equivalents, while in a sitting, reclining, or lying posture. As well as being physically inactive, stroke survivors are also often sedentary and may sit for long periods of time each day. This increases cardiometabolic risk
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and impacts physical and other functions. The recent World Health Organization (2020) guidelines recommend reducing the amount of sedentary time and increasing physical activity in various groups including older adults and those with chronic conditions and disabilities; however, stroke-specific evidence is incomplete. Interventions to reduce or interrupt periods of sedentary time, as well as to increase physical activity after stroke, could reduce the risk of secondary cardiovascular events and mortality during life after stroke.
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Keywords: Metabolic equivalent, Risk, Sedentary behavior, Stroke, Systematic review, Clinical Neurology, Cardiology and Cardiovascular Medicine, Advanced and Specialised Nursing
ISSN: 0039-2499
Publisher: Lippincott Williams and Wilkins
Note: Funding Information: Dr Mead reports the following: grants and contracts: (1) grant holder in a study of sedentary behavior after stroke, Chief Scientist Office, Scottish Government, (2) grant holder in RECREATE trial (The Reducing Sedentary Behaviour After Stroke Study), National Institute for Health Research UK. Royalties or licenses: (1) course on exercise after stroke, Later life training, (2) book on physical fitness training after stroke, Elsevier. Dr Fitzsimons reports the following: grants and contracts: (1) grant holder in RECREATE, National Institute for Health Research UK, (2) Research grant for a qualitative study to explore sedentary behavior in stroke survivors and inform intervention development (completed), Chief Scientist Office of the Scottish Government, (3) research grant for a feasibility study to explore how to provide feedback and remote monitoring to stroke survivors on their sedentary behavior (completed), Edinburgh and Lothians Health Foundation. Dr English reports the following: grants and contracts: National Heart Foundation of Australia. Author of one of the included studies and was not included in screening, data extraction, or analysis of the study. The other authors report no conflicts. Publisher Copyright: © 2021 Lippincott Williams and Wilkins. All rights reserved.
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