- Title
- Increasing time spent engaging in moderate-to-vigorous physical activity by community-dwelling adults following a transient ischemic attack or non-disabling stroke: a systematic review
- Creator
- Sammut, Maria; Fini, Natalie; Haracz, Kirsti; Nilsson, Michael; English, Coralie; Janssen, Heidi
- Relation
- Disability and Rehabilitation Vol. 44, Issue 3, p. 337-352
- Publisher Link
- http://dx.doi.org/10.1080/09638288.2020.1768599
- Publisher
- Taylor & Francis
- Resource Type
- journal article
- Date
- 2022
- Description
- Purpose: The risk of recurrent stroke following a transient ischaemic attack (TIA) or non-disabling stroke is high. Clinical guidelines recommend this patient population accumulate at least 150 minutes of moderate-to-vigorous physical activity each week to reduce the risk of recurrent stroke. We aimed to identify interventions that increase time adults spend in moderate-to-vigorous physical activity following TIA or non-disabling stroke. Method: We searched thirteen databases for articles of secondary prevention interventions reporting outcomes for duration in moderate-to-vigorous physical activity or exercise capacity. Results: Eight trials were identified (n = 2653). Of these, three (n = 198) reported changes in time spent in moderate-to-vigorous physical activity. Only one trial (n = 70), reported significant change in time spent engaging in moderate-to-vigorous physical activity (between-group difference: 11.7 min/day [95% CI 4.07–19.33]) when comparing participation in a six-month exercise education intervention to usual care. No trial measured moderate-to-vigorous physical activity after intervention end. Conclusion: Despite recommendations to participate in regular physical activity at moderate-to-vigorous intensity for secondary stroke prevention, there is very little evidence for effective interventions for this patient population. There is need for clinically feasible interventions that result in long-term participation in physical activity in line with clinical guidelines. Trial registration: Protocol registration: PROSPERO CRD42018092840Implications for rehabilitation There is limited evidence of the effectiveness of interventions that aim to increase time spent engaging in moderate-to-vigorous physical activity (MVPA) for people following a TIA or non-disabling stroke. A program comprising aerobic and resistance exercises ≥2 per week, supervised by a health professional (supplemented with a home program) over at least 24 weeks appears to be effective in assisting people adhere to recommended levels of moderate to vigorous physical activity after TIA or non-disabling stroke. Secondary prevention programs which include health professional supervised exercise sessions contribute to better adherence to physical activity guidelines; didactic sessions alone outlining frequency and intensity are unlikely to be sufficient.
- Subject
- transient ischemic attack; non-disabling stroke; moderate-to-vigorous physical activity; physical activity; secondary stroke risk intervention; systematic review; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1460464
- Identifier
- uon:45971
- Identifier
- ISSN:0963-8288
- Rights
- This is an Accepted Manuscript of an article published by Taylor & Francis in Hydrological Sciences Journal on 28/05/2020, available online: https://www.tandfonline.com/doi/full/10.1080/09638288.2020.1768599.
- Language
- eng
- Full Text
- Reviewed
- Hits: 1026
- Visitors: 1072
- Downloads: 64
Collections
Goal 3: Good Health and Well-Being
| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | ATTACHMENT02 | Author final version | 823 KB | Adobe Acrobat PDF | View Details Download |