Association between physical exercise and stroke recurrence among first-ever ischemic stroke survivors

Abstract The relationship between exercise and stroke recurrence is controversial. This study was designed to test whether an association exists between exercise and ischemic stroke recurrence in first-ever ischemic stroke survivors. Data were collected from January 2010 to June 2016. Baseline infor...

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Autores principales:	Lisha Hou, Mier Li, Ju Wang, Yawen Li, Qianwen Zheng, Lu Zhang, Qiang Yao, Jing Zhang, Shuju Dong, Muke Zhou, Cairong Zhu
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c13c83ee28504c3fa6c0563ab50ad7f4
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spelling	oai:doaj.org-article:c13c83ee28504c3fa6c0563ab50ad7f42021-12-02T18:18:44ZAssociation between physical exercise and stroke recurrence among first-ever ischemic stroke survivors10.1038/s41598-021-92736-52045-2322https://doaj.org/article/c13c83ee28504c3fa6c0563ab50ad7f42021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92736-5https://doaj.org/toc/2045-2322Abstract The relationship between exercise and stroke recurrence is controversial. This study was designed to test whether an association exists between exercise and ischemic stroke recurrence in first-ever ischemic stroke survivors. Data were collected from January 2010 to June 2016. Baseline information was obtained during face-to-face interviews, and follow-up phone interviews were conducted every 3 months. Exercise type, frequency, intensity, and duration were recorded. Discrete-time survival analysis was used to determine the relationship between exercise and stroke recurrence. 760 first-ever ischemic stroke survivors who were able to exercise were enrolled. After adjusting for covariates, patients who exercised 3.5–7 h per week and more than 7 h per week had a lower relapse risk than patients who did not exercise (3.5–7: OR 0.415; > 7: OR 0.356). Moreover, if the fluctuation of exercise duration was over 4 h, the patients had a higher risk of stroke recurrence than those with variability of less than 2 h (OR 2.153, P = 0.013). Stroke survivors who engage in long-term regular mild exercise (more than 5 sessions per week and lasting on average 40 min per session) have a lower recurrence rate. Irregular exercise increases the risk of stroke recurrence.Lisha HouMier LiJu WangYawen LiQianwen ZhengLu ZhangQiang YaoJing ZhangShuju DongMuke ZhouCairong ZhuNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Lisha Hou Mier Li Ju Wang Yawen Li Qianwen Zheng Lu Zhang Qiang Yao Jing Zhang Shuju Dong Muke Zhou Cairong Zhu Association between physical exercise and stroke recurrence among first-ever ischemic stroke survivors
description	Abstract The relationship between exercise and stroke recurrence is controversial. This study was designed to test whether an association exists between exercise and ischemic stroke recurrence in first-ever ischemic stroke survivors. Data were collected from January 2010 to June 2016. Baseline information was obtained during face-to-face interviews, and follow-up phone interviews were conducted every 3 months. Exercise type, frequency, intensity, and duration were recorded. Discrete-time survival analysis was used to determine the relationship between exercise and stroke recurrence. 760 first-ever ischemic stroke survivors who were able to exercise were enrolled. After adjusting for covariates, patients who exercised 3.5–7 h per week and more than 7 h per week had a lower relapse risk than patients who did not exercise (3.5–7: OR 0.415; > 7: OR 0.356). Moreover, if the fluctuation of exercise duration was over 4 h, the patients had a higher risk of stroke recurrence than those with variability of less than 2 h (OR 2.153, P = 0.013). Stroke survivors who engage in long-term regular mild exercise (more than 5 sessions per week and lasting on average 40 min per session) have a lower recurrence rate. Irregular exercise increases the risk of stroke recurrence.
format	article
author	Lisha Hou Mier Li Ju Wang Yawen Li Qianwen Zheng Lu Zhang Qiang Yao Jing Zhang Shuju Dong Muke Zhou Cairong Zhu
author_facet	Lisha Hou Mier Li Ju Wang Yawen Li Qianwen Zheng Lu Zhang Qiang Yao Jing Zhang Shuju Dong Muke Zhou Cairong Zhu
author_sort	Lisha Hou
title	Association between physical exercise and stroke recurrence among first-ever ischemic stroke survivors
title_short	Association between physical exercise and stroke recurrence among first-ever ischemic stroke survivors
title_full	Association between physical exercise and stroke recurrence among first-ever ischemic stroke survivors
title_fullStr	Association between physical exercise and stroke recurrence among first-ever ischemic stroke survivors
title_full_unstemmed	Association between physical exercise and stroke recurrence among first-ever ischemic stroke survivors
title_sort	association between physical exercise and stroke recurrence among first-ever ischemic stroke survivors
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/c13c83ee28504c3fa6c0563ab50ad7f4
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Association between physical exercise and stroke recurrence among first-ever ischemic stroke survivors

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