Physical activity level and stroke risk in US population: A matched case–control study of 102,578 individuals
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Publication date
2022-03Author
Ghozy, S.Zayan, A.H.
El-Qushayri, A.E.
Parker, K.E.
Varney, J.
Kallmes, K.M.
Morsy, Sara
Abbas, A.S.
Diestro, J.D.B.
Dmytriw, A.A.
Shah, J.
Hassan, A.E.
Islam, S.M.S.
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© 2022 The Authors. Annals of Clinical and Translational Neurology published by Wiley Periodicals LLC on behalf of American Neurological Association. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.Peer-Reviewed
YesOpen Access status
openAccessAccepted for publication
2022-01-09
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Show full item recordAbstract
Background: Stroke has been linked to a lack of physical activity; however, the extent of the association between inactive lifestyles and stroke risk has yet to be characterized across large populations. Purpose: This study aimed to explore the association between activity-related behaviors and stroke incidence. Methods: Data from 1999 to 2018 waves of the concurrent cross-sectional National Health and Nutrition Examination Survey (NHANES) were extracted. We analyzed participants characteristics and outcomes for all participants with data on whether they had a stroke or not and assessed how different forms of physical activity affect the incidence of disease. Results: Of the 102,578 individuals included, 3851 had a history of stroke. A range of activity-related behaviors was protective against stroke, including engaging in moderate-intensity work over the last 30 days (OR = 0.8, 95% CI = 0.7–0.9; P = 0.001) and vigorous-intensity work activities over the last 30 days (OR = 0.6, 95% CI = 0.5–0.8; P < 0.001), and muscle-strengthening exercises (OR = 0.6, 95% CI = 0.5–0.8; P < 0.001). Conversely, more than 4 h of daily TV, video, or computer use was positively associated with the likelihood of stroke (OR = 11.7, 95% CI = 2.1–219.2; P = 0.022). Conclusion: Different types, frequencies, and intensities of physical activity were associated with reduced stroke incidence, implying that there is an option for everyone. Daily or every other day activities are more critical in reducing stroke than reducing sedentary behavior duration.Version
Published versionCitation
Ghozy S, Zayan AH, El-Qushayri AE et al (2022) Physical activity level and stroke risk in US population: A matched case-control study of 102,578 individuals. Annals of Clinical and Translational Neurology. 9(3): 264-275.Link to Version of Record
https://doi.org/10.1002/acn3.51511Type
Articleae974a485f413a2113503eed53cd6c53
https://doi.org/10.1002/acn3.51511