Physical activity level and stroke risk in US population: A matched case-control study of 102,578 individuals

Authors

Sherief Ghozy
Ahmad Helmy Zayan
Amr Ehab El-Qushayri
Kate Elizabeth Parker
Joseph Varney
Kevin M. Kallmes
Sara Morsy
Alzhraa Salah Abbas
Jose Danilo B Diestro
Ameer E. Hassan, The University of Texas Rio Grande Valley

Document Type

Article

Publication Date

1-30-2022

Abstract

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.

Comments

© 2022 The Authors. Annals of Clinical and Translational Neurology published by Wiley Periodicals LLC on behalf of American Neurological Association.

Recommended Citation

Ghozy, S., Zayan, A. H., El-Qushayri, A. E., Parker, K. E., Varney, J., Kallmes, K. M., Morsy, S., Abbas, A. S., Diestro, J., Dmytriw, A. A., Shah, J., Hassan, A. E., & Islam, S. (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, 10.1002/acn3.51511. Advance online publication. https://doi.org/10.1002/acn3.51511

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Publication Title

Annals of Clinical and Translational Neurology

DOI

10.1002/acn3.51511

Academic Level

faculty

Mentor/PI Department

Neurology