Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2011

Open Access 01-12-2011 | Research

The influence of the level of physical activity and human development in the quality of life in survivors of stroke

Authors: Felipe J Aidar, Ricardo J de Oliveira, António J Silva, Dihogo G de Matos, André L Carneiro, Nuno Garrido, Robert C Hickner, Victor M Reis

Published in: Health and Quality of Life Outcomes | Issue 1/2011

Login to get access

Abstract

Background

The association between physical activity and quality of life in stroke survivors has not been analyzed within a framework related to the human development index. This study aimed to identify differences in physical activity level and in the quality of life of stroke survivors in two cities differing in economic aspects of the human development index.

Methods

Two groups of subjects who had suffered a stroke at least a year prior to testing and showed hemiplegia or hemiparesis were studied: a group from Belo Horizonte (BH) with 48 people (51.5 ± 8.7 years) and one from Montes Claros (MC) with 29 subjects (55.4 ± 8.1 years). Subsequently, regardless of location, the groups were divided into Active and Insufficiently Active so their difference in terms of quality of life could be analyzed.

Results

There were no significant differences between BH and MCG when it came to four dimensions of physical health that were evaluated (physical functioning, physical aspect, pain and health status) or in the following four dimensions of mental health status (vitality, social aspect, emotional aspect and mental health). However, significantly higher mean values were found in Active when compared with Insufficiently Active individuals in various measures of physical health (physical functioning 56.2 ± 4.4 vs. 47.4 ± 6.9; physical aspect 66.5 ± 6.5 vs. 59.1 ± 6.7; pain 55.9 ± 6.2 vs. 47.7 ± 6.0; health status 67.2 ± 4.2 vs. 56.6 ± 7.8) (arbitrary units), and mental health (vitality 60.9 ± 6.8 vs. 54.1 ± 7.2; social aspect 60.4 ± 7.1 vs. 54.2 ± 7.4; emotional aspect 64.0 ± 5.5 vs. 58.1 ± 6.9; mental health status 66.2 ± 5.5 vs. 58.4 ± 7.5) (arbitrary units).

Conclusions

Despite the difference between the cities concerning HDI values, no significant differences in quality of life were found between BH and MCG. However, the Active group showed significantly better results, confirming the importance of active lifestyle to enhance quality of life in stroke survivors.
Appendix
Available only for authorised users
Literature
1.
Torres HG, Ferreira MP, Dinni NP: Social indicators: why build new ones as the IPRS. São Paulo perspective 2003, 17: 80–90.
2.
Frey JL, Jahnke HK, Bulfinch EW: Differences in Stroke Between White, Hispanic, and Native American Patients The Barrow Neurological Institute Stroke Database. Stroke 1998, 29: 29–33. 10.1161/01.STR.29.1.29PubMedCrossRef
3.
Kjeldsen SE, Erdine S, Farsang C, Sleight P, Mancia G: 1999 WHO/ISH Hypertension Guidelines subcommittee 1999 WHO/ISH Hypertension Guidelines-highlights & ESH update. J Hypertens 2002, 20: 153–5. 10.1097/00004872-200201000-00022PubMedCrossRef
4.
Menotti A, Jacobs DR Jr, Blackburn H, Kromhout D, Nissinen A, Nedeljkovic S: Twenty-five-year prediction of stroke deaths in the seven countries study: the role of blood pressure and its changes. Stroke 1996, 27: 381–7. 10.1161/01.STR.27.3.381PubMedCrossRef
5.
Shahar E, McGovern PG, Pankow JS, Doliszny KM, Smith MA, Blackburn H: Stroke rates during the 1980s. The Minnesota Stroke Survey. Stroke 1997, 28: 275–9. 10.1161/01.STR.28.2.275PubMedCrossRef
6.
Pittella JEH, Duarte JE: Prevalence and pattern of distribution of cerebrovascular disease in 242 elderly people, coming from a general hospital, autopsied in Belo Horizonte, Minas Gerais, during 1976 to 1997. Arq Neuropsiquiatr 2002, 60: 47–55. 10.1590/S0004-282X2002000100010PubMedCrossRef
7.
Kokkinos P: Physical activity and cardiovascular disease prevention: current recommendations. Angiology 2008,59(Suppl 3):26S-9S.PubMedCrossRef
8.
Aidar FJ, Silva AJ, Reis VM, Carneiro A, Carneiro-Cotta S: Study of quality of life in ischemic stroke and its relationship with physical activity. J Neurol 2007, 45: 518–522.
9.
Carod-Artad FJ: Post stroke depression (I). Epidemiology, diagnostic criteria and risk factors. J Neurol 2006, 42: 169–75.
10.
Haan DR, Limburg M, Bossuyt P, Meulen JVD, A a ronson N: The clinical meaning of rankin handicap grades after stroke. Stroke 1995, 26: 2027–2030. 10.1161/01.STR.26.11.2027PubMedCrossRef
11.
Brazilian Society of Cerebrovascular Diseases (BSCD): Working Group on Cerebrovascular Pathology of ABN. Rankin scale of disability changed and modified Barthel index. Newsletter 1999, 6: 7–12.
12.
United Nations Program for Development (UNPD): Human Development Report 2009. Overcoming barriers: human mobility and development. Coimbra: Edições Almedina SA; 2009.
13.
Brazier JE, Harper R, Jones NM, O'Cathain A, Thomas KJ, Usherwood T: Validating the SF-36 health survey questionnaire: a new outcome measure for primary care. BMJ 1992, 305: 160–4. 10.1136/bmj.305.6846.160PubMedCentralPubMedCrossRef
14.
Ciconelli RM, Ferraz MB, Santos W, Meirão I, Quaresma MR: Translation into Portuguese and validation of the generic assessment of quality of life 36 (Brazil SF-36). Braz J Reumatol 1999, 39: 143–50.
15.
Lyons RA, Perry HM, Littlepage BN: Evidence for the validity of the short-form 36 questionnaire (SF-36) in the elderly population. Age Ageing 1994, 23: 182–4. 10.1093/ageing/23.3.182PubMedCrossRef
16.
McHorney CA, Ware JE, Rogers W, Raczek AE, Lu JF: The validity and relative precision of the MOS short- and long-form health status scales and Dartmouth COOP charts: results from the Medical Outcomes Study. Med Care 1992, 30: 253–65.CrossRef
17.
Brown N, Melville M, Gray D, Young T, Munro J, Skene AM: Quality of life four years after acute myocardial infarction: short form 36 scores compared with a normal population. Heart 1999, 81: 352–8.PubMedCentralPubMedCrossRef
18.
Hallal PC, Victora CG: Reliability and validity of the International Physical Activity Questionnaire (IPAQ). Med Sci Sports Exerc 2004, 36: 556–562. 10.1249/01.MSS.0000117161.66394.07PubMedCrossRef
19.
20.
Units of Stroke: Recommendations for its development. Lisbon: Directorate General of Health Services Department-Planning. Lisboa; 2001.
21.
Cavalini LT, de Leon AC: Morbidity and mortality in Brazilian municipalities: a multilevel study of the association between socioeconomic and healthcare indicators. Int J Epidemiol 2008, 37: 775–83.PubMedCrossRef
22.
Kothari RU, Hacke W, Brott T, Dykstra EH, Furlan A, Koroshetz W: American Heart Association, International Liaison Committee on Resuscitation; Cardiopulmonary resuscitation and emergency cardiovascular care Stroke. Ann Emerg Med 2001, 37: 137–44. 10.1067/mem.2001.114171CrossRef
23.
Solenski NJ: Transient ischemic attacks: Part I. Diagnosis and evaluation. Am Fam Physician 2004, 69: 1665–74.PubMed
24.
Esteve M, Serra-Prat M, Zaldivar C, Verdaguer A, Berenguer J: Impact of a clinical pathway for stroke patients. Gag Sanit 2004, 18: 197–204. 10.1157/13063096CrossRef
25.
Maestre-Moreno JF: Stroke and resources for emergency neurological care: be on time, why? J Neurol 2006, 42: 65–67.
26.
Morales-Ortiz A, Amorín M, Fages EM, Moreno-Escribano A, Villaverde-González R, Martínez-Navarro ML: Use of outpatient emergency system in the treatment of acute stroke in the region of Murcia. Potential impact on emergency health care of stroke. J Neurol 2006, 42: 68–72.
27.
Chang CF, Lin SZ, Chiang YH, Morales M, Chou J, Lein P: Intravenous administration of bone morphogenetic protein-7 after ischemia improves motor function in stroke rats. Stroke 2003, 34: 558–64. 10.1161/01.STR.0000051507.64423.00PubMedCrossRef
28.
André C, Curioni CC, Cunha CB, Veras R: Progressive decline in stroke mortality in Brazil from 1980 to 1982, 1990 to 1992, and 2000 to 2002. Stroke 2006, 37: 2784–9. 10.1161/01.STR.0000244768.46566.73PubMedCrossRef
29.
Pontes-Neto OM, Silva GS, Feitosa MR, de Figueiredo NL, Fiorot JA Jr, Rocha TN: Stroke awareness in Brazil: alarming results in a community-based study. Stroke 2008, 39: 292–6. 10.1161/STROKEAHA.107.493908PubMedCrossRef
30.
Mokudai T, Ayoub IA, Sakakibara Y, Lee EJ, Ogilvy CS, Maynard KI: Delayed treatment with nicotinamide (Vitamin B(3)) improves neurological outcome and reduces infarct volume after transient focal cerebral ischemia in Wistar rats. Stroke 2000, 31: 1679–85. 10.1161/01.STR.31.7.1679PubMedCrossRef
31.
Díaz-Tapia V, Gana J, Sobarzo M, Jaramillo-Muñoz A, Illanes-Díez S: Studio on the quality of life in patients with ischemic stroke. J Neurol 2008, 46: 652–655.
32.
Unalan D, Soyuer F, Ozturk A, Mistik S: Comparison of SF-36 and WHOQOL-100 in patients with stroke. Neurol India 2008, 56: 426–32. 10.4103/0028-3886.44573PubMedCrossRef
33.
Pniewski J, Szluk B: Long-term prognosis in young adults after a cerebral ischemic episode. Neurol Neurochir Pol 2000, 34: 1101–10.PubMed
34.
Noda H, Iso H, Toyoshima H, Date C, Yamamoto A, Kikuchi S: JACC Study Group walking and sports participation and mortality from coronary heart disease and stroke. J Am Coll Cardiol 2005, 46: 1761–7. 10.1016/j.jacc.2005.07.038PubMedCrossRef
35.
Wang RY, Yu SM, Yang YR: Treadmill training effects in different age groups following middle cerebral artery occlusion in rats. Gerontology 2005, 51: 161–5. 10.1159/000083987PubMedCrossRef
36.
Herterich B, Steube D, Buhner M: Treadmill therapy in patients after ischaemic stroke. Rehabilitation 2004, 43: 137–41. 10.1055/s-2003-814887PubMedCrossRef
37.
Ding Y, Li J, Lai Q, Rafols JA, Luan X, Clark J: Motor balance and coordination training enhances functional outcome in rat with transient middle cerebral artery occlusion. Neuroscience 2004, 123: 667–74. 10.1016/j.neuroscience.2003.08.031PubMedCrossRef
38.
Rand D, Eng JJ, Tang PF, Hung C, Jeng JS: Daily physical activity and its contribution to the health-related quality of life of ambulatory individuals with chronic stroke. Health Qual Life Outcomes 2010, 8: 80. 10.1186/1477-7525-8-80PubMedCentralPubMedCrossRef
Metadata
Title
The influence of the level of physical activity and human development in the quality of life in survivors of stroke
Authors
Felipe J Aidar
Ricardo J de Oliveira
António J Silva
Dihogo G de Matos
André L Carneiro
Nuno Garrido
Robert C Hickner
Victor M Reis
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2011
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-9-89

Other articles of this Issue 1/2011

Health and Quality of Life Outcomes 1/2011 Go to the issue

Research

Retrospective study of the effect of disease progression on patient reported outcomes in HER-2 negative metastatic breast cancer patients

Research

Quality of Life analysis of patients in chronic use of oral anticoagulant: an observational study

Research

Psychological distress of patients suffering from restless legs syndrome: a cross-sectional study

Research

The Chinese version of the Pediatric Quality of Life Inventory™ (PedsQL™) Family Impact Module: cross-cultural adaptation and psychometric evaluation

Research

The relationship of oral health literacy with oral health-related quality of life in a multi-racial sample of low-income female caregivers

Research

Impact of stroke on health-related quality of life in diverse cultures: the Berlin-Ibadan multicenter international study