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Sedentary behavior patterns over 6 weeks among ambulatory people with stroke
Emily A Kringle1, Elizabeth R Skidmore2, Lauren Terhorst3
1Division of Academic Internal Medicine and Geriatrics, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Topics in Stroke Rehabilitation
|November 12, 2020
Summary
Sedentary behavior in stroke survivors remained stable over six weeks. Key metrics like sitting time and sit-to-stand transitions showed no significant changes, suggesting consistent patterns in this population.
Area of Science:
- Rehabilitation Medicine
- Neurology
- Physical Therapy
Background:
- Stroke survivors often exhibit prolonged sedentary behavior, impacting recovery and long-term health.
- Understanding sedentary behavior patterns is crucial for developing targeted interventions post-stroke.
Purpose of the Study:
- To characterize sedentary behavior patterns over a 6-week period in ambulatory individuals with subacute and chronic stroke.
- To assess the stability of various sedentary behavior metrics in this population.
Main Methods:
- An observational longitudinal study involving 39 community-dwelling stroke survivors (≥18 years).
- Sedentary behavior was measured using activPAL micro3 over 7-day periods at baseline (T0) and 6 weeks (T1).
- Metrics included total sitting time, prolonged sitting bouts, sit-to-stand transitions, and fragmentation index, analyzed with paired t-tests and Cohen's d.
Main Results:
- No statistically significant differences were found between T0 and T1 for mean daily sitting time (p=.19), sitting time in bouts ≥30 minutes (p=.11), or the number of sit-to-stand transitions (p=.53).
- The fragmentation index also showed no significant change (p=.92).
- Cohen's d values indicated small, non-significant changes for all measured sedentary behavior metrics.
Conclusions:
- Sedentary behavior metrics demonstrated stability over the 6-week study period in ambulatory individuals with stroke.
- The number of daily sit-to-stand transitions and the fragmentation index appeared to be the most stable indicators.
- Further research is warranted to confirm these findings and explore sedentary behavior correlates in stroke survivors.

