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Physical activity modification following a Transient Ischemic Attack in individuals with diabetes
Anastasios Mavridis1, Tamar Abzhandadze2,3,4, Adam Viktorisson1,5
1Institute of Neuroscience and Physiology, Rehabilitation Medicine, University of Gothenburg, Gothenburg, Sweden.
Cardiovascular Diabetology
|August 7, 2024
Summary
Increasing physical activity after a transient ischemic attack (TIA) significantly lowers mortality risk in individuals with diabetes. Maintaining or decreasing activity levels post-TIA did not show the same survival benefits.
Area of Science:
- Cardiology
- Endocrinology
- Public Health
Background:
- Individuals with diabetes have elevated risks for cardiovascular disease and mortality.
- A transient ischemic attack (TIA) further increases stroke and mortality risks.
- Physical activity is a key secondary prevention strategy post-TIA, but its impact on diabetic patients is understudied.
Purpose of the Study:
- To investigate how individuals with diabetes alter physical activity post-TIA.
- To assess the association between changes in physical activity and mortality in this population.
Main Methods:
- Nationwide longitudinal study in Sweden (2003-2019).
- Included individuals with diabetes and a TIA, analyzing data 2 years pre- and post-event.
- Grouped participants by changes in physical activity (decreased, steady, increased) and used Cox models to assess mortality risks.
Main Results:
- Sample: 4,219 individuals (mean age 72.9 years, 59.4% male).
- Activity changes: 35.8% decreased, 37.5% steady, 26.8% increased post-TIA.
- Increased physical activity was linked to a 45% lower all-cause mortality and 68% lower cardiovascular mortality risk compared to decreased activity.
Conclusions:
- Positive changes in physical activity post-TIA are associated with reduced mortality.
- Promoting increased physical activity after TIA is crucial for improving health outcomes in diabetic patients.
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