Highlights
- •Randomized controlled trial on approach to promote a reduction in sedentary behavior.
- •An approach that reduces sedentary behavior in patients with minor ischemic stroke.
- •An approach from the time of admission to hospital until after hospital discharge.
- •Reduced sedentary behavior group showed a significantly reduced sedentary behavior.
- •Reduced sedentary behavior group showed increased physical activity levels.
Abstract
Objective
The purpose of this study was to determine whether an approach that promotes reduction
in sedentary behavior (SB) during hospitalization and after hospital discharge reduces
SB in patients with minor ischemic stroke (MIS) compared with an approach that promotes
an increase in physical activity levels.
Design
Randomized controlled trial design.
Setting
During hospitalization and after hospital discharge.
Participants
We randomly assigned patients (N=61) with MIS (average age, 71.3±8.3y; 65.6% men)
admitted to an acute hospital to either the intervention group (reduced SB, n=31)
or the control group (increased physical activity levels, n=30).
Interventions
During hospitalization, the intervention group received education on reducing SB,
goal setting for SB after hospital discharge, and self-monitoring of SB and step count.
In contrast, the control group received education on increasing physical activity
levels and self-monitoring of step count. Patients in both groups wore an accelerometer
during hospitalization until 3 months after hospital discharge. The intervention group
received self-monitoring of SB and step count, stickers including information about
reducing their SB, and phone calls once every 2 weeks for encouragement and feedback.
The control group only wore the accelerometer.
Main Outcome Measures
The primary outcome was SB (in percentage) at 3 months after hospital discharge.
Results
There was an interaction between the 2 groups for SB. Compared with the control group,
the intervention group showed a significantly reduced SB (intervention group: baseline,
70.5%; 3 months after hospital discharge, 48.6%; control group: baseline, 71.5%; 3
months after hospital discharge, 57.5%; F value=5.981; P=.018).
Conclusions
The results suggested that an approach that promotes SB reduction during hospitalization
and after hospital discharge is effective in reducing SB in patients with MIS 3 months
after hospital discharge.
Keywords
List of abbreviations:
GDS15 (Geriatric Depression Scale 15), LPA (low-intensity physical activity), MET (metabolic equivalent of task), MIS (minor ischemic stroke), MMSE (Mini-Mental State Examination), MVPA (moderate-to-vigorous-intensity physical activity), SB (sedentary behavior)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: September 22, 2021
Accepted:
August 16,
2021
Received in revised form:
August 9,
2021
Received:
June 30,
2021
Footnotes
Supported by Daido Life Welfare Foundation.
Clinical Trial Register No. (UMIN Clinical Trials Registry): UMIN000038616.
Disclosures: none.
Identification
Copyright
© 2021 The American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
