Physical activity, sleep, and fatigue in community dwelling Stroke Survivors.

2.50
Hdl Handle:
http://hdl.handle.net/11287/620728
Title:
Physical activity, sleep, and fatigue in community dwelling Stroke Survivors.
Authors:
Shepherd, A. I.; Pulsford, R.; Poltawski, L.; Forster, A.; Taylor, R. S.; Spencer, A.; Hollands, L.; James, Martin; Allison, R.; Norris, M.; Calitri, R.; Dean, S.G.
Abstract:
Stroke can lead to physiological and psychological impairments and impact individuals' physical activity (PA), fatigue and sleep patterns. We analysed wrist-worn accelerometry data and the Fatigue Assessment Scale from 41 stroke survivors following a physical rehabilitation programme, to examine relationships between PA levels, fatigue and sleep. Validated acceleration thresholds were used to quantify time spent in each PA intensity/sleep category. Stroke survivors performed less moderate to vigorous PA (MVPA) in 10 minute bouts than the National Stroke guidelines recommend. Regression analysis revealed associations at baseline between light PA and fatigue (p = 0.02) and MVPA and sleep efficiency (p = 0.04). Light PA was positively associated with fatigue at 6 months (p = 0.03), whilst sleep efficiency and fatigue were associated at 9 months (p = 0.02). No other effects were shown at baseline, 6 or 9 months. The magnitude of these associations were small and are unlikely to be clinically meaningful. Larger trials need to examine the efficacy and utility of accelerometry to assess PA and sleep in stroke survivors.
Citation:
Physical activity, sleep, and fatigue in community dwelling Stroke Survivors. 2018, 8 (1):7900 Sci Rep
Publisher:
Nature
Journal:
Scientific reports
Issue Date:
21-May-2018
URI:
http://hdl.handle.net/11287/620728
DOI:
10.1038/s41598-018-26279-7
PubMed ID:
29785009
Additional Links:
http://dx.doi.org/10.1038/s41598-018-26279-7
Note:
This article is freely available via Open Access. Click on the Additional Link above to access the full-text via the publisher's site.
Type:
Journal Article
Language:
en
ISSN:
2045-2322
Appears in Collections:
Stroke; 2018 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorShepherd, A. I.en
dc.contributor.authorPulsford, R.en
dc.contributor.authorPoltawski, L.en
dc.contributor.authorForster, A.en
dc.contributor.authorTaylor, R. S.en
dc.contributor.authorSpencer, A.en
dc.contributor.authorHollands, L.en
dc.contributor.authorJames, Martinen
dc.contributor.authorAllison, R.en
dc.contributor.authorNorris, M.en
dc.contributor.authorCalitri, R.en
dc.contributor.authorDean, S.G.en
dc.date.accessioned2018-06-29T13:23:23Z-
dc.date.available2018-06-29T13:23:23Z-
dc.date.issued2018-05-21-
dc.identifier.citationPhysical activity, sleep, and fatigue in community dwelling Stroke Survivors. 2018, 8 (1):7900 Sci Repen
dc.identifier.issn2045-2322-
dc.identifier.pmid29785009-
dc.identifier.doi10.1038/s41598-018-26279-7-
dc.identifier.urihttp://hdl.handle.net/11287/620728-
dc.description.abstractStroke can lead to physiological and psychological impairments and impact individuals' physical activity (PA), fatigue and sleep patterns. We analysed wrist-worn accelerometry data and the Fatigue Assessment Scale from 41 stroke survivors following a physical rehabilitation programme, to examine relationships between PA levels, fatigue and sleep. Validated acceleration thresholds were used to quantify time spent in each PA intensity/sleep category. Stroke survivors performed less moderate to vigorous PA (MVPA) in 10 minute bouts than the National Stroke guidelines recommend. Regression analysis revealed associations at baseline between light PA and fatigue (p = 0.02) and MVPA and sleep efficiency (p = 0.04). Light PA was positively associated with fatigue at 6 months (p = 0.03), whilst sleep efficiency and fatigue were associated at 9 months (p = 0.02). No other effects were shown at baseline, 6 or 9 months. The magnitude of these associations were small and are unlikely to be clinically meaningful. Larger trials need to examine the efficacy and utility of accelerometry to assess PA and sleep in stroke survivors.en
dc.language.isoenen
dc.publisherNatureen
dc.relation.urlhttp://dx.doi.org/10.1038/s41598-018-26279-7en
dc.rightsArchived with thanks to Scientific reports. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. Te images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.en
dc.subjectWessex Classification Subject Headings::Neurology::Strokeen
dc.titlePhysical activity, sleep, and fatigue in community dwelling Stroke Survivors.en
dc.typeJournal Articleen
dc.identifier.journalScientific reportsen
dc.description.noteThis article is freely available via Open Access. Click on the Additional Link above to access the full-text via the publisher's site.en
dc.type.versionPublisheden

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