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

Shepherd, A. I. et al. (2018) Physical activity, sleep, and fatigue in community dwelling Stroke Survivors. Scientific Reports, 8(1), 7900. (doi:10.1038/s41598-018-26279-7) (PMID:29785009) (PMCID:PMC5962574)

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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.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Taylor, Professor Rodney Stephen
Authors: Shepherd, A. I., Pulsford, R., Poltawski, L., Forster, A., Taylor, R. S., Spencer, A., Hollands, L., James, M., Allison, R., Norris, M., Calitri, R., and Dean, S. G.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO Unit
Journal Name:Scientific Reports
Publisher:Nature Publishing Group
ISSN:2045-2322
ISSN (Online):2045-2322
Copyright Holders:Copyright © 2018 The Authors
First Published:First published in Scientific Reports 8(1):7900
Publisher Policy:Reproduced under a Creative Commons License

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