Fatigue and activity after stroke. Secondary results from the Life After Stroke study

Objectives The aim of this study was to describe how the prevalence of fatigue changed from the subacute phase to the chronic phase after stroke, and to investigate how activity was associated with fatigue among participants included in the randomized controlled multicentre‐study Life After STroke (...

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Published in:Physiotherapy research international : the journal for researchers and clinicians in physical therapy Vol. 25; no. 4; pp. e1851 - n/a
Main Authors: Braaten, Ragnhild Sunde, Askim, Torunn, Gunnes, Mari, Indredavik, Bent
Format: Journal Article
Language:English
Published: United States 01-10-2020
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Abstract Objectives The aim of this study was to describe how the prevalence of fatigue changed from the subacute phase to the chronic phase after stroke, and to investigate how activity was associated with fatigue among participants included in the randomized controlled multicentre‐study Life After STroke (LAST). Methods The present study represents secondary analysis based on data from the LAST study. One‐hundred‐and‐forty‐five patients with mild and moderate stroke (mean (SD) age: 71.5 (10.5) years, 57.2% males) recruited from St. Olav's University Hospital were included. Fatigue was assessed by the Fatigue Severity Scale (FSS‐7) at inclusion, 3 months after stroke, and at follow‐up 18 months later. activPAL was used to measure activity at follow‐up. Results A total of 46 (31.7%) participants reported fatigue at inclusion and 43 (29.7%) at follow‐up (p = .736). In the univariable regression analysis, sedentary behaviour, walking and sedentary bouts were significantly associated with fatigue (p ≤ .015), whereas only time spent walking was significantly associated with fatigue in the multivariable regression analysis (p = .017). Conclusions The present study showed that fatigue is a common symptom after stroke and that the prevalence of fatigue remained unchanged from the subacute to the chronic phase. The study also showed that increased time spent walking was strongly related to lower fatigue, while no such associations were found between the other activity categories and fatigue.
AbstractList OBJECTIVESThe aim of this study was to describe how the prevalence of fatigue changed from the subacute phase to the chronic phase after stroke, and to investigate how activity was associated with fatigue among participants included in the randomized controlled multicentre-study Life After STroke (LAST). METHODSThe present study represents secondary analysis based on data from the LAST study. One-hundred-and-forty-five patients with mild and moderate stroke (mean (SD) age: 71.5 (10.5) years, 57.2% males) recruited from St. Olav's University Hospital were included. Fatigue was assessed by the Fatigue Severity Scale (FSS-7) at inclusion, 3 months after stroke, and at follow-up 18 months later. activPAL was used to measure activity at follow-up. RESULTSA total of 46 (31.7%) participants reported fatigue at inclusion and 43 (29.7%) at follow-up (p = .736). In the univariable regression analysis, sedentary behaviour, walking and sedentary bouts were significantly associated with fatigue (p ≤ .015), whereas only time spent walking was significantly associated with fatigue in the multivariable regression analysis (p = .017). CONCLUSIONSThe present study showed that fatigue is a common symptom after stroke and that the prevalence of fatigue remained unchanged from the subacute to the chronic phase. The study also showed that increased time spent walking was strongly related to lower fatigue, while no such associations were found between the other activity categories and fatigue.
Objectives The aim of this study was to describe how the prevalence of fatigue changed from the subacute phase to the chronic phase after stroke, and to investigate how activity was associated with fatigue among participants included in the randomized controlled multicentre‐study Life After STroke (LAST). Methods The present study represents secondary analysis based on data from the LAST study. One‐hundred‐and‐forty‐five patients with mild and moderate stroke (mean (SD) age: 71.5 (10.5) years, 57.2% males) recruited from St. Olav's University Hospital were included. Fatigue was assessed by the Fatigue Severity Scale (FSS‐7) at inclusion, 3 months after stroke, and at follow‐up 18 months later. activPAL was used to measure activity at follow‐up. Results A total of 46 (31.7%) participants reported fatigue at inclusion and 43 (29.7%) at follow‐up (p = .736). In the univariable regression analysis, sedentary behaviour, walking and sedentary bouts were significantly associated with fatigue (p ≤ .015), whereas only time spent walking was significantly associated with fatigue in the multivariable regression analysis (p = .017). Conclusions The present study showed that fatigue is a common symptom after stroke and that the prevalence of fatigue remained unchanged from the subacute to the chronic phase. The study also showed that increased time spent walking was strongly related to lower fatigue, while no such associations were found between the other activity categories and fatigue.
The aim of this study was to describe how the prevalence of fatigue changed from the subacute phase to the chronic phase after stroke, and to investigate how activity was associated with fatigue among participants included in the randomized controlled multicentre-study Life After STroke (LAST). The present study represents secondary analysis based on data from the LAST study. One-hundred-and-forty-five patients with mild and moderate stroke (mean (SD) age: 71.5 (10.5) years, 57.2% males) recruited from St. Olav's University Hospital were included. Fatigue was assessed by the Fatigue Severity Scale (FSS-7) at inclusion, 3 months after stroke, and at follow-up 18 months later. activPAL was used to measure activity at follow-up. A total of 46 (31.7%) participants reported fatigue at inclusion and 43 (29.7%) at follow-up (p = .736). In the univariable regression analysis, sedentary behaviour, walking and sedentary bouts were significantly associated with fatigue (p ≤ .015), whereas only time spent walking was significantly associated with fatigue in the multivariable regression analysis (p = .017). The present study showed that fatigue is a common symptom after stroke and that the prevalence of fatigue remained unchanged from the subacute to the chronic phase. The study also showed that increased time spent walking was strongly related to lower fatigue, while no such associations were found between the other activity categories and fatigue.
Author Askim, Torunn
Braaten, Ragnhild Sunde
Indredavik, Bent
Gunnes, Mari
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  givenname: Bent
  surname: Indredavik
  fullname: Indredavik, Bent
  organization: Norwegian University of Science and Technology (NTNU)
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Issue 4
Keywords fatigue
activity
stroke
walking
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Snippet Objectives The aim of this study was to describe how the prevalence of fatigue changed from the subacute phase to the chronic phase after stroke, and to...
The aim of this study was to describe how the prevalence of fatigue changed from the subacute phase to the chronic phase after stroke, and to investigate how...
OBJECTIVESThe aim of this study was to describe how the prevalence of fatigue changed from the subacute phase to the chronic phase after stroke, and to...
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StartPage e1851
SubjectTerms activity
Aged
fatigue
Fatigue - etiology
Female
Follow-Up Studies
Humans
Male
Middle Aged
Posture - physiology
Quality of Life
Regression Analysis
Sedentary Behavior
Severity of Illness Index
stroke
Stroke - complications
Stroke Rehabilitation - methods
walking
Walking - physiology
Title Fatigue and activity after stroke. Secondary results from the Life After Stroke study
URI https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fpri.1851
https://www.ncbi.nlm.nih.gov/pubmed/32431023
https://search.proquest.com/docview/2405304588
Volume 25
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