Predictors of Adherence to Lifestyle Recommendations in Stroke Secondary Prevention

Olive Lennon, Patricia Hall and Catherine Blake
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Olive Lennon: Health Sciences Centre, School of Public Health, Physiotherapy and Sports Science, University College Dublin, Belfield, D04 V1W8 Dublin 4, Ireland
Patricia Hall: Health Sciences Centre, School of Public Health, Physiotherapy and Sports Science, University College Dublin, Belfield, D04 V1W8 Dublin 4, Ireland
Catherine Blake: Health Sciences Centre, School of Public Health, Physiotherapy and Sports Science, University College Dublin, Belfield, D04 V1W8 Dublin 4, Ireland

IJERPH, 2021, vol. 18, issue 9, 1-11

Abstract: The risk of recurrent vascular events is high following ischaemic stroke or transient ischaemic attack (TIA). Unmanaged modifiable risk factors present opportunities for enhanced secondary prevention. This cross-sectional study ( n = 142 individuals post-ischaemic stroke/TIA; mean age 63 years, 70% male) describes adherence rates with risk-reducing behaviours and logistical regression models of behaviour adherence. Predictor variables used in the models com-prised age, sex, stroke/TIA status, aetiology (TOAST), modified Rankin Scale, cardiovascular fit-ness (VO 2peak ) measured as peak oxygen uptake during incremental exercise (L/min) and Hospital Anxiety and Depression Score (HADS). Of the study participants, 84% abstained from smoking; 54% consumed ? 5 portions of fruit and vegetables/day; 31% engaged in 30 min moderate-to-vigorous physical activity (MVPA) at least 3 times/week and 18% were adherent to all three behaviours. VO 2peak was the only variable predictive of adherence to all three health behaviours (aOR 12.1; p = 0.01) and to MVPA participation (aOR 7.5; p = 0.01). Increased age (aOR 1.1; p = 0.03) and lower HADS scores (aOR 0.9; p = 0.02) were predictive of smoking abstinence. Men were less likely to consume fruit and vegetables (aOR 0.36; p = 0.04). Targeted secondary prevention interventions after stroke should address cardiovascular fitness training for MVPA and combined health behaviours; management of psychological distress in persistent smokers and consider environmental and social factors in dietary interventions, notably in men.

Keywords: stroke; secondary prevention; cardiovascular risk; health behaviours; lifestyle; risk reduction (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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