University of Tasmania
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Sedentary time and activity behaviors after stroke rehabilitation: changes in the first 3 months home

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posted on 2023-05-20, 16:13 authored by Simpson, DB, Monique BreslinMonique Breslin, Cumming, T, de Zoete, SA, Seana GallSeana Gall, Matthew SchmidtMatthew Schmidt, English, C, Michele CallisayaMichele Callisaya
Background: Sedentary time is prevalent following stroke, limiting functional improvement, and increasing cardiovascular risk. At discharge we examined: 1) change in sedentary time and activity over the following 3 months' and 2) physical, psychological or cognitive factors predicting any change. A secondary aim examined cross-sectional associations between factors and activity at 3 months.

Methods: People with stroke (n = 34) were recruited from two rehabilitation units. An activity monitor (ActivPAL3) was worn for 7 days during the first week home and 3 months later. Factors examined included physical, psychological, and cognitive function. Linear mixed models (adjusted for waking hours) were used to examine changes in sedentary time, walking, and step count over time. Interaction terms between time and each factor were added to the model to determine if they modified change over time. Linear regression was performed to determine factors cross-sectionally associated with 3-month activity.

Results: ActivPAL data were available at both time points for 28 (82%) participants (mean age 69 [SD 12] years). At 3 months, participants spent 39 fewer minutes sedentary (95%CI -70,-8 p = .01), 21 minutes more walking (95%CI 2,22 p = .02) and completed 1112 additional steps/day (95%CI 268,1956 p = .01), compared to the first week home. No factors predicted change in activity. At 3 months, greater depression (β 22 mins (95%CI 8,36) p = .004) and slower gait speed (β - 43 mins 95%CI -59,-27 p ≤ 0.001) were associated with more sedentary time and less walking activity, respectively.

Conclusions: Sedentary time reduced and walking activity increased between discharge home and 3 months later. Interventions targeting mood and physical function may warrant testing to reduce sedentary behavior 3 months following discharge.


Publication title

Topics in Stroke Rehabilitation






Menzies Institute for Medical Research


Taylor & Francis

Place of publication

United Kingdom

Rights statement

© 2020 Taylor & Francis Group, LLC. This is an Accepted Manuscript of an article published by Taylor & Francis in Topics in Stroke Rehabilitation on 24 Jun 2020, available online at:

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Socio-economic Objectives

Clinical health not elsewhere classified

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