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Effect of Pre-Hospitalization Fall History on Physical Activity and Sedentary Behavior After the Implementation of a Behavioral Change Approach in Patients with Minor Ischemic Stroke: A Secondary Analysis of a Randomized Controlled Trial

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Abstract

Background

We aimed to determine whether a history of falls before admission affected physical activity levels and sedentary behavior negatively after implementing a behavior modification approach in patients with minor ischemic stroke.

Methods

This study constituted a secondary analysis of an intervention trial. In the intervention study, patients with minor ischemic stroke were randomly assigned to two groups: intervention and control groups. The intervention group was encouraged to reduce sedentary behavior during hospitalization and after discharge, while the control group was encouraged to increase physical activity levels solely during hospitalization. The study included 52 patients who completed the intervention trial. The exposure factor examined was a history of falls. Upon admission, patients were queried about any falls experienced in the year preceding admission and subsequently classified into fall and non-fall groups based on their responses. The primary outcome of interest focused on changes in physical activity levels (step count, light-intensity physical activity, and moderate-to-vigorous-intensity physical activity) and sedentary behavior. Measurements were obtained at two time points: before the intervention, during hospitalization (baseline), and 3 months after discharge (post-intervention).

Results

Only a significantly lower change in the number of steps taken in the fall group than in the non-fall group was found.

Conclusion

Those with a history of falls showed a lesser change in the number of steps taken before and after implementing a behavior change approach compared with those without a history of falls. Those with a history of falls may have engaged in activities other than walking.

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Data Availability

Research data is confidential.

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Acknowledgements

We would like to show our appreciation to Daido Life Welfare Foundation for supporting this study. We would alsolike to thank Editage (http://www.editage.com) for English language editing.

Author information

Authors and Affiliations

  1. Department of Rehabilitation, Seirei Mikatahara General Hospital, 3453 Mikatahara-Cho, Kita-Ku, Hamamatsu-Shi, Shizuoka, 433-8558, Japan

    Ryota Ashizawa

  2. Division of Rehabilitation Science, Seirei Christopher University Graduate School, Hamamatsu, Japan

    Hiroya Honda, Yuto Kameyama & Yoshinobu Yoshimoto

  3. Department of Rehabilitation, Hanadaira Care Center, Hamamatsu, Japan

    Hiroya Honda

  4. Department of Rehabilitation, Hamamatsu City Rehabilitation Hospital, Hamamatsu, Japan

    Yuto Kameyama

Authors
  1. Ryota Ashizawa
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  4. Yoshinobu Yoshimoto
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Corresponding author

Correspondence to Ryota Ashizawa.

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Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This study was a secondary analysis of a previous interventional trial that has been reported previously. The previous study protocol was approved by the Institutional Review Board (19057, 19–46) and registered with the University Hospital Medical Information Network (UMIN000038616).

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Informed consent was obtained from all individual participants included in the study.

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The authors declare no competing interests.

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Ashizawa, R., Honda, H., Kameyama, Y. et al. Effect of Pre-Hospitalization Fall History on Physical Activity and Sedentary Behavior After the Implementation of a Behavioral Change Approach in Patients with Minor Ischemic Stroke: A Secondary Analysis of a Randomized Controlled Trial. Int.J. Behav. Med. (2023). https://doi.org/10.1007/s12529-023-10202-0

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