Evidence map›Paper›PMID 30232251›Full record

ArticleNeurology2018

Prestroke physical activity could influence acute stroke severity (part of PAPSIGOT).

Malin Reinholdsson, Annie Palstam, Katharina S Sunnerhagen

Open access · hybridAbstract read
In one paragraph

Article in Neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
7.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 125 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Malin ReinholdssonFrom the Department of Clinical Neuroscience (M.R., A.P., K.S.S.), Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg; Department of Occupational Therapy and Physiotherapy (M.R.), Sahlgrenska University Hospital, Gothenburg, Sweden. malin.reinholdsson@vgregion.se.
Annie PalstamFrom the Department of Clinical Neuroscience (M.R., A.P., K.S.S.), Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg; Department of Occupational Therapy and Physiotherapy (M.R.), Sahlgrenska University Hospital, Gothenburg, Sweden.
Katharina S SunnerhagenFrom the Department of Clinical Neuroscience (M.R., A.P., K.S.S.), Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg; Department of Occupational Therapy and Physiotherapy (M.R.), Sahlgrenska University Hospital, Gothenburg, Sweden.
Sahlgrenska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the influence of prestroke physical activity (PA) on acute stroke severity.

methodsData from patients with first stroke were retrieved from registries with a cross-sectional design. The variables were PA, age, sex, smoking, diabetes, hypertension and statin treatment, stroke severity, myocardial infarction, new stroke during hospital stay, and duration of inpatient care at stroke unit. PA was assessed with Saltin-Grimby's 4-level Physical Activity Level Scale, and stroke severity was assessed with the National Institutes of Health Stroke Scale (NIHSS). Logistic regression was used to predict stroke severity, and negative binomial regression was used to compare the level of PA and stroke severity.

resultsThe study included 925 patients with a mean age of 73.1 years, and 45.2% were women. Patients who reported light or moderate PA levels were more likely to present a mild stroke (NIHSS score 0 to 5) compared with physically inactive patients in a model that also included younger age as a predictor (odds ratio = 2.02 for PA and odds ratio = 0.97 for age). The explanatory value was limited at 6.8%. Prestroke PA was associated with less severe stroke, and both light PA such as walking at least 4 h/wk and moderate PA 2-3 h/wk appear to be beneficial. Physical inactivity was associated with increased stroke severity.

conclusionsThis study suggests that PA and younger age could result in a less severe stroke. Both light PA such as walking at least 4 h/wk and moderate PA 2-3 h/wk appear to be beneficial.

Indexed as

ExerciseAdultAgedAged, 80 and overAge FactorsCross-Sectional StudiesFemaleHumansLength of StayMaleMiddle AgedRecurrenceRetrospective StudiesRisk FactorsSedentary BehaviorSeverity of Illness Index

Identifiers

PMID30232251
PMCPMC6202943
OpenAlexW2889956179

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.