Evidence map›Paper›PMID 36622013›Full record

SynthesisInternational journal of stroke : official journal of the International Stroke Society2023

Association of post-stroke fatigue with physical activity and physical fitness: A systematic review and meta-analysis.

Petra Larsson, Julia Bidonde, Unni Olsen, Caryl L Gay, Anners Lerdal, Marie Ursin, Gillian Elizabeth Mead, Elisabeth Edvardsen

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of stroke : official journal of the International Stroke Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
5.1field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Neuroimaging correlates of post-stroke fatigue: A systematic review and meta-analysis.International journal of stroke : official journal of the International Stroke Society · 2023
    Pooled it
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  18. Pathophysiology and Management of Fatigue in Neuromuscular Diseases.International journal of molecular sciences · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 4 countries.

Petra LarssonDepartment of Interdisciplinary Health Sciences, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.ORCID 0000-0003-3866-8287
Julia BidondeDivision for Health Services, Norwegian Institute of Public Health, Oslo, Norway.
Unni OlsenSurgical Department, Lovisenberg Diaconal Hospital, Oslo, Norway.
Caryl L GayDepartment of Family Health Care Nursing, University of California, San Francisco, CA, USA.
Anners LerdalDepartment of Interdisciplinary Health Sciences, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.ORCID 0000-0002-7144-5096
Marie UrsinDepartment of Medical Research, Bærum Hospital, Vestre Viken Hospital Trust, Gjettum, Norway.
Gillian Elizabeth MeadGeriatric Medicine, Division of Health Sciences, Centre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK.ORCID 0000-0001-7494-2023
Elisabeth EdvardsenDepartment of Physical Performance, Norwegian School of Sport Sciences, Oslo, Norway.
University of Oslo · NONorwegian Institute of Public Health · NOOslo University Hospital · NOUniversity of California, San Francisco · USUniversity of Edinburgh · GBVestre Viken Hospital Trust · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt has been hypothesized that post-stroke fatigue (PSF) is associated with reduced physical activity (PA) and impaired physical fitness (fitness). Understanding associations between PSF and PA, and/or fitness could help guide the development of targeted exercise interventions to treat PSF.

aimsOur systematic review and meta-analysis aimed to investigate PSF's associations with PA and fitness. SUMMARY OF REVIEW: Following a registered protocol, we included studies with cross-sectional or prospective observational designs, published in English or a Scandinavian language, which reported an association of PSF with PA and/or fitness in adult stroke survivors. We searched MEDLINE, Embase, AMED, CINAHL, PsycINFO, ClinicalTrials.gov, and World Health Organization's International Clinical Trials Registry Platform from inception to November 30, 2022. Risk of bias was assessed using Quality in Prognosis Studies. Thirty-two unique studies (total n = 4721 participants, 55% male), and three study protocols were included. We used random-effects meta-analysis to pool data for PA and fitness outcomes, and vote-counting of direction of association to synthesize data that could not be meta-analyzed. We found moderate-certainty evidence of a weak association between higher PSF and impaired fitness (meta

conclusionsThe meta-analysis showed moderate-certainty evidence of an association between higher PSF and impaired fitness. These results indicate that fitness might protect against PSF. Larger prospective studies and randomized controlled trials evaluating the effect of exercise on PSF are needed to confirm these findings.

Indexed as

StrokeAdultCross-Sectional StudiesExerciseFatigueFemaleHumansMaleObservational Studies as TopicPhysical FitnessProspective StudiesQuality of LifeAssociationsmeta-analysisphysical activityphysical fitnesspost-stroke fatiguesystematic review

Identifiers

PMID36622013
PMCPMC11044520
OpenAlexW4313828943

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.