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Title: The relationship between levels of physical activity and participation in everyday life in stroke survivors: A systematic review and meta-analysis
Authors: de Diego-Alonso, Cristina ORCID RESEARCHERID SCOPUSID
Bellosta-López, Pablo ORCID SCOPUSID
Buesa-Estelléz, Almudena SCOPUSID
Blasco-Abadía, Julia ORCID
Medina Rincón, Almudena ORCID
López-Royo, María Pilar ORCID SCOPUSID
Giner Nicolás, Rafael SCOPUSID
Doménech-García, Víctor ORCID SCOPUSID
Keywords: Physical activity; Participation; Daily life activities; Correlation
Issue Date: 16-May-2024
Publisher: Elsevier
Citation: Cristina de Diego-Alonso et al., Disability and Health Journal,
Abstract: Background: Stroke survivors demonstrate decreased physical activity (PA) and take time to return to participation in everyday life, but the relationship between the two variables is unknown. Objective: To investigate the correlation and trajectory over time between levels of PA and participation in everyday life in stroke survivors. Methods: PubMed, Web of Science, Scopus, SPORTDiscus, Rehabilitation&Sport Medicine Source, and PEDro databases were searched from inception to January 2024. Cross-sectional and prospective studies evaluating both levels of PA and participation in stroke survivors were included. Two reviewers independently conducted the study selection, data extraction, and quality assessment. Meta-analyses of pooled correlation coefficients were calculated when at least two studies reported a correlation coefficient between the same PA and participation outcomes. Results: Of 4962 studies identified, 49 were included in the systematic review. Studies were rated high (55%%) or fair (45%) quality. A wide range of monitoring methodologies for assessing PA and participation were found in the 23 prospective studies. Seven studies were included in the meta-analyses, showing a positive moderate correlation between PA time and participation in activities of daily living (n = 148; r = 0.52; P < 0.01; I2 = 81%) in participants <6 months post-stroke, and between PA time and the participation in all areas (n = 126; r = 0.44; P < 0.01; I2 = 0%) in participants ≥6 months post-stroke. Overall, while PA showed significant improvements over time, participation only showed a tendency. Conclusions: Despite the heterogeneity, consistent positive associations were found between PA time and participation levels in some areas. Establishing consensus is crucial to reduce heterogeneity and facilitate data pooling.
ISSN: 1936-6574
Appears in Collections:Artículos de revistas

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