Physical activity, and diet quality on the relationship between comorbidity and disability among stroke patients
Overview
Abstract:
Abstract: Background: Comorbidity is common and
causes poor stroke outcomes. We aimed to examine the modifying impacts of
physical activity (PA) and diet quality on the association between comorbidity
and disability in stroke patients. Methods:
A cross-sectional study was conducted on 951 stable stroke patients in Vietnam
from December 2019 to December 2020. The survey questionnaires were
administered to assess patients’ characteristics, clinical parameters (e.g., Charlson
comorbidity index items), health-related behaviors (e.g., PA using international
physical activity questionnaire), health literacy, diet quality (using dietary
approaches to stop hypertension quality (DASH-Q) questionnaire), and disability
(using world health organization disability assessment schedule II (WHODAS II)).
Linear regression models were used to analyze the associations and
interactions. Results: The proportion
of comorbidity was 49.9% (475/951). The scores of DASH-Q and WHODAS II were
29.2 ± 11.8, 32.3 ± 13.5, respectively. Patients with comorbidity had a higher
scores of disability (regression coefficient, B, 8.24; 95% confidence interval,
95% CI, 6.66, 9.83; p < 0.001) as
compared with those without comorbidity. Patients with comorbidity and higher
tertiles of PA (B, -4.65 to -5.48; p
< 0.05), and a higher DASH-Q score (B, -0.32; p < 0.001) had a lower disability score, as compared with those
without comorbidity and the lowest tertile of PA, the lowest score of DASH-Q,
respectively. Conclusions: Physical
activity and diet quality significantly modified the negative impact of
comorbidity on disability in stroke patients. Strategic approaches are required
to promote physical activity and healthy diet which further improve stroke
rehabilitation outcomes.
Keyword(s): stroke patient; Charlson comorbidity index; world health organization disability assessment schedule II; international physical activity questionnaire; dietary approaches to stop hypertension quality; health literacy; international classification of diseases; health-related behaviors; Vietnam
Journal | Nutrients |
Volume | 13 |
Issue number | 1641 |
Publication status | Published - May-2021 |
ISBN | 2072-6643 |