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https://www.arca.fiocruz.br/handle/icict/55593
WALKING SPEED AND HOME ADAPTATIONS ARE ASSOCIATED WITH INDEPENDENCE AFTER STROKE: A POPULATION-BASED PREVALENCE STUDY
Velocidade de marcha e adaptações no domicílio estão associadas à independência pós-acidente vascular cerebral: estudo de prevalência de base populacional
Alternative title
Velocidade de marcha e adaptações no domicílio estão associadas à independência pós-acidente vascular cerebral: estudo de prevalência de base populacionalVelocidade de marcha e adaptações no domicílio estão associadas à independência pós-acidente vascular cerebral: estudo de prevalência de base populacional
Author
Affilliation
Universidade Federal de Minas Gerais. Departamento de Medicina Preventiva e Social. Belo Horizonte, MG, Brasil.
Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brasil.
Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brasil.
Universidade Federal do Espírito Santo. Centro de Ciências da Saúde, Fisioterapia. Vitória, ES, Brasil.
Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brasil.
Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brasil.
Universidade Federal do Espírito Santo. Centro de Ciências da Saúde, Fisioterapia. Vitória, ES, Brasil.
Abstract
This study aimed at estimating the prevalence of stroke in older adults in Brazil, and at identifying the sociodemographic, health-related, health service-related, and environmental factors associated with independence in daily activities. Across-sectional, population-based study (Brazilian Longitudinal Study of Aging 2015-2016) was conducted. 536 individuals (≥ 50 years), from 9,412 participants, have had stroke and were included. Prevalence of stroke was 5.3% among individuals aged 50 years and over, increasing up to 8.0% among individuals aged 75 years and over, showing a dissimilar pattern between sex. Independence was associated with walking speed (Prevalence Ratio (PR) 2.72, 95%CI: 1.96 to 3.77), physical activity (PR 1.24; 95%CI: 1.04 to 1.47) and use of walking devices (PR 0.63; 95%CI: 0.41 to 0.96). A significant interaction was found between walking speed plus home adaptations and performance of daily living activities (PR 3.42; 95%CI: 1.04 to 11.29). The probability of independence was 40% among slow walkers (< 0.4 m/s), increasing up to 70% among fast walkers (> 0.8 m/s), and to 90% among those who also have home adaptations. Faster walking speed combined with home adaptations was the main factor associated with long-term independence after stroke.
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