Cited by 198Physical Activity and HealthStroke Rehabilitation and RecoveryAcute Ischemic Stroke Management

Sedentary Behavior in the First Year After Stroke: A Longitudinal Cohort Study With Objective Measures

Open access
Tieges, Zoë, Mead, Gillian, Allerhand, Mike, Duncan, Fiona, van Wijck, Frederike, Fitzsimons, Claire, Greig, Carolyn, Chastin, Sebastien·2015·Archives of Physical Medicine and Rehabilitation

Abstract

Objective To quantify longitudinal changes in sedentary behavior (ie, nonexercise seated or lying behavior) after stroke to ascertain whether reducing sedentary behavior might be a new therapeutic target.Design Longitudinal cohort study of patients with acute stroke who were followed over 1 year.Setting Acute teaching hospital or outpatient clinic, and the community after discharge.Participants A convenience sample of patients with acute stroke (N=96; median age, 72y, interquartile range [IQR]=64-80y; 67% men; median National Institute of Health Stroke Scale score=2, IQR=1-3) who were assessed at 1, 6, and 12 months after stroke.Interventions Not applicable.Main outcome measures Objective measures of amount and pattern of time spent in sedentary behavior: total sedentary time, weighted median sedentary bout length, and fragmentation index.Results Stroke survivors were highly sedentary, spending on average 81% of the time per day in sedentary behavior: median=19.9 hours (IQR=18.4-22.1h), 19.1 hours (17.8-20.8h), and 19.3 hours (17.3-20.9h) at 1, 6, and 12 months, respectively. Longitudinal changes in sedentary behavior were estimated using linear mixed effects models. Covariates were age, sex, stroke severity (National Institute of Health Stroke Scale score), physical capacity (6-minute walk distance), and functional independence (Nottingham Extended Activities of Daily Living Questionnaire score). Higher stroke severity and less functional independence were associated cross-sectionally with more sedentary behavior (β=.11, SE=.05, P=.020 and β=-.11, SE=.01, P<.001, respectively). Importantly, the pattern of sedentary behavior did not change over the first year after stroke and was independent of functional ability.Conclusions Stroke survivors were highly sedentary and remained so a year after stroke independently of their functional ability. Developing interventions to reduce sedentary behavior might be a potential new therapeutic target in stroke rehabilitation.

Integrity signals

Registry

Crossref · 10.1016/j.apmr.2014.08.015

Cites

45 of 45 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

The text we found for this paper looks like another document, so its claims and self-check weren’t run. The registry and citation checks still apply.

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The text we found for this paper looks like another document, so the self-check wasn’t run.

Cites

Flagged first, then by citations

3 of the 48 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Authors
Tieges, Z., Mead, G., Allerhand, M., Duncan, F., van Wijck, F., Fitzsimons, C., Greig, C., & Chastin, S.
Affiliations
  • University of Edinburgh (GB)
  • Glasgow Caledonian University (GB)
  • University of Birmingham (GB)
Corresponding author
Tieges, Zoë
Venue
Archives of Physical Medicine and Rehabilitation
Publisher
Elsevier BV
Published
2015-01
Volume
96
Issue
1
Pages
15-23
ISSN
0003-9993 (ISSN-L)
OpenAlex
W2014644535
Cited by
198
References
48
Citations by year
2026: 12 · 2025: 10 · 2024: 18 · 2023: 20 · 2022: 16 · 2021: 18 · 2020: 16 · 2019: 22 · 2018: 24 · 2017: 14 · 2016: 18 · 2015: 10
FWCI
9.30
Type
journal article
Language
en
Locations
  • Archives of Physical Medicine and Rehabilitation (publishedVersion)
  • PubMed (publishedVersion)
  • ResearchOnline (Glasgow Caledonian University) (acceptedVersion)
  • University of Birmingham Research Portal (University of Birmingham) (submittedVersion, other-oa)
Funders
  • Medical Research Council (MR/K026992/1, MR/K00414X/1)
  • Biotechnology and Biological Sciences Research Council
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
Keywords
sedentary behavior, stroke, stroke survivors, sedentary time, fragmentation index, stroke severity, functional independence, physical capacity, stroke rehabilitation, therapeutic target
MeSH terms
Stroke Rehabilitation, Activities of Daily Living, Age Factors, Aged, Aged, 80 and over, Female, Health Status Indicators, Humans, Longitudinal Studies, Male, Middle Aged, Sex Factors, Time Factors, Recovery of Function, Sedentary Behavior

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-09.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review