Physical activity and risk of ischemic stroke in the Northern Manhattan Study

Willey, J. Z.; Moon, Y. P.; Paik, M. C.; Boden-Albala, B.; Sacco, R. L.; Elkind, M.S.V.

doi:10.1212/wnl.0b013e3181c34b58

Cited by 123Physical Activity and HealthAcute Ischemic Stroke ManagementCardiovascular and exercise physiology

Physical activity and risk of ischemic stroke in the Northern Manhattan Study

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Willey, J. Z., Moon, Y. P., Paik, M. C., Boden-Albala, B., Sacco, R. L., Elkind, M.S.V.·2009·Neurology

DOI 10.1212/wnl.0b013e3181c34b58PMC PMC2788811

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Abstract

BACKGROUND: It is controversial whether physical activity is protective against first stroke among older persons. We sought to examine whether physical activity, as measured by intensity of exercise and energy expended, is protective against ischemic stroke. METHODS: The Northern Manhattan Study is a prospective cohort study in older, urban-dwelling, multiethnic, stroke-free individuals. Baseline measures of leisure-time physical activity were collected via in-person questionnaires. Cox proportional hazards models were constructed to examine whether energy expended and intensity of physical activity were associated with the risk of incident ischemic stroke. RESULTS: Physical inactivity was present in 40.5% of the cohort. Over a median follow-up of 9.1 years, there were 238 incident ischemic strokes. Moderate- to heavy-intensity physical activity was associated with a lower risk of ischemic stroke (adjusted hazard ratio [HR] 0.65, 95% confidence interval [0.44-0.98]). Engaging in any physical activity vs none (adjusted HR 1.16, 95% CI 0.88-1.51) and energy expended in kcal/wk (adjusted HR per 500-unit increase 1.01, 95% CI 0.99-1.03) were not associated with ischemic stroke risk. There was an interaction of sex with intensity of physical activity (p = 0.04), such that moderate to heavy activity was protective against ischemic stroke in men (adjusted HR 0.37, 95% CI 0.18-0.78), but not in women (adjusted HR 0.92, 95% CI 0.57-1.50). CONCLUSIONS: Moderate- to heavy-intensity physical activity, but not energy expended, is protective against risk of ischemic stroke independent of other stroke risk factors in men in our cohort. Engaging in moderate to heavy physical activities may be an important component of primary prevention strategies aimed at reducing stroke risk.

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Thirteen included papers included women only, and no included studies included only men.
“Thirteen papers included women only,53–65 and no studies included only men.”
From Sex Differences in Physical Activity and Incident Stroke: A Systematic Review (2022) · cites this paper as [57]
The Results and Table 1 report that 62.8% of this paper’s cohort were women, so it included men and was not a women-only study. This paper cannot establish the citing document’s totals across all included studies, but it contradicts its apparent classification among the cited women-only papers. (LLM, conf=0.90)
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Authors: Willey, J. Z., Moon, Y. P., Paik, M. C., Boden-Albala, B., Sacco, R. L., & Elkind, M. S. V.
Affiliations: Columbia University (US)
ORCID: Willey, J. Z.
Moon, Y. P.
Paik, M. C.
Boden-Albala, B.
Elkind, M.S.V.
Venue: Neurology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2009-11-24
Volume: 73
Issue: 21
Pages: 1774-1779
ISSN: 0028-3878 (ISSN-L)
1526-632X
DOI: 10.1212/wnl.0b013e3181c34b58
PMC: PMC2788811
OpenAlex: W4297157268
Semantic Scholar: 3ef3ddf7785906f7e995e3578840a1cb2d46f889
Cited by: 122
References: 33
Citations by year: 2026: 4 · 2025: 5 · 2024: 5 · 2023: 5 · 2022: 10 · 2021: 7 · 2020: 13 · 2019: 4 · 2018: 6 · 2017: 11 · 2016: 6 · 2015: 8 · 2014: 10 · 2013: 8 · 2012: 7
FWCI: 4.42
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Neurology (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (5r01ns062820-05, R37 NS29993)
U.S. Public Health Service (R01 047655)
National Institute on Aging (L30 AG031009)
National Heart, Lung, and Blood Institute (HC-98-08-HC-83169701)
National Institute of Neurological Disorders and Stroke (NS048134, T32 NS-07153, R01NS55809, R01NS040807, P50NS049060, R01NS048134, R37NS029993, R01-NS062820, R01NS050724, T32NS007153, R01NS055809, R37 NS 29993.)
Topics: Health Sciences › Medicine › Physiology › Physical Activity and Health
Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
Keywords: physical activity, ischemic stroke, stroke risk, exercise intensity, energy expenditure, older adults, sex differences, primary prevention, Northern Manhattan Study
MeSH terms: Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Motor Activity, New York City, Risk Factors, Cohort Studies, Confidence Intervals, Proportional Hazards Models, Stroke

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Physical activity and risk of ischemic stroke in the Northern Manhattan Study

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