Abstract P257: Obesity and Diabetes are Jointly Associated With Low Fruit and Vegetable Consumption and Low Physical Activity in Adults With Stroke

Abstract

Introduction: Engaging in unhealthy behaviors (poor diet, insufficient physical activity) increases risk for recurrent stroke, and can be compounded by obesity and diabetes. Although engaging in healthy behaviors is recommended for managing chronic conditions, the joint association of obesity and diabetes with diet and physical activity in stroke survivors is unknown. Purpose: To compare prevalences of low fruit and vegetable consumption (Low_FV, <1 fruit and <1 vegetable daily), low physical activity (Low_PA, <150 minutes of weekly moderate-intensity physical activity), and both Low_FV and Low_PA (Low_FV&PA) in stroke survivors, stratified by obesity-diabetes status (neither condition, obesity only, diabetes only, obesity & diabetes). Methods: Cross-sectional data from 32,876 noninstitutionalized, U.S. stroke survivors aged ≥45 years from the 2015 and 2017 Behavioral Risk Factor Surveillance System were examined. Weighted, age-adjusted prevalence estimates and adjusted odds ratios (AOR, adjusted for age, sex, race, income, education, and marital status) and 95% CIs were calculated. Results: Prevalences and AORs are displayed in the Table. Prevalences of Low_FV and Low_PA exceeded 50% across obesity-diabetes groups. Prevalences were highest in respondents with obesity & diabetes and lowest in respondents with neither condition across outcome variables. Compared to respondents with neither condition, odds for Low_PA were increased for respondents with obesity & diabetes and obesity only; odds for Low_FV&PA were increased only for respondents with obesity & diabetes. Conclusions: Our results indicated a joint effect of obesity and diabetes with Low_PA and Low_FV&PA, placing stroke survivors with both chronic conditions at greatest risk for not engaging in protective health behaviors. Regardless of obesity-diabetes status, Low_FV and Low_PA exceeded 50%. Targeted interventions that modify these unhealthy behaviors should be explored for decreasing recurrent stroke risk among stroke survivors.