Abstract
Aim To describe exercise preferences and to investigate the contribution of exercise preferences, walking ability, and current levels of physical activity in predicting exercise adherence in individuals with chronic stroke. Methods For this exploratory study, exercise adherence was measured using the first question of the first section of the Exercise Preference Questionnaire (stroke)-Brazil (EPQ (stroke)-Brazil). Nine independent variables were included as potential predictors of exercise adherence: the seven factors of the EPQ (stroke)-Brazil, walking speed, and level of physical activity. Results Participated 93 individuals with stroke, who had a mean age of 62 (SD 12) years and a mean time since the onset of the stroke of 58 (SD 67) months. The most preferable exercise was walking. Logistic regression analysis revealed that self-efficacy to engage in physical exercise and walking ability predicted and explained 80% of the variance in exercise adherence. Conclusion The findings showed that feeling able to perform physical exercise and having higher walking ability predicted higher exercise adherences in individuals with chronic stroke. The knowledge of potential contributors to exercise adherence may help in designing exercise programs for individuals with stroke.
Highlights
Stroke is the major cause of death and long-term disability in the world [1]
Physical activity refers to any bodily movements produced by the contractions of the skeletal muscles that increase energy expenditure, such as those executed during leisure and work activities
Exercise is a subcategory of physical activity, which consists of a planned, structured, and repetitive physical activity aimed at maintaining or improving physical fitness
Summary
Stroke is the major cause of death and long-term disability in the world [1]. Among the major modifiable risk factors for the occurrence and recurrence of stroke, physical inactivity is considered the most important [1, 2]. the terms physical activity and exercise are usually interchangeably used, they have different meanings. Stroke is the major cause of death and long-term disability in the world [1]. Among the major modifiable risk factors for the occurrence and recurrence of stroke, physical inactivity is considered the most important [1, 2]. The terms physical activity and exercise are usually interchangeably used, they have different meanings. Physical activity refers to any bodily movements produced by the contractions of the skeletal muscles that increase energy expenditure, such as those executed during leisure and work activities. Exercise is a subcategory of physical activity, which consists of a planned, structured, and repetitive physical activity aimed at maintaining or improving physical fitness. Clinical guidelines advise adults to perform at least 30 minutes of moderate-intensity exercises, five times a week, for at least 150 minutes per week [3, 4]
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