Physical activity and depression in Indonesian adults with stroke: A nationwide survey

Abstract

Purpose To examine the associations between physical activity and depressive symptoms in adults with stroke. Design We conducted a cross‐sectional study involving the data of 3234 adults with stroke obtained from the 2018 Basic Health Research (Riset Kesehatan Dasar, RISKESDAS). Methods Physical activity level in metabolic equivalents‐minutes per week were determined using the Global Physical Activity Questionnaire according to the World Health Organization (WHO) guidelines on physical activity and sedentary behavior recommendations. Depression was assessed using the Mini‐International Neuropsychiatric Interview. Multivariate binomial logistic regression analysis was performed to examine the predictive role of physical activity for depression after adjusting for confounders. Results Adults with stroke who met the WHO recommendation of physical activity were independently and significantly associated with lower odds of depression after adjustment for confounders (adjusted OR = 0.757, p = 0.017). Conclusions Performing physical activity according to the WHO recommendation is associated with a lower likelihood of depression among Indonesian adults with stroke. Clinical relevance Clinicians should be informed by the findings of this study and prescribe exercise interventions or plan physical activities to optimize recovery and prevent poststroke depression.

Accelerometer-measured physical activity at 3 months as a predictor of symptoms of depression and anxiety 1 year after stroke: a multicentre prospective cohort study in central Norway

“…A major strength is that this allowed for sustained monitoring of activity levels among stroke survivors in their free-living environments. A limitation is that we only assessed accumulated time spent in PA and SB, this may explain why the current results did not confirm previous research showing that breaking up SB or engaging in prolong PA were associated with mood (38). We also lacked data on vigorous PA and changes in activity patterns from 3 to 12 months.…”

“…It is unknown whether the current study population achieved the optimal daily mean amount of PA and intensity necessary to impact mood. One recent cross-sectional study has reported an association between World Health Organization (WHO)-recommended PA levels and a lower risk of depression in stroke survivors (38). The evidence is, however, limited by the nature of the selfreported PA data and lacks adjustments for important factors such as stroke severity and time since stroke.…”