Trends in deaths and disability-adjusted life-years of stroke attributable to low physical activity worldwide, 1990–2019

Li, Jun-xiao; Zhong, Qiong-qiong; Yuan, Shi-xiang; Zhu, Feng

doi:10.1186/s12889-023-17162-w

Cited by 6 publications

(2 citation statements)

References 38 publications

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“…CRF is a well-known predictor of cardiovascular events and mortality (Laukkanen et al 2004 ; Sui et al 2007 ). Hence, integrating CRF, as proven independent risk factor, into established risk scores might have additional benefits for individual cardiovascular risk calculation.…”

Section: Discussionmentioning

confidence: 99%

Association of cardiorespiratory fitness level with vascular function and subclinical atherosclerosis in the elderly

Größer,

Weyh,

Böttrich

et al. 2023

Eur J Appl Physiol

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Purpose Physical exercise is crucial for healthy aging and plays a decisive role in the prevention of atherosclerotic cardiovascular disease (ASCVD). A higher level of cardiorespiratory fitness (CRF) in the elderly is associated with lower cardiovascular and all-cause mortality. This study investigated the association of CRF level with vascular function and cardiovascular risk factors in the elderly. Methods We examined 79 apparently healthy and physically active subjects aged > 55 years (64 ± 4 years). Cardiovascular functional parameters assessed included brachial and central blood pressure (BP), pulse wave velocity (PWV), augmentation index (Aix), and ankle-brachial index. Sonography of the common carotid artery was performed. CRF level was determined by a cardiopulmonary exercise test, and everyday activity was quantified with an accelerometer. Results All participants had a higher CRF level than the reported age-specific normative values. Twenty-nine subjects had subclinical atherosclerosis of the common carotid artery. Compared with participants without atherosclerosis, they were older (p = 0.007), displayed higher brachial systolic BP (p = 0.006), and higher central systolic BP (p = 0.014). Lower brachial (p = 0.036) and central (p = 0.003) systolic BP, lower PWV (p = 0.004), lower Aix (p < 0.001), lower body fat percentage (< 0.001), and lower LDL cholesterol (p = 0.005) were associated with a higher CRF level. Conclusions In this cohort of healthy and physically active individuals, subjects with subclinical atherosclerosis displayed higher systolic brachial and central BP. A higher CRF level was associated with enhanced vascular function, consistent with an influence of CRF on both BP and vascular function in the elderly.

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Section: Discussionmentioning

confidence: 99%

Association of cardiorespiratory fitness level with vascular function and subclinical atherosclerosis in the elderly

Größer,

Weyh,

Böttrich

et al. 2023

Eur J Appl Physiol

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show abstract

“…Of these, lack of exercise is one of the most cost-effective controllable risk factors. Previous research has demonstrated that a lower level of physical activity is linked to a higher risk of stroke 5 , 6 . A study conducted by the National Health and Nutrition Examination Survey (NHANES) also revealed a link between a lower incidence of stroke and various forms, frequency, and intensities of physical exercise 7 .…”

Section: Introductionmentioning

confidence: 99%

Age-period-cohort analysis of ischemic stroke deaths attributable to physical inactivity in different income regions

Liu,

et al. 2024

Sci Rep

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This study assessed the global and regional burden of IS (ischemic stroke) deaths due to LPA (low physical activity) from 1990 to 2019, analyzed regional, sex, and age differences in ASMR (age-standardized mortality rate), and provided a comprehensive understanding of the impact of age, period, and cohort on low physical activity related ischemic stroke ASMR. We conducted an APC (age-period-cohort) analysis of the global and four World Bank income level regions’ IS mortality data attributed to LPA from 1990 to 2019, using the GBD2019 database, and the results showed that the global net drift of the Ischemic stroke age-standardized mortality attributable to low physical activity was − 1.085%[95% CI: − 1.168, − 1.003].The ASMR drop is most pronounced in the high-income zone, with a net drift of − 2.473% [95% CI: − 2.759, − 2.187] across the four income groups. The influence of age on mortality is increasing in the worldwide old population, while the period and cohort effects are decreasing. We also performed a Joinpoint regression analysis, which revealed that the specific time of considerable drop in ASMR of IS in the global LPA population was 2002–2007, with an APC of -2.628%. The specific period of considerable drop in ASMR in high-income regions with the highest variation was 1999–2007, with an APC = − 4.726%. The global burden of public health deaths caused by LPA is diminishing, with the most notable progress observed in high-income regions. However, in low and lower-middle income areas, the situation continues to deteriorate. Within the global elderly population, the effects of age on mortality is increasing, while the effects of period and cohort are diminishing. These trends vary across income levels, highlighting the necessity for enhanced international collaboration to formulate context-specific public health strategies aimed at enhancing cardiovascular health on a global, regional, and national scale.

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Diagnostic accuracy of 3-item stroke scale for detection of cerebral large vessel occlusion: A systematic review and meta-analysis

Zarei,

Ebrahimzade,

Hajiqasemi

et al. 2024

The American Journal of Emergency Medicine

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Trends in deaths and disability-adjusted life-years of stroke attributable to low physical activity worldwide, 1990–2019

Cited by 6 publications

References 38 publications

Association of cardiorespiratory fitness level with vascular function and subclinical atherosclerosis in the elderly

Association of cardiorespiratory fitness level with vascular function and subclinical atherosclerosis in the elderly

Age-period-cohort analysis of ischemic stroke deaths attributable to physical inactivity in different income regions

Diagnostic accuracy of 3-item stroke scale for detection of cerebral large vessel occlusion: A systematic review and meta-analysis

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