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. 2022 Apr 22;19(1):11.
doi: 10.1186/s11556-022-00290-4.

Movement behavior patterns composition remains stable, but individuals change their movement behavior pattern over time in people with a first-ever stroke

Patricia J van der Laag  1   2   3 , Roderick Wondergem  4   5   6   7 , Martijn F Pisters  4   5   6   7
Affiliations

Movement behavior patterns composition remains stable, but individuals change their movement behavior pattern over time in people with a first-ever stroke

Patricia J van der Laag et al. Eur Rev Aging Phys Act. .

Abstract

Background: Movement behaviors (i.e., physical activity levels, sedentary behavior) in people with stroke are not self-contained but cluster in patterns. Recent research identified three commonly distinct movement behavior patterns in people with stroke. However, it remains unknown if movement behavior patterns remain stable and if individuals change in movement behavior pattern over time.

Objectives: 1) To investigate the stability of the composition of movement behavior patterns over time, and 2) determine if individuals change their movement behavior resulting in allocation to another movement behavior pattern within the first two years after discharge to home in people with a first-ever stroke.

Methods: Accelerometer data of 200 people with stroke of the RISE-cohort study were analyzed. Ten movement behavior variables were compressed using Principal Componence Analysis and K-means clustering was used to identify movement behavior patterns at three weeks, six months, one year, and two years after home discharge. The stability of the components within movement behavior patterns was investigated. Frequencies of individuals' movement behavior pattern and changes in movement behavior pattern allocation were objectified.

Results: The composition of the movement behavior patterns at discharge did not change over time. At baseline, there were 22% sedentary exercisers (active/sedentary), 45% sedentary movers (inactive/sedentary) and 33% sedentary prolongers (inactive/highly sedentary). Thirty-five percent of the stroke survivors allocated to another movement behavior pattern within the first two years, of whom 63% deteriorated to a movement behavior pattern with higher health risks. After two years there were, 19% sedentary exercisers, 42% sedentary movers, and 39% sedentary prolongers.

Conclusions: The composition of movement behavior patterns remains stable over time. However, individuals change their movement behavior. Significantly more people allocated to a movement behavior pattern with higher health risks. The increase of people allocated to sedentary movers and sedentary prolongers is of great concern. It underlines the importance of improving or maintaining healthy movement behavior to prevent future health risks after stroke.

Keywords: Movement behavior; Physical activity; Secondary prevention; Sedentary behavior; Stroke.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Flow diagram of sample generation
Fig. 2
Fig. 2
Individuals’ change in movement behavior patterns within the first two years after discharge to home
See this image and copyright information in PMC

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