Physical activity and stroke among women - A non-linear relationship

Macdonald, C. J.; Madika, Anne-Laure; Gomes, R.; Severi, G.; Sibon, I.; Debette, S.; Boutron-Ruault, M. C.

Document type :

Article dans une revue scientifique: Article original

DOI :

10.1016/j.ypmed.2021.106485

PMID :

33647351

Permalink :

http://hdl.handle.net/20.500.12210/90424

Title :

Physical activity and stroke among women - A non-linear relationship

Author(s) :

Macdonald, C. J. [Auteur]
Madika, Anne-Laure [Auteur]

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Gomes, R. [Auteur]
Severi, G. [Auteur]
Sibon, I. [Auteur]
Debette, S. [Auteur]
Boutron-Ruault, M. C. [Auteur]

Journal title :

Preventive Medicine

Abbreviated title :

Prev Med

Volume number :

150

Pages :

106485

Publication date :

2021-09

ISSN :

1096-0260

English keyword(s) :

Stroke
Physical exercise
Epidemiology

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Studies have identified non-linear inverse relationships between physical activity and the risk of stroke. A U-shaped response has been observed between haemorrhagic stroke and physical activity. The objective of this study ...
Show more >Studies have identified non-linear inverse relationships between physical activity and the risk of stroke. A U-shaped response has been observed between haemorrhagic stroke and physical activity. The objective of this study was to investigate the associations between physical activities on stroke. We used data from the E3N cohort study, a French prospective study of women initiated in 1990. From the women in the study, we included those without cardiovascular disease or cancer at baseline, resulting in 94,169 women. We assessed total physical activity in 1993, grouped as quartiles. Cox models adjusted for potential confounders were used to assess the relationship with stroke, considering cases until 2008. Splines were used to assess the shape of the response. Similarly, we then considered high and low-intensity physical activity grouped as tertiles. Among the included women, with a mean age of 51.2 ± 6.7 years, 592 cases of stroke were identified over an average follow-up time of 16.2 years. Total physical activity was associated with a lower stroke risk (HRQ1-Q4 = 0.38 [0.31, 0.49]). An inverse relationship was observed between physical activity and all stroke sub-types. A non-linear (L-shaped) relationship was observed for all-stroke, and ischemic stroke, and a U-shaped response for sub-arachnoid and intracerebral haemorrhage. High-intensity activities were associated with a U-shaped response for haemorrhagic stroke types. Low-intensity activities were associated with a linear response for all stroke types. Our results support other observations that physical activity may reduce stroke risk.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
CHU Lille

Collections :

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2023-11-15T07:10:39Z
2024-04-10T08:20:44Z

Files

document
Open access
Access the document

Version	Link	Modification date
2	20.500.12210/90424*	2024-04-10T08:14:21Z
1	20.500.12210/90424.1	2023-11-15T07:10:39Z

Physical activity and stroke among women ...

BibTeX

CSV

Excel

RIS

Files

Version history

Physical activity and stroke among women ... BibTeX CSV Excel RIS

Files

Version history

Physical activity and stroke among women ...

BibTeX

CSV

Excel

RIS