Nível de atividade física e comportamento sedentário e a relação com a funcionalidade de indivíduos com acidente vascular cerebral.

Abstract

Introduction. Stroke survivors are often deconditioned and prone to sedentary behavior, which can negatively impact their ability to perform daily activities. Therefore, various interventions, including physical activity, are recommended to prevent stroke and treat its sequelae. Objective. To evaluate physical activity levels and sedentary behavior, and their relationship with functionality and factors influencing the non-participation in physical activity among individuals with stroke. Method. This is a cross-sectional study involving individuals who have experienced a stroke. It investigated physical activity levels measured using the International Physical Activity Questionnaire and the Frenchay Activities Index. Functionality was assessed with the Barthel Index, and influencing factors were gathered using the Beck Depression and Anxiety Inventories and a questionnaire developed by the researchers. Results. The sample included 19 individuals (mean age 59.2, SD= 9.4) with ischemic stroke, categorized by their physical activity levels. These levels were significantly associated with the engagement in activities requiring patient initiative and decision-making (p= 0.021). No significant differences were found in comparisons between groups and demographic, mental health, or functionality variables. The most common influencing factors among participants were fear of falling and lack of balance. Conclusion. Physical activity levels among stroke survivors are directly related to their ability to perform activities requiring initiative. Additionally, fear of falling and balance deficits are the primary factors influencing physical inactivity.