Associations of grip strength and walking pace with mortality in stroke survivors: a prospective study from UK Biobank
Autor
Soltanisarvestani, Maryam
Lynskey, Nathan
Gray, Stuart
Gill, Jason M.R.
Pell, Jill P.
Sattar, Naveed
Ho, Frederick
Celis-Morales, Carlos
Peterman-Rocha, Fanny
Fecha
2023Resumen
Introduction
Although stroke is an emerging cause of disability and mortality globally, associations between physical capability markers and mortality in stroke survivors are elusive. This study investigated the individual and combined associations of walking pace and grip strength with all-cause and stroke mortality in stroke survivors.
Methods
Individual and combined associations of walking pace and grip strength with stroke deaths and all-cause mortality were investigated using Cox proportional-hazard models adjusted for sociodemographic, lifestyle, and health-related variables.
Results
Seven thousand four hundred eighty-six stroke survivors from the UK Biobank study (aged 40–70 years; 42.4% women) were included in this prospective study. Over a median follow-up of 12.6 (IQR: 11.9–13.3) years, 1490 (19.9%) participants died, of whom 222 (3.0%) died from stroke. After adjusting for confounding factors, and compared to individuals in the average/brisk walking pace category, those who reported a slow walking pace had 2.00 (95% CI: 1.50–2.68) and 1.99 (95% CI: 1.78–2.23) times higher risk of stroke mortality and all-cause mortality, respectively. Similar associations were identified for participants with low grip strength compared with those with normal levels. For combined associations, those with both slow walking pace and low grip strength showed the highest risk of stroke mortality (hazard ratio: 2.86 [95% CI: 1.93–4.22]). Similar results were found for all-cause mortality.
Conclusions
Low grip strength and slow walking pace were associated with a higher risk of stroke and all-cause mortality in stroke survivors. If these associations are causal, improving physical capability among stroke survivors might potentially prolong survival.
Fuente
Scandinavian Journal of Medicine and Science in Sports, 33(7), 1190-1200Link de Acceso
Click aquí para ver el documentoIdentificador DOI
doi.org/10.1111/sms.14352Colecciones
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