Cardiorespiratory Fitness after Transient Ischemic Attack and Minor Ischemic Stroke: Baseline Data of the MoveIT Study

• Published in: Journal of stroke and cerebrovascular diseases 2017-05, Vol.26 (5), p.1114-1120
• Main Authors: Boss, H.Myrthe, MD, Deijle, IngerA., MSc, Van Schaik, SanderM., MD, de Melker, EdwinC., MD, van den Berg, BobT.J., MD, PhD, Weinstein, HenryC., MD, PhD, Geerlings, MirjamI., PhD, Kappelle, L.Jaap, MD, PhD, Van den Berg-Vos, RenskeM., MD, PhD
• Format: Article
• Language: English
• Subjects: Aged; Brain Ischemia - diagnosis; Brain Ischemia - physiopathology; Brain Ischemia - therapy; Cardiorespiratory Fitness; Cardiovascular; Cardiovascular Diseases - diagnosis; Cardiovascular Diseases - physiopathology; Exercise Test; Exercise Therapy; Exercise Tolerance; Female; Health Status; Humans; Ischemic Attack, Transient - diagnosis; Ischemic Attack, Transient - physiopathology; Ischemic Attack, Transient - therapy; Lung Diseases - diagnosis; Lung Diseases - physiopathology; Male; Middle Aged; Netherlands; Neurology; Oxygen Consumption; physical activity; risk factor; Risk Factors; stroke; Stroke - diagnosis; Stroke - physiopathology; Stroke - therapy; transient ischemic attack
• ISSN: 1052-3057; 1532-8511
• DOI: 10.1016/j.jstrokecerebrovasdis.2016.12.029

Background Cardiorespiratory fitness (CRF) is reduced in patients with stroke. It is unclear whether it is also reduced in patients with a transient ischemic attack (TIA) or minor stroke. We investigated the CRF in patients with a recent TIA or minor stroke and explored which determinants are associated with a lower fitness. Methods In 113 patients with a recent TIA or minor ischemic stroke (64 (SD = 10) years of age; 49 (IQR 27-86) days post TIA or stroke), the peak oxygen consumption (VO2peak) was determined in a symptom-limited ramp exercise test. Physical activity level, vascular risk factors, history of vascular or pulmonary disease, and stroke characteristics were recorded at inclusion and related to the VO2peak. Results Mean VO2peak was 22 mL/kg/min (SD = 6), which is the fifth percentile of age- and sex-related normative values. Increasing age and female sex were associated with a lower VO2peak (B (95% CI): per 10 years −2.57 mL/kg/min (−3.75; −1.40) and female sex −5.84 mL/kg/min (−8.06; −3.62)). Age- and sex-adjusted linear regression analyses showed that a history of cardiovascular disease and pulmonary disease was associated with a lower VO2peak. In addition, a lower level of physical activity, hypertension, smoking, and overweight were associated with a lower VO2peak. History of stroke and stroke characteristics were not related to VO2peak. Conclusion The majority of patients with a recent TIA or minor ischemic stroke have a poor CRF. Our findings suggest that premorbid cardiovascular and pulmonary disease and vascular risk factors, but not TIA- or stroke-related factors, contribute to a reduced CRF.