Factors influencing physical activity levels in elderly community-dwelling convalescent stroke survivors: A cross-sectional study

• Published in: Geriatric nursing (New York) 2024-07, Vol.58, p.472-479
• Main Authors: Hao, Jianru, Qian, Lei, Ye, Fen, Luo, Yanfang, Xu, Chen, Wang, Jun, Qiu, Yuyu
• Format: Article
• Language: English
• Subjects: Aged; Aged, 80 and over; Cross-Sectional Studies; elderly; Exercise; exercise planning; exercise self-efficacy; Female; Humans; Independent Living; Male; physical activity; Self Efficacy; Stroke; stroke convalescence; Stroke Rehabilitation; Surveys and Questionnaires; Survivors - psychology
• ISSN: 0197-4572; 1528-3984; 1528-3984
• DOI: 10.1016/j.gerinurse.2024.06.017

•Physical activity levels in elderly community-dwelling convalescent stroke survivors are associated with sociological factors such as age, current residence, and cohabitation status.•Physical activity levels in elderly community-dwelling convalescent stroke survivors are influenced by disease-related factors such as BMI, access to exercise guidance, use of assistive devices, occurrence of falls, ADL, and fatigue.•Physical activity levels are associated with exercise self-efficacy and exercise planning in elderly community-dwelling convalescent stroke survivors.•The exercise planning partially mediated exercise self-efficacy and physical activity, accounting for 64.86 % of the total effect. This study aimed to investigate factors affecting physical activity (PA) among elderly stroke survivors living in the community and assess the mediating role of exercise planning in the relationship between exercise self-efficacy and PA. 300 participants were surveyed using questionnaires and scales, with data analyzed using SPSS 26.0. Univariate analysis identified sociological, disease-related factors, exercise self-efficacy, and exercise planning as influencing PA. Ordered logistic regression showed significant associations between PA, exercise self-efficacy (OR 1.093, 95 % CI 1.055–1.133, P < 0.001), and exercise planning (OR 1.296, 95 % CI 1.202–1.398, P < 0.001). Exercise planning partially mediated the relationship between exercise self-efficacy and PA, accounting for 64.86 % of the total effect. Multiple factors, including sociological and disease-related ones, as well as exercise self-efficacy and planning, influence PA in elderly stroke survivors. Exercise planning partially mediates the relationship between exercise self-efficacy and PA.