Original researchCharacterizing Energy Expenditure During Sedentary Behavior After Stroke
Section snippets
Design and participants
This cross-sectional observational study was conducted in 2 rehabilitation institutions from the Stroke Service University Medical Center Utrecht. The Institutional Review Board of the University Medical Center Utrecht approved the study. The medical ethics committees of the 2 participating institutes approved the study, and informed consent was obtained from all included patients.
Participants were selected from an inpatient and outpatient stroke rehabilitation program. They all had a first or
Participant characteristics
Thirty-one eligible participants were invited to participate; of these, 29 agreed and gave informed consent. Subsequently, 1 person could not participate because he was unable to attend the assessments, and 1 person was excluded because it was not possible to measure resting metabolism during lying. Therefore, 27 participants were included in the analysis. Their mean age was 61.0 years, and 77.8% of the participants had had an ischemic stroke.
During the measurements, 1 participant who was
Discussion
This observational study shows that energy expenditure during sitting and standing was ≤1.5 MET for patients in all FAC, with the exception of patients with the lowest ambulation category, FAC 0 (1.6 MET during standing). The findings demonstrated that the energy expenditure during typical sedentary behaviors (sitting supported and unsupported) is very narrowly bounded around 1 MET. It has been suggested that sedentary behavior is defined by activities expending ≤1.5 MET. In this study, people
Conclusions
The findings of this study demonstrate that the energy expenditure during typical sedentary behaviors (sitting supported and unsupported) for people with stroke is very narrowly bounded at approximately 1.0 MET. Energy expenditure during sitting and standing was ≤1.5 MET for all FAC, with the exception of FAC 0 (1.6 MET during standing). Independent wheelchair propulsion and walking seem to be light activities (≥1.5 MET) that could be used by people with stroke to interrupt sedentary behavior.
Suppliers
- a.
METAMAX and MetaSoft version 2.6; Cortex Medical.
- b.
SPSS version 21.0; SPSS.
References (33)
- et al.
Sedentary behavior in the first year after stroke: a longitudinal cohort study with objective measures
Arch Phys Med Rehabil
(2015) - et al.
Predictive validity and responsiveness of the functional ambulation category in hemiparetic patients after stroke
Arch Phys Med Rehabil
(2007) - et al.
Validation of the portable VmaxST system for oxygen-uptake measurement
Gait Posture
(2004) - et al.
Breaking prolonged sitting reduces postprandial glycemia in healthy, normal-weight adults: a randomized crossover trial
Am J Clin Nutr
(2013) - et al.
Energy expenditure of stroke patients during postural control tasks
Gait Posture
(2010) - et al.
Heart disease and stroke statistics–2014 update: a report from the American Heart Association
Circulation
(2014) - et al.
Physical activity and exercise recommendations for stroke survivors: a statement for healthcare professionals from the American Heart Association/American Stroke Association
Stroke
(2014) - et al.
Physical fitness training for stroke patients
Cochrane Database Syst Rev
(2013) - et al.
Physical activity, sedentary behaviour and metabolic control following stroke: a cross-sectional and longitudinal study
PLoS One
(2013) - et al.
Physical activity and sedentary behaviors in people with stroke living in the community: a systematic review
Phys Ther
(2014)
Sitting time and all-cause mortality risk in 222 497 Australian adults
Arch Intern Med
Breaking up prolonged sitting reduces postprandial glucose and insulin responses
Diabetes Care
Letter to the editor: standardized use of the terms “sedentary” and “sedentary behaviours”
Appl Physiol Nutr Metab
2011 compendium of physical activities: a second update of codes and met values
Med Sci Sports Exerc
Effect of age and gender on energy expenditure in common activities of daily living in a chinese population
Disabil Rehabil
Daily activity energy expenditure and mortality among older adults
JAMA
Cited by (13)
Physical activity according to sit-to-stand, standing, and stand-to-sit abilities in subacute stroke with walking difficulty: a cross-sectional study
2023, Physiotherapy Theory and PracticeA comparison of the physiology of sedentary behavior and light physical activity in adults with and without a physical disability
2019, Journal of Physical Activity and Health
Disclosures: none.