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Study | Year | Methodology | Number of participants | Population Characteristics | Followup (years) | Number of stroke events | Relationship between physical activity and stroke |
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Abott et al. [16] | 1994 | Prospective cohort | 7530 | Male (Honolulu Heart Program) 55–68 years | 22 | 537 | Inverse association |
Agnarsson et al. [17] | 1999 | Prospective cohort | 4484 | Male (The Reykjavik Study) 45–80 years | 10.6 | 249 | Inverse association |
Ellekjær et al. [18] | 2000 | Prospective cohort | 14101 | Female (Nord-Trondelag Health Survery) ≥50 years | 10 | 457 stroke deaths | Inverse association |
Evenson et al. [19] | 1999 | Prospective cohort | 14575 | Male and Female (The Atherosclerosis Risk in Communities Study) 45–64 years | 7.2 | 189 | Inverse association |
Hu et al. [20] | 2000 | Prospective cohort | 72488 | Female (The Nurses’ Health Study) 40–65 years | 8 | 407 | Inverse association |
Kiely et al. [21] | 1994 | Prospective cohort | 4196 | Male and female (The Framingham Study) 28–62 years | 32 | 427 | Inverse association |
Gillum et al. [22] | 1996 | Prospective cohort | 7895 | Male and female (National Health and Nutrition Examination Survey I) 45–74 years | 11.6 | 623 | Inverse association |
Haheim et al. [23] | 1993 | Prospective cohort | 14403 | Male (Oslo Study) 40–49 years | 12 | 81 | Inverse association |
Wannamethee and Shaper [24] | 1992 | Prospective cohort | 7735 | Male (British Regional Heart Study) 40–59 years | 9.5 | 128 | Inverse association |
Sacco et al. [25] | 1998 | Retrospective case control | 369 + 678 controls | Male and Female ≥39 years 1st ever cerebral infarction | — | — | Inverse association |
Shinton and Sagar [26] | 1993 | Retrospective case control | 65 + 169 controls | Male and female 35–74 years 1st ever stroke and no significant comorbidities | — | — | Inverse association |
You et al. [27] | 1995 | Retrospective case control | 203 + 203 controls | Male and female 20–85 years Lacunar infarct | — | — | Inverse association |
You et al. [28] | 1997 | Retrospective case control | 201 + 201 controls | Male and female 15–55 years Cerebral infarct | — | — | Inverse association |
Hu et al. [29] | 2005 | Prospective cohort | 47721 | Male and female 25–64 years | 19 | 2863 | Inverse association |
Williams et al. [30] | 2009 | Prospective cohort | 41402 | Male and female (National Runners’ Health Study) | 7.7 | 119 | Inverse association |
Lee et al. [32] | 1999 | Prospective cohort | 21823 | Male (Physicians Health Study) 40–84 years | 11.1 | 533 stroke deaths | No clear association |
Lee and Paffenbarger Jr. [33] | 1998 | Prospective cohort | 11130 | Male (The Harvard Alumni Health Study) 43–88 years | 13 | 378 stroke deaths | U-shaped association |
Fossum et al. [34] | 2007 | Prospective cohort | 9193 | Male and female Left ventricular hypertrophy and hypertension patients (Losartan intervention for endpoint reduction in hypertension (LIFE) study) 55–80 years | 4.8 | 541 strokes | Inverse association |
Lindsted et al. [35] | 1991 | Prospective cohort | 9484 | Male (The Seventh Day Adventist Study) ≥30 years | 26 | 410 stroke deaths | No inverse association |
Menotti and Seccareccia [36] | 1985 | Prospective cohort | 99029 | Male (Italian Railroad Workers Study) 40–59 years | 5 | 187 | No clear association |
Simonsick et al. [37] | 1993 | Prospective cohort | 4840 | Male and female (Established Populations for Epidemiologic Studies of the Elderly) ≥65 years | 6 | — | Inconsistent relationships between physical activity and stroke |
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