Review Article

Physical Activity in the Prevention and Treatment of Stroke

Table 1

Characteristics of studies investigating physical activity and stroke risk.

StudyYearMethodologyNumber of participantsPopulation CharacteristicsFollowup (years)Number of stroke eventsRelationship between physical activity and stroke

Abott et al. [16]1994Prospective cohort7530Male (Honolulu Heart Program) 55–68 years22537Inverse association
Agnarsson et al. [17]1999Prospective cohort4484Male (The Reykjavik Study) 45–80 years10.6249Inverse association
Ellekjær et al. [18]2000Prospective cohort14101Female (Nord-Trondelag Health Survery) ≥50 years10457 stroke deathsInverse association
Evenson et al. [19]1999Prospective cohort14575Male and Female (The Atherosclerosis Risk in Communities Study) 45–64 years7.2189Inverse association
Hu et al. [20]2000Prospective cohort72488Female (The Nurses’ Health Study) 40–65 years8407Inverse association
Kiely et al. [21]1994Prospective cohort4196Male and female (The Framingham Study) 28–62 years32427Inverse association
Gillum et al. [22]1996Prospective cohort7895Male and female (National Health and Nutrition Examination Survey I) 45–74 years11.6623Inverse association
Haheim et al. [23]1993Prospective cohort14403Male (Oslo Study) 40–49 years1281Inverse association
Wannamethee and Shaper [24]1992Prospective cohort7735Male (British Regional Heart Study) 40–59 years9.5128Inverse association
Sacco et al. [25]1998Retrospective case control369 + 678 controlsMale and Female ≥39 years
1st ever cerebral infarction
Inverse association
Shinton and Sagar [26]1993Retrospective case control65 + 169 controlsMale and female 35–74 years
1st ever stroke and no significant comorbidities
Inverse association
You et al. [27]1995Retrospective case control203 + 203 controlsMale and female 20–85 years
Lacunar infarct
Inverse association
You et al. [28]1997Retrospective case control201 + 201 controlsMale and female 15–55 years
Cerebral infarct
Inverse association
Hu et al. [29]2005Prospective cohort47721Male and female 25–64 years192863Inverse association
Williams et al. [30]2009Prospective cohort41402Male and female (National Runners’ Health Study)7.7119Inverse association
Lee et al. [32]1999Prospective cohort21823Male (Physicians Health Study)
40–84 years
11.1533 stroke deathsNo clear association
Lee and Paffenbarger Jr. [33]1998Prospective cohort11130Male (The Harvard Alumni Health Study) 43–88 years13378 stroke deathsU-shaped association
Fossum et al. [34]2007Prospective cohort9193Male and female Left ventricular hypertrophy and hypertension patients (Losartan intervention for endpoint reduction in hypertension (LIFE) study) 55–80 years4.8541 strokesInverse association
Lindsted et al. [35]1991Prospective cohort9484Male (The Seventh Day Adventist Study) ≥30 years26410 stroke deathsNo inverse association
Menotti and Seccareccia [36]1985Prospective cohort99029Male (Italian Railroad Workers Study) 40–59 years5187No clear association
Simonsick et al. [37]1993Prospective cohort4840Male and female (Established Populations for Epidemiologic Studies of the Elderly) ≥65 years6Inconsistent relationships between physical activity and stroke

Key: — = Data not available.