Lifestyle Risk Behaviors Among Stroke Survivors With and Without Diabetes.
Ryan R Bailey, Allison Phad, Ryan McGrath and 3 others
PMID 31415289WHAT IT FOUND
Among adults with stroke, diabetes was linked to more physical inactivity, more overweight or obesity, and a higher number of lifestyle risk behaviors.
Key findings
01Stroke survivors with diabetes had higher prevalence of physical inactivity and overweight or obesity than stroke survivors without diabetes, and higher odds for each individual lifestyle risk behavior.
02Stroke survivors with diabetes were less likely to report zero or one lifestyle risk behavior and more likely to report two or three lifestyle risk behaviors than stroke survivors without diabetes.
03In the whole stroke sample, each lifestyle risk behavior exceeded 50%, ranging from 54.5% for low fruit and vegetable consumption to 67.5% for overweight or obesity.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The study used self-reported doctor-diagnosed stroke and diabetes, and self-reported diet, activity, weight, and height, so reporting errors are possible. The data are cross-sectional, so they cannot show whether diabetes caused worse lifestyle behaviors or whether lifestyle behaviors contributed to diabetes. The survey included only non-institutionalized adults able to answer a phone survey, so it may miss people with severe physical or cognitive disability after stroke. It did not report stroke-specific details such as impairment, number of strokes, or time since stroke, so behavior differences may reflect those factors. The very large sample can make small differences look important.
Declared interests
No author conflict-of-interest statement is provided in the supplied text. The BRFSS data are CDC-sponsored, and the study is listed as supported by NIH extramural research.
The easy way to misread this
Do not conclude that diabetes caused these lifestyle behaviors. The study is cross-sectional and based on self-report, so it shows that stroke survivors with diabetes reported more risk behaviors, not why.