Sedentarismo amenaza silente en el accidente cerebrovascular isquémico-ACV
Palabras clave:
Comportamiento sedentario, accidente cerebrovascular, actividad física, fisiopatología del accidente cerebrovascular.Resumen
Entre las principales causas de muerte a nivel mundial se encuentran la Cardiopatía Isquemia (IC) y el Accidente Cerebrovascular (ACV), teniendo en cuenta que ambas patologías comparten factores de riesgo, los estudios Interheart y el Interstroke muestran que estos factores pueden proporcionan un odds ratio diferente para el ACV y que la mayoría son modificables, destacando la falta de actividad física.
Este último ha cobrado gran importancia por los beneficios demostrados en el pre y post ACV de cualquier individuo, sin importar su raza, etnia o sexo, por lo anterior se debe establecer el impacto de disminuir el sedentarismo y aumentar el tiempo, frecuencia e intensidad de la actividad física que la población sana y personas con antecedente de ictus deben tener, con el fin de implementarlo en la práctica clínica y mejorar su salud cerebrovascular.
Citas
Tsao CW, Aday AW, Almarzooq ZI, Alonso A, et al. Heart Disease and Stroke Statistics-2022 Update: A Report From the American Heart Association. Circulation. 2022 Feb 22;145(8): e153-e639. doi: 10.1161/CIR.000000000000105 Epub 2022 Jan 26. Erratum in: Circulation. 2022 Sep 6;146(10): e141. PMID: 35078371.
Kraus WE, Janz KF, Powell KE, Campbell WW, Jakicic JM, Troiano RP, Sprow K, Torres A, Piercy KL; 2018 Physical Activity Guidelines Advisory Committee. Daily step counts for measuring physical activity exposure and its relation to health. Med Sci Sports Exerc. 2019; 51:1206–1212. doi: 10.1249/MSS.0000000000001932
Ballin M, Nordström P, Niklasson J, Nordström A. Associations of objectively measured physical activity and sedentary time with the risk of stroke, myocardial infarction or all-cause mortality in 70-year-old men and women: a prospective cohort study. Sports Med. 2021; 51:339–349. doi: 10.1007/s40279-020-01356-y.
Klassen TD, Dukelow SP, Bayley MT, Benavente O, Hill MD, Krassioukov A, Liu-Ambrose T, Pooyania S, Poulin MJ, Schneeberg A, et al. Higher doses improve walking recovery during stroke inpatient rehabilitation. Stroke. 2020; 51:2639–2648.
Bautista AF, Lenhardt R, Yang D, Yu C, Heine MF, Mascha EJ, Heine C, Neyer TM, Remmel K, Akca O. Early Prediction of Prognosis in Elderly Acute Stroke Patients. Crit Care Explor. 2019 Apr 29;1(4):0007. doi:10.1097/CCE.000000000000000
GBD Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020; 396:1204–1222.
GBD Risk Factors Collaborators. Global burden of 87 risk factors in 204 countries and territories, 1990-2019: systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020; 396:1223–1249. doi: 10.1016/S0140-6736(20)30752-2.
Tikkanen E, Gustafsson S, Ingelsson E. Associations of fitness, physical activity, strength, and genetic risk with cardiovascular disease: longitudinal analyses in the UK Biobank study. Circulation. 2018; 137:2583–2591.
Aguiar LT, Nadeau S, Britto RR, Teixeira-Salmela LF, Martins JC, Samora GAR, da Silva Júnior JA, Faria CDCM. Effects of aerobic training on physical activity in people with stroke: A randomized controlled trial. NeuroRehabilitation. 2020;46(3):391-401. doi: 10.3233/NRE-193013. PMID: 32250336.
Prior PL, Suskin N. Exercise for stroke prevention. Stroke Vasc Neurol. 2018 Jun 26;3(2):59-68. doi: 10.1136/svn-2018-000155. PMID: 30191075; PMCID: PMC6122300.
Kramer SF, Hung SH, Brodtmann A. The Impact of Physical Activity Before and After Stroke on Stroke Risk and Recovery: a Narrative Review. Curr Neurol Neurosci Rep. 2019 Apr 22;19(6):28. doi: 10.1007/s11910-019-0949-4. PMID: 31011851.
Xing Y, Bai Y. A Review of Exercise-Induced Neuroplasticity in Ischemic Stroke: Pathology and Mechanisms.Mol Neurobiol. 2020 Oct;57(10):4218-31.
García-Cabo C, López-Cancio E. Exercise and Stroke. Adv Exp Med Biol. 2020; 1228:195-203. doi: 10.1007/978-981-15-1792-1_13. PMID: 32342459.14. MacDonald CJ, Madika AL, Gomes R, Severi G, Sibon I, Debette S, Boutron-Ruault MC. Physical activity and stroke among women - A non-linear relationship. Prev Med. 2021 Sep; 150:106485.
Morovatdar N, Di Napoli M, Stranges S, Thrift AG, Kapral M, Behrouz R, Farzadfard MT, Andalibi MSS, Oskooie RR, Sawant A, Mokhber N, Azarpazhooh MR. Regular physical activity postpones age of occurrence of first-ever stroke and improves long-term outcomes. Neurol Sci. 2021 Aug;42(8):3203-3210. doi: 10.1007/s10072-020-04903-7.
Vahlberg B Med Dr, PT, Bring A Med Dr, PT, Hellström K PT, Zetterberg L Med Dr, PT. Level of physical activity in men and women with chronic stroke. Physiother Theory Pract. 2019 Oct;35(10):947-955. doi: 10.1080/09593985.2018.1460646.
Reinholdsson M, Palstam A, Sunnerhagen KS. Prestroke physical activity could influence acute stroke severity (part of PAPSIGOT). Neurology. 2018 Oct 16;91(16):1461-67.
Fini NA, Bernhardt J, Holland AE. Low gait speed is associated with low physical activity and high sedentary time following stroke. Disabil Rehabil. 2021 Jul;43(14):2001-2008. doi: 10.1080/09638288.2019.1691273. Epub 2019 Nov 22. PMID: 31755311.
Ghozy S, Zayan AH, El-Qushayri AE, Parker KE, Varney J, Kallmes KM, Morsy S, Abbas AS, Diestro JDB, Dmytriw AA, Shah J, Hassan AE, Islam SMS. Physical activity level and stroke risk in US population: A matched case-control study of 102,578 individuals. Ann Clin Transl Neurol. 2022 Mar;9(3):264-275.
Levine DA, Duncan PW, Nguyen-Huynh MN, Ogedegbe OG. Interventions Targeting Racial/Ethnic Disparities in Stroke Prevention and Treatment. Stroke. 2020 Nov;51(11):3425-3432. doi: 10.1161/STROKEAHA.120.030427.
Katzmarzyk PT, Ross R, Blair SN, Després JP. Should we target increased physical activity or less sedentary behavior in the battle against cardiovascular disease risk development? Atherosclerosis. 2020 Oct; 311:107-115. doi: 10.1016/j.atherosclerosis.2020.07.010.
Uzdensky AB. Apoptosis regulation in the penumbra after ischemic stroke: expression of pro- and antiapoptotic proteins. Apoptosis. 2019 Oct;24(9-10):687-702.
Feske SK. Ischemic Stroke. Am J Med. 2021 Dec;134(12):1457-1464. doi: 10.1016/j.amjmed.2021.07.027. Epub 2021 Aug 27. PMID: 34454905.
Chalet L, Boutelier T, Christen T, Raguenes D, Debatisse J, Eker OF, Becker G, Nighoghossian N, Cho TH, Canet-Soulas E, Mechtouff L. Clinical Imaging of thePenumbra in Ischemic Stroke: From the Concept to the Era of Mechanical Thrombectomy. Front Cardiovasc Med. 2022 Mar 9; 9:861913.
Wondergem R, Veenhof C, Wouters EMJ, de Bie RA, Visser-Meily JMA, Pisters MF. Movement Behavior Patterns in People with First-Ever Stroke. Stroke. 2019 Dec;50(12):3553-3560.
Morton S, Fitzsimons C, Hall J, Clarke D, Forster A, English C, Chastin S, Birch KM, Mead G. Sedentary behavior after stroke: A new target for therapeutic intervention. Int J Stroke. 2019 Jan;14(1):9-11. doi: 10.1177/1747493018784505.
Joundi RA, Patten SB, Williams JVA, Smith EE. Association Between Excess Leisure Sedentary Time and Risk of Stroke in Young Individuals. Stroke. 2021 Nov;52(11):3562-3568. doi: 10.1161/STROKEAHA.121.034985.
Wang Z, Jin X, Liu Y, Wang C, Li J, Tian L, Teng W. Sedentary behavior and the risk of stroke: A systematic review and dose-response meta-analysis. Nutr Metab Cardiovasc Dis. 2022 Dec;32(12):2705-2713.
Hou L, Li M, Wang J, Li Y, Zheng Q, Zhang L, Yao Q, Zhang J, Dong S, Zhou M, Zhu C. Association between physical exercise and stroke recurrence among first- ever ischemic stroke survivors. Sci Rep. 2021 Jun 28;11(1):13372.
Hendrickx W, Riveros C, Askim T, Bussmann JBJ, Callisaya ML, Chastin SFM, Dean C, Ezeugwu V, Jones TM, Kuys SS, Mahendran N, Manns PJ, Mead G, Moore SA, Paul L, Pisters MF, Saunders DH, Simpson DB, Tieges Z, Verschuren O, English C. An Exploration of Sedentary Behavior Patterns in Community-Dwelling People With Stroke: A Cluster-Based Analysis. J Neurol Phys Ther. 2021 Jul 1;45(3):221-227. doi: 10.1097/NPT.0000000000000357.
Huang ZX, Lin XL, Lu HK, Liang XY, Fan LJ, Liu XT. Lifestyles correlate with stroke recurrence in Chinese inpatients with first-ever acute ischemic stroke. J Neurol. 2019 May;266(5):1194-1202. doi: 10.1007/s00415-019-09249-5.
Katzmarzyk PT, Powell KE, Jakicic JM, Troiano RP, Piercy KL, Tennant BL, for The 2018 Physical Activity Guidelines Advisory Committee. Sedentary behavior and health: update from the 2018 Physical Activity Guidelines Advisory Committee. Med Sci Sports Exerc. 2019;51(6):1227–41.
Pettee Gabriel K, Sidney S, Jacobs DR Jr, et al. Ten-year changes in accelerometer-based physical activity and sedentary time during midlife: the CARDIA study. Am J Epidemiol. 2018;187(10):2145–50.
Schwenk J, Boudkkazi S, Kocylowski MK, Brechet A, Zolles G, Bus T, Costa K, Kollewe A, Jordan J, Bank J, Bildl W, Sprengel R, Kulik A, Roeper J, Schulte U, Fakler B (2019) An ER assembly line of AMPA-receptors controls excitatory neurotransmission and its plasticity. Neuron 104 (4):680–692.
Peng Y, Liu J, Hua M, Liang M, Yu C (2019) Enhanced effective connectivity from ipsilesional to contralesional M1 in wellrecovered subcortical stroke patients. Front Neurol 10:909. https://doi.org/10.3389/fneur.2019.00909.
Bull FC, Al-Ansari SS, Biddle S, Borodulin K, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020 Dec;54(24):1451-1462.
Mahecha,S.Recomendaciones de actividad física:un mensaje para el profesional de la salud. Revista de nutriciónclínica y metabolismo.2019; 2(2),44- 54.
Lee IM, Shiroma EJ, Kamada M, Bassett DR, Matthews CE, Buring JE. Association of step volume and intensity with all-cause mortality in older women. JAMA Intern Med. 2019;179(8):1105-1112.
Jefferis BJ, Parsons TJ, Sartini C, Ash S, Lennon LT, Papacosta O, Morris RW, Wannamethee SG, Lee IM, Whincup PH. Objectively measured physical activity, sedentary behaviour and all-cause mortality in older men: does volume of activity matter more than pattern of accumulation? Br J Sports Med. 2019 Aug;53(16):1013-1020. doi: 10.1136/bjsports-2017-098733.
American College of Sports Medicine. Guidelines for exercise testing and prescription. Tenth edition. Philadelphia, PA: Wolters Kluwer Health, 2018.
Thomas EA, Enduru N, Tin A, Boerwinkle E, Griswold ME, Mosley TH, Gottesman RF, Fornage M. Polygenic Risk, Midlife Life’s Simple 7, and Lifetime Risk of Stroke. J Am Heart Assoc. 2022 Aug 2;11(15):e025703. doi: 10.1161/JAHA.122.025703.
Jiménez Yepes CM, González Obando P, Vargas Olmos AC, Jiménez Obando M. Control temprano de los factores de mal pronóstico en el abordaje de los pacientes con eventos cerebrovasculares isquémicos. Acta Neurol Colomb. 2018; 34(2): 156-164.
Descargas
Publicado
Versiones
- 2025-11-21 (4)
- 2025-11-21 (3)
- 2025-08-18 (2)
- 2023-05-09 (1)
Cómo citar
Número
Sección
Licencia
Derechos de autor 2022 Scientific and Eduaction Medical JournalAtribución – No comercial – Compartir igual: Esta licencia permite a otros distribuir, remezclar, retocar, y crear a partir de tu obra de modo no comercial, siempre y cuando te den crédito y licencien sus nuevas creaciones bajo las mismas condiciones.
Attribution-NonCommercial-ShareAlike 4.0 International
