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Association of Health Utility Score with Physical Activity Outcomes in Stroke Survivors

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  • Masashi Kanai

    (Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women’s University, Kobe 658-0001, Japan
    Department of Public Health, Kobe University Graduate School of Health Sciences, Kobe 654-0142, Japan
    Cardiovascular Stroke Renal Project (CRP), Kobe 654-0142, Japan)

  • Kazuhiro P. Izawa

    (Department of Public Health, Kobe University Graduate School of Health Sciences, Kobe 654-0142, Japan
    Cardiovascular Stroke Renal Project (CRP), Kobe 654-0142, Japan)

  • Hiroki Kubo

    (Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, Itami 664-0028, Japan)

  • Masafumi Nozoe

    (Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women’s University, Kobe 658-0001, Japan)

  • Kyoshi Mase

    (Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women’s University, Kobe 658-0001, Japan)

  • Shinichi Shimada

    (Department of Public Health, Kobe University Graduate School of Health Sciences, Kobe 654-0142, Japan
    Cardiovascular Stroke Renal Project (CRP), Kobe 654-0142, Japan
    Department of Neurosurgery, Itami Kousei Neurosurgical Hospital, Itami 664-0028, Japan)

Abstract

Health-related quality of life (HRQoL) after stroke tends to vary across studies or across stages of stroke. It is useful to use the health utility score to compare HRQoL across studies. Physical activity after stroke also tends to vary similarly. The purpose of the present study was to determine associations between the health utility score and physical activity outcomes in stroke survivors. This cross-sectional study recruited stroke survivors who could ambulate outside, free of assistance. We assessed the health utility score with the EuroQoL 5-Dimension 3-Level questionnaire. The physical activity outcomes were the number of steps taken and duration of moderate-to-vigorous physical activity (MVPA) as measured with an accelerometer. Multiple linear regression analyses were used to determine whether the physical activity outcomes were independently associated with the health utility score. Fifty patients (age: 68.0 years; 40 men, 10 women) were included. Multiple linear regression analysis showed the health utility score to be significantly associated with the number of steps taken (β = 0.304, p = 0.035) but not with MVPA. This is the first study to examine the association between the health utility score and objectively measured physical activity in stroke survivors. Promoting physical activity especially by increasing the number of steps taken might be a priority goal in improving a patient’s health utility score after stroke.

Suggested Citation

  • Masashi Kanai & Kazuhiro P. Izawa & Hiroki Kubo & Masafumi Nozoe & Kyoshi Mase & Shinichi Shimada, 2020. "Association of Health Utility Score with Physical Activity Outcomes in Stroke Survivors," IJERPH, MDPI, vol. 18(1), pages 1-9, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2020:i:1:p:251-:d:472908
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    References listed on IDEAS

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    1. SuYeon Kwon & Ji-Hong Park & Won-Seok Kim & Kyungdo Han & Yookyung Lee & Nam-Jong Paik, 2018. "Health-related quality of life and related factors in stroke survivors: Data from Korea National Health and Nutrition Examination Survey (KNHANES) 2008 to 2014," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-12, April.
    2. Kharroubi, Samer & Brazier, John E. & O'Hagan, Anthony, 2007. "Modelling covariates for the SF-6D standard gamble health state preference data using a nonparametric Bayesian method," Social Science & Medicine, Elsevier, vol. 64(6), pages 1242-1252, March.
    3. Kharroubi, Samer A. & Brazier, John E. & Roberts, Jennifer & O'Hagan, Anthony, 2007. "Modelling SF-6D health state preference data using a nonparametric Bayesian method," Journal of Health Economics, Elsevier, vol. 26(3), pages 597-612, May.
    4. Masashi Kanai & Kazuhiro P. Izawa & Hiroki Kubo & Masafumi Nozoe & Kyoshi Mase & Mohammad Javad Koohsari & Koichiro Oka & Shinichi Shimada, 2019. "Association of Perceived Built Environment Attributes with Objectively Measured Physical Activity in Community-Dwelling Ambulatory Patients with Stroke," IJERPH, MDPI, vol. 16(20), pages 1-8, October.
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    Cited by:

    1. Emanuela Gualdi-Russo & Luciana Zaccagni, 2021. "Physical Activity for Health and Wellness," IJERPH, MDPI, vol. 18(15), pages 1-6, July.

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