TY - JOUR
T1 - The Temporal Relationship Between Moderate to Vigorous Physical Activity and Secondary Conditions During the First Year After Moderate to Severe Traumatic Brain Injury
AU - Esterov, Dmitry
AU - Pradhan, Sujata
AU - Driver, Simon
AU - Whyte, John
AU - Bell, Kathleen R.
AU - Barber, Jason
AU - Temkin, Nancy
AU - Bombardier, Charles H.
N1 - Publisher Copyright:
© 2023 American Congress of Rehabilitation Medicine
PY - 2024/3
Y1 - 2024/3
N2 - Objective: To determine the cross-sectional and temporal relationships between minutes per week of moderate to vigorous physical activity (MVPA) as measured by a wrist-worn accelerometer and secondary conditions in the first year after moderate to severe traumatic brain injury (TBI). Design: Prospective longitudinal cohort study. Setting: Four inpatient rehabilitation centers. Participants: Individuals (N = 180) with moderate-severe TBI enrolled in the TBI Model Systems Study. Interventions: Participants wore a wrist accelerometer for 7 days immediately post discharge, and for 7 consecutive days at 6- and 12-months post injury. Main Outcome Measures: Minutes per week of MVPA from daily averages based on wrist worn accelerometer. Secondary conditions included depression (Patient Health Questionnaire-9), fatigue (PROMIS Fatigue), Pain (Numeric Rating Scale), Sleep (Pittsburgh Sleep Quality Index), and cognition (Brief Test of Adult Cognition by Telephone). Results: At baseline, 6 and 12 months, 61%, 70% and 79% of the sample achieved at least 150 minutes per week of MVPA. The correlations between minutes of MVPA between baseline, 6 and 12 months were significant (r = 0.53-0.73), as were secondary conditions over these time points. However, no significant correlations were observed between minutes of MVPA and any secondary outcomes cross-sectionally or longitudinally at any time point. Conclusions: Given the robust relationships physical activity has with outcomes in the general population, further research is needed to understand the effect of physical activity in individuals with moderate-severe TBI.
AB - Objective: To determine the cross-sectional and temporal relationships between minutes per week of moderate to vigorous physical activity (MVPA) as measured by a wrist-worn accelerometer and secondary conditions in the first year after moderate to severe traumatic brain injury (TBI). Design: Prospective longitudinal cohort study. Setting: Four inpatient rehabilitation centers. Participants: Individuals (N = 180) with moderate-severe TBI enrolled in the TBI Model Systems Study. Interventions: Participants wore a wrist accelerometer for 7 days immediately post discharge, and for 7 consecutive days at 6- and 12-months post injury. Main Outcome Measures: Minutes per week of MVPA from daily averages based on wrist worn accelerometer. Secondary conditions included depression (Patient Health Questionnaire-9), fatigue (PROMIS Fatigue), Pain (Numeric Rating Scale), Sleep (Pittsburgh Sleep Quality Index), and cognition (Brief Test of Adult Cognition by Telephone). Results: At baseline, 6 and 12 months, 61%, 70% and 79% of the sample achieved at least 150 minutes per week of MVPA. The correlations between minutes of MVPA between baseline, 6 and 12 months were significant (r = 0.53-0.73), as were secondary conditions over these time points. However, no significant correlations were observed between minutes of MVPA and any secondary outcomes cross-sectionally or longitudinally at any time point. Conclusions: Given the robust relationships physical activity has with outcomes in the general population, further research is needed to understand the effect of physical activity in individuals with moderate-severe TBI.
KW - Accelerometry
KW - Cognitive impairment
KW - Depression
KW - Physical activity
KW - Rehabilitation
KW - Traumatic brain injury
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U2 - 10.1016/j.apmr.2023.10.001
DO - 10.1016/j.apmr.2023.10.001
M3 - Article
C2 - 37827487
AN - SCOPUS:85176105057
SN - 0003-9993
VL - 105
SP - 506
EP - 513
JO - Archives of physical medicine and rehabilitation
JF - Archives of physical medicine and rehabilitation
IS - 3
ER -