Cardiorespiratory fitness in stroke patients with different activities of daily living levels: a cross-sectional study

Abstract Understanding the relationship between cardiorespiratory function (CRF) and activities of daily living (ADL) in stroke patients is essential for improving rehabilitation outcomes. A total of 153 participants were enrolled in this study. Cardiopulmonary exercise was tested at admission. A mu...

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Main Authors: Dongxia Li, Mingchao Zhou, Fubing Zha, Jianjun Long, Yulong Wang
Format: Article
Language:English
Published: Nature Portfolio 2025-04-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-97293-9
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author Dongxia Li
Mingchao Zhou
Fubing Zha
Jianjun Long
Yulong Wang
author_facet Dongxia Li
Mingchao Zhou
Fubing Zha
Jianjun Long
Yulong Wang
author_sort Dongxia Li
collection DOAJ
description Abstract Understanding the relationship between cardiorespiratory function (CRF) and activities of daily living (ADL) in stroke patients is essential for improving rehabilitation outcomes. A total of 153 participants were enrolled in this study. Cardiopulmonary exercise was tested at admission. A multivariable linear regression was performed to identify variables associated with peak oxygen uptake (VO2peak). Participants with low ADL exhibited poorer responses to exercise than those with high ADL levels. After adjusting for confounders, the multiple linear regression analysis showed that albumin-to-globulin ratio (AGR) and left ventricular posterior wall thickness (LVPW) were significantly associated with VO2peak in all patients. In the low ADL subgroup, the positive association between AGR and VO2peak was consistent. Conversely, the negative association between LVPW and VO2peak was uncertain. Otherwise, no significant association were found between AGR, LVPW, and VO2peak in the high ADL subgroup. This study provides new insights into the relationship between CRF and ADL in stroke patients, with a focus on ARG and LVPW. Future studies with larger sample sizes are needed to further explore the role of AGR and LVPW in improving the CRF in stroke patients.
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spelling doaj-art-74d18edf2a7048a2bb7f5c59b2e9bf6f2025-08-20T02:19:57ZengNature PortfolioScientific Reports2045-23222025-04-011511910.1038/s41598-025-97293-9Cardiorespiratory fitness in stroke patients with different activities of daily living levels: a cross-sectional studyDongxia Li0Mingchao Zhou1Fubing Zha2Jianjun Long3Yulong Wang4Department of rehabilitation, Shenzhen Second People’s Hospital, The First Affiliated Hospital of Shenzhen UniversityDepartment of rehabilitation, Shenzhen Second People’s Hospital, The First Affiliated Hospital of Shenzhen UniversityDepartment of rehabilitation, Shenzhen Second People’s Hospital, The First Affiliated Hospital of Shenzhen UniversityDepartment of rehabilitation, Shenzhen Second People’s Hospital, The First Affiliated Hospital of Shenzhen UniversityDepartment of rehabilitation, Shenzhen Second People’s Hospital, The First Affiliated Hospital of Shenzhen UniversityAbstract Understanding the relationship between cardiorespiratory function (CRF) and activities of daily living (ADL) in stroke patients is essential for improving rehabilitation outcomes. A total of 153 participants were enrolled in this study. Cardiopulmonary exercise was tested at admission. A multivariable linear regression was performed to identify variables associated with peak oxygen uptake (VO2peak). Participants with low ADL exhibited poorer responses to exercise than those with high ADL levels. After adjusting for confounders, the multiple linear regression analysis showed that albumin-to-globulin ratio (AGR) and left ventricular posterior wall thickness (LVPW) were significantly associated with VO2peak in all patients. In the low ADL subgroup, the positive association between AGR and VO2peak was consistent. Conversely, the negative association between LVPW and VO2peak was uncertain. Otherwise, no significant association were found between AGR, LVPW, and VO2peak in the high ADL subgroup. This study provides new insights into the relationship between CRF and ADL in stroke patients, with a focus on ARG and LVPW. Future studies with larger sample sizes are needed to further explore the role of AGR and LVPW in improving the CRF in stroke patients.https://doi.org/10.1038/s41598-025-97293-9Longshi scalePeak oxygen uptakeStrokeAlbumin-to-globulin ratioLeft ventricular posterior wall thickness
spellingShingle Dongxia Li
Mingchao Zhou
Fubing Zha
Jianjun Long
Yulong Wang
Cardiorespiratory fitness in stroke patients with different activities of daily living levels: a cross-sectional study
Scientific Reports
Longshi scale
Peak oxygen uptake
Stroke
Albumin-to-globulin ratio
Left ventricular posterior wall thickness
title Cardiorespiratory fitness in stroke patients with different activities of daily living levels: a cross-sectional study
title_full Cardiorespiratory fitness in stroke patients with different activities of daily living levels: a cross-sectional study
title_fullStr Cardiorespiratory fitness in stroke patients with different activities of daily living levels: a cross-sectional study
title_full_unstemmed Cardiorespiratory fitness in stroke patients with different activities of daily living levels: a cross-sectional study
title_short Cardiorespiratory fitness in stroke patients with different activities of daily living levels: a cross-sectional study
title_sort cardiorespiratory fitness in stroke patients with different activities of daily living levels a cross sectional study
topic Longshi scale
Peak oxygen uptake
Stroke
Albumin-to-globulin ratio
Left ventricular posterior wall thickness
url https://doi.org/10.1038/s41598-025-97293-9
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AT fubingzha cardiorespiratoryfitnessinstrokepatientswithdifferentactivitiesofdailylivinglevelsacrosssectionalstudy
AT jianjunlong cardiorespiratoryfitnessinstrokepatientswithdifferentactivitiesofdailylivinglevelsacrosssectionalstudy
AT yulongwang cardiorespiratoryfitnessinstrokepatientswithdifferentactivitiesofdailylivinglevelsacrosssectionalstudy