Abstract
This study aimed to identify key predictors of physical inactivity and prolonged sedentary behavior among stroke survivors (SSs) using data from the 2016-2020 Korea National Health and Nutrition Surveys. Of the 28,146 participants, 633 had a history of stroke. The results showed that SSs were significantly more likely to be physically inactive and spend longer sedentary times than controls. Multivariate analysis identified that age ≥ 80 years (adjusted odds ratio [aOR] = 5.45, 95% confidence interval [CI] 1.96-15.15), lower education level (≤ 9 years) (aOR = 2.18, 95%CI 1.13-4.18), and living in rural areas (aOR = 1.91, 95%CI 1.11-3.29) were associated with aerobic physical inactivity. Female sex (aOR = 2.36, 95%CI 1.28-4.35) and lower education (aOR = 2.31, 95%CI 1.01-5.34) were linked to insufficient resistance exercises (≤ 1 day per week). Long sedentary time (≥ 8 h daily) was associated with being economically inactive (aOR = 1.90, 95%CI 1.21-2.96), single (aOR = 1.68, 95%CI 1.07-2.64), and perceiving oneself as unhealthy (aOR = 1.59, 95%CI 1.01-2.49). These findings highlight the need for targeted interventions, including community-based exercise programs and policy initiatives, to reduce sedentary behavior and promote physical activity among SSs. Implementing accessible and tailored rehabilitation strategies may help mitigate long-term health risks in this population.