Papel de la actividad física en la mejora de la calidad de vida física para la prevención del ictus
DOI:
https://doi.org/10.47197/retos.v70.116799Palabras clave:
Actividad física, calidad de vida, envejecimiento, ejercicio moderado, ictus, intervención, prevención, salud cardiovascularResumen
Introducción: el ictus sigue siendo una de las principales causas de mortalidad y discapacidad a largo plazo en todo el mundo. la actividad física ha sido cada vez más reconocida como un factor de estilo de vida modificable para mejorar los resultados de salud y prevenir enfermedades crónicas.
Objetivo: el objetivo de este estudio fue examinar el papel de la actividad física en la mejora de la calidad de vida física y la reducción del riesgo de ictus, con especial atención a los efectos de diferentes intensidades de actividad.
Metodología: se llevó a cabo un estudio de intervención longitudinal con la participación de 180 personas entre 45 y 70 años, divididas en grupos de actividad física de intensidad moderada, baja y un grupo control. los datos se recogieron al inicio y tras un periodo de intervención de seis meses utilizando medidas fisiológicas y de calidad de vida validadas.
Resultados: los participantes del grupo de intensidad moderada mostraron mejoras significativamente mayores en la calidad de vida física y en los indicadores de salud cardiovascular en comparación con los otros grupos. los análisis estadísticos confirmaron un efecto dosis-respuesta y una mediación significativa a través de la salud cardiovascular.
Discusión: los hallazgos coincidieron con la literatura existente que indica que la actividad física estructurada reduce el riesgo de ictus y mejora el bienestar físico. los resultados también confirmaron que estos beneficios se explican en parte por las mejoras en la función cardiovascular.
Conclusiones: la actividad física de intensidad moderada debe promoverse como una estrategia eficaz para mejorar la calidad de vida y prevenir el ictus en adultos de mediana y avanzada edad.
Citas
Ali, A., Tabassum, D., Baig, S. S., Moyle, B., Redgrave, J., Nichols, S., ... & Majid, A. (2021). Effect of exer-cise interventions on health-related quality of life after stroke and transient ischemic attack: a systematic review and meta-analysis. Stroke, 52(7), 2445-2455. https://doi.org/10.1161/STROKEAHA.120.032979
Arida, R. M., & Teixeira-Machado, L. (2021). The contribution of physical exercise to brain resilience. Frontiers in behavioral neuroscience, 14, 626769. https://doi.org/10.3389/fnbeh.2020.626769
Baragash, R. S., Aldowah, H., & Ghazal, S. (2022). Virtual and augmented reality applications to impro-ve older adults’ quality of life: A systematic mapping review and future directions. Digital health, 8, 20552076221132099. https://doi.org/10.1177/20552076221132099
Barakou, I., Seves, B. L., Abonie, U. S., Finch, T., Hackett, K. L., & Hettinga, F. J. (2025). Health-related quality of life associated with fatigue, physical activity and activity pacing in adults with chro-nic conditions. BMC Sports Science, Medicine and Rehabilitation, 17(1), 13. https://doi.org/10.1186/s13102-025-01057-x
Bennett, P. N., Kohzuki, M., Bohm, C., Roshanravan, B., Bakker, S. J., Viana, J. L., ... & Network, G. R. E. (2022). Global policy barriers and enablers to exercise and physical activity in kidney care. Journal of Renal Nutrition, 32(4), 441-449. https://doi.org/10.1053/j.jrn.2021.06.007
Bernardes, R. A., Giannouli, E., Neves, H., & Parola, V. (2025). User-centered technology for exercise optimization in older adults. Frontiers in Sports and Active Living, 7, 1558979. https://doi.org/10.3389/fspor.2025.1558979
Charzewski, P., & Starzyk, A. (2025). Endurance Training for Cardiovascular Health: Insights into Risk Reduction and Heart Disease Prevention. Quality in Sport, 37, 58217-58217. https://doi.org/10.12775/QS.2025.37.58217
Cuccurullo, S. J., Fleming, T. K., Petrosyan, H., Hanley, D. F., & Raghavan, P. (2024). Mechanisms and benefits of cardiac rehabilitation in individuals with stroke: emerging role of its impact on im-proving cardiovascular and neurovascular health. Frontiers in Cardiovascular Medicine, 11, 1376616. https://doi.org/10.3389/fcvm.2024.1376616
Damsbo, A. G., Blauenfeldt, R. A., Andersen, G., Johnsen, S. P., & Mortensen, J. K. (2025). Trajectories of physical activity after ischaemic stroke: Exploring prediction of change. European Journal of Neurology, 32(1), e16545. https://doi.org/10.1111/ene.16545
Dogru-Huzmeli, E., Guntel, M., Tambag, H., Kutlu, Y., Lekesiz, E., Daglı, O., ... & Auais, M. (2025). The effect of a students led caregiving support program on depression, sleep quality and quality of life of the caregivers and patients with stroke. Disability and Rehabilitation, 1-11. https://doi.org/10.1080/09638288.2025.2451208
Edmizal, E. ., Barlian, E. ., Donie, D., Komaini, A. ., Hauw Sin, T., Umar, U., … Haryanto, J. (2024). Análi-sis biomecánico del smash Stroke en bádminton: un estudio comparativo entre jugadores de élite y recreativos: una revisión sistemática (Biomechanical Analysis of Smash Stroke in Bad-minton: A Comparative Study of Elite and Recreational Players: a systematic review). Retos, 57, 809–817. https://doi.org/10.47197/retos.v57.107662
Elendu, C., Amaechi, D. C., Elendu, T. C., Ibhiedu, J. O., Egbunu, E. O., Ndam, A. R., ... & Temilade, A. V. (2023). Stroke and cognitive impairment: Understanding the connection and managing sym-ptoms. Annals of Medicine and Surgery, 85(12), 6057-6066. https://doi.org/10.1097/MS9.0000000000001441
Fernandes, J. B., Fernandes, S., Domingos, J., Castro, C., Romão, A., Graúdo, S., ... & Godinho, C. (2024). Motivational strategies used by health care professionals in stroke survivors in rehabilitation: a scoping review of experimental studies. Frontiers in Medicine, 11, 1384414. https://doi.org/10.3389/fmed.2024.1384414
Gencer, G. Y. G., Aksu, N. T., Teke, Y., Hekim, H. H., & Akdağ, A. (2025). Relationship Between Commu-nity Integration, Physical Activity, Pain Quality, and Quality of Life in Older Adults With Knee Osteoarthritis. Journal of Aging and Physical Activity, 1(aop), 1-7. https://doi.org/10.1123/japa.2023-0452
Goff, A. J., Jones, L. E., Lim, C. J., & Tan, B. Y. (2024). A cross sectional study exploring the relationship of self-reported physical activity with function, kinesiophobia, self-efficacy and quality of life in an Asian population seeking care for knee osteoarthritis. BMC Musculoskeletal Disorders, 25(1), 74. https://doi.org/10.1186/s12891-024-07181-y
Hu, W., Chu, J., Chen, X., Liu, S., Sun, N., Han, Q., ... & Shen, Y. (2022). The role of depression and physi-cal activity in the association of between sleep quality, and duration with and health-related quality of life among the elderly: a UK Biobank cross-sectional study. BMC geriatrics, 22(1), 338. https://doi.org/10.1186/s12877-022-03047-x
Infeld, M., Wahlberg, K., Cicero, J., Plante, T. B., Meagher, S., Novelli, A., ... & Meyer, M. (2023). Effect of personalized accelerated pacing on quality of life, physical activity, and atrial fibrillation in pa-tients with preclinical and overt heart failure with preserved ejection fraction: the myPACE randomized clinical trial. JAMA cardiology, 8(3), 213-221. https://doi.org/10.1001/jamacardio.2022.5320
Katsura, Y., Ohga, S., Shimo, K., Hattori, T., Yamada, T., & Matsubara, T. (2024). A decision tree algo-rithm to identify predictors of post-stroke complex regional pain syndrome. Scientific Reports, 14(1), 9893. https://doi.org/10.1038/s41598-024-60597-3
Lin, S., Xiao, L. D., Chamberlain, D., Ullah, S., Wang, Y., Shen, Y., ... & Wu, M. (2022). Nurse-led health coaching programme to improve hospital-to-home transitional care for stroke survivors: A randomised controlled trial. Patient Education and Counseling, 105(4), 917-925. https://doi.org/10.1016/j.pec.2021.07.020
Liu, X. Y., Peng, S. Z., Pei, M. Y., & Zhang, P. (2023). The effects of physical activity on depression and quality of life in Chinese perimenopausal women. Journal of Affective Disorders, 328, 153-162. https://doi.org/10.1016/j.jad.2023.02.061
Mahmood, W., Ahmed Burq, H. S. I., Ehsan, S., Sagheer, B., & Mahmood, T. (2022). Effect of core stabili-zation exercises in addition to conventional therapy in improving trunk mobility, function, am-bulation and quality of life in stroke patients: a randomized controlled trial. BMC Sports Scien-ce, Medicine and Rehabilitation, 14(1), 62. https://doi.org/10.1186/s13102-022-00452-y
Nayak, P., Kumaran, S. D., Mahmood, A., Natarajan, M., Unnikrishnan, B., & Solomon, J. M. (2025). Ef-fectiveness of a comprehensive physical activity promotion program on physical activity levels, mobility and quality of life in community-dwelling stroke survivors: a preliminary cluster ran-domised controlled trial. Disability and Rehabilitation, 1-12. https://doi.org/10.1080/09638288.2025.2459342
Nguyen, B., Clare, P., Mielke, G. I., Brown, W. J., & Ding, D. (2024). Physical activity across midlife and health-related quality of life in Australian women: A target trial emulation using a longitudinal cohort. Plos Medicine, 21(5), e1004384. https://doi.org/10.1371/journal.pmed.1004384
Nindorera, F., Nduwimana, I., Thonnard, J. L., & Kossi, O. (2022). Effectiveness of walking training on balance, motor functions, activity, participation and quality of life in people with chronic stro-ke: a systematic review with meta-analysis and meta-regression of recent randomized contro-lled trials. Disability and rehabilitation, 44(15), 3760-3771. https://doi.org/10.1080/09638288.2021.1894247
Noguer, M., Berthon, P., Makowski, C., & Messonnier, L. A. (2025). Impaired physical ability in patients with transfusion‐dependent β‐thalassaemia: Can regular physical activity be a countermeas-ure?. British Journal of Haematology, 206(1), 86-93. https://doi.org/10.1111/bjh.19847
Omarov, B., Omarov, B., Rakhymzhanov, A., Niyazov, A., Sultan, D., & Baikuvekov, M. (2024). Develop-ment of an artificial intelligence-enabled non-invasive digital stethoscope for monitoring the heart condition of athletes in real-time. Retos, 60, 1169–1180. https://doi.org/10.47197/retos.v60.108633
Omarov, N., Omarov, B., Azhibekova, Z., & Omarov, B. (2024). Applying an augmented reality game-based learning environment in physical education classes to enhance sports motivation. Retos, 60, 269–278. https://doi.org/10.47197/retos.v60.109170
Omarov, B., Zhumanov, Z., Gumar, A., & Kuntunova, L. (2023). Artificial intelligence enabled mobile chatbot psychologist using AIML and cognitive behavioral therapy. International Journal of Ad-vanced Computer Science and Applications, 14(6). http://dx.doi.org/10.14569/IJACSA.2023.0140616
Odetunde, M. O., Makinde, A. F., Jimoh, O. M., Mbada, C. E., Niyi-Odumosu, F., & Fatoye, F. (2025). Phy-sical activity, fatigue severity, and health-related quality of life of community-dwelling stroke survivors: a cross-sectional study. Bulletin of Faculty of Physical Therapy, 30(1), 1-13. https://doi.org/10.1186/s43161-025-00267-1
Palermi, A., Molinari, L. V., Ricci, F., Gallina, S., & Renda, G. (2025). Practical Guidance for Management of Atrial Fibrillation in Sports Cardiology. Current Problems in Cardiology, 102995. https://doi.org/10.1016/j.cpcardiol.2025.102995
Pastore, M. C., Cavigli, L., Olivoni, G., Morrone, F., Amati, F., Imbalzano, E., ... & Cameli, M. (2024). Phy-sical exercise in hypertensive heart disease: From the differential diagnosis to the complemen-tary role of exercise. International Journal of Cardiology, 132232. https://doi.org/10.1016/j.ijcard.2024.132232
Peltonen, J., Benson, S., Kraushaar, J., Wunder, S., & Mang, C. (2025). Stroke survivors with limited walking ability have unique barriers and facilitators to physical activity. Disability and Rehabi-litation, 1-9. https://doi.org/10.1080/09638288.2025.2453639
Perry, A. S., Dooley, E. E., Master, H., Spartano, N. L., Brittain, E. L., & Pettee Gabriel, K. (2023). Physical activity over the lifecourse and cardiovascular disease. Circulation research, 132(12), 1725-1740. https://doi.org/10.1161/CIRCRESAHA.123.322121
Pikula, A., Gulati, M., Bonnet, J. P., Ibrahim, S., Chamoun, S., Freeman, A. M., & Reddy, K. (2024). Promi-se of lifestyle medicine for heart disease, diabetes mellitus, and cerebrovascular diseases. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 8(2), 151-165. https://doi.org/10.1016/j.mayocpiqo.2023.11.005
Pouliopoulou, D. V., Macdermid, J. C., Saunders, E., Peters, S., Brunton, L., Miller, E., ... & Bobos, P. (2023). Rehabilitation interventions for physical capacity and quality of life in adults with post–COVID-19 condition: a systematic review and meta-analysis. JAMA network open, 6(9), e2333838-e2333838. https://doi.org/10.1001/jamanetworkopen.2023.33838
Rahman, M. S., Adams, J., Peng, W., & Sibbritt, D. (2024). A longitudinal investigation of the determi-nants of stroke survivors’ utilisation of a healthy lifestyle for stroke rehabilitation in Australia. Scientific Reports, 14(1), 26625. https://doi.org/10.1038/s41598-024-78069-z
Romero, L. G., González, M. C., & Rojas-Ruiz, F. J. (2025). Physical Activity in Lower-Extremity Sarcoma Survivors: Specific Recommendations and Program Design. Journal of Physical Activity and Health, 1(aop), 1-9. https://doi.org/10.1123/jpah.2024-0745
Samuel, P. O., Edo, G. I., Emakpor, O. L., Oloni, G. O., Ezekiel, G. O., Essaghah, A. E. A., ... & Agbo, J. J. (2024). Lifestyle modifications for preventing and managing cardiovascular diseases. Sport Sciences for Health, 20(1), 23-36. https://doi.org/10.1007/s11332-023-01118-z
Sulistyana, C. S., Nugraha, A. B. K., Saputra, Y. D., & Dewi, R. C. (2025, January). Physical Exercise on Chronic Kidney Disease Undergoing Hemodialysis: A Literature Review. In International Semi-nar of Sport and Exercise Science (ISSES 2024) (pp. 91-97). Atlantis Press. https://doi.org/10.2991/978-94-6463-593-5_8
Susts, J., Reinholdsson, M., Sunnerhagen, K. S., & Abzhandadze, T. (2023). Physical inactivity before stroke is associated with dependency in basic activities of daily living 3 months after stroke. Frontiers in neurology, 14, 1094232. https://doi.org/10.3389/fneur.2023.1094232
Viktorisson, A., Andersson, E. M., Lundström, E., & Sunnerhagen, K. S. (2021). Levels of physical activi-ty before and after stroke in relation to early cognitive function. Scientific Reports, 11(1), 9078. https://doi.org/10.1038/s41598-021-88606-9
Volterrani, M., Halasz, G., Adamopoulos, S., Agostoni, P. G., Butler, J., Coats, A. J., ... & Piepoli, M. (2025). Quality of life in heart failure. The heart of the matter. A scientific statement of the Heart Failu-re Association and the European Association of Preventive Cardiology of the European Society of Cardiology. European Journal of Heart Failure. https://doi.org/10.1002/ejhf.3440
Wang, H., Tian, M., Lai, Q., Li, W., Ding, H., & Deng, Z. (2025). Association between leisure-time physical activity and stroke in patients with chronic obstructive pulmonary disease: A population-based study. Journal of Stroke and Cerebrovascular Diseases, 34(1), 108162. https://doi.org/10.1016/j.jstrokecerebrovasdis.2024.108162
Wong, M. Y. C., Ou, K. L., Chung, P. K., Chui, K. Y. K., & Zhang, C. Q. (2023). The relationship between physical activity, physical health, and mental health among older Chinese adults: A scoping re-view. Frontiers in public health, 10, 914548. https://doi.org/10.3389/fpubh.2022.914548
Yang, Y., Wang, K., Liu, H., Qu, J., Wang, Y., Chen, P., ... & Luo, J. (2022). The impact of Otago exercise programme on the prevention of falls in older adult: A systematic review. Frontiers in public health, 10, 953593. https://doi.org/10.3389/fpubh.2022.953593
Yunus, M., Aditya, R. S., Ihsan, N., Jamil, M., Darmawan, A. ., Sulistyorini, A., … Almutairi, R. I. (2024). Realizo actividad física mientras opero una silla de ruedas: una revisión sistemática de pacien-tes con acv (I engage in physical activity while operating a wheelchair.: a systematic review of stroke patients). Retos, 56, 744–750. https://doi.org/10.47197/retos.v56.103755
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2025 Satmyrza Mamikov, Zhanseri Ikram

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
Los autores que publican en esta revista están de acuerdo con los siguientes términos:
- Los autores conservan los derechos de autor y garantizan a la revista el derecho de ser la primera publicación de su obra, el cuál estará simultáneamente sujeto a la licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación esta revista.
- Los autores pueden establecer por separado acuerdos adicionales para la distribución no exclusiva de la versión de la obra publicada en la revista (por ejemplo, situarlo en un repositorio institucional o publicarlo en un libro), con un reconocimiento de su publicación inicial en esta revista.
- Se permite y se anima a los autores a difundir sus trabajos electrónicamente (por ejemplo, en repositorios institucionales o en su propio sitio web) antes y durante el proceso de envío, ya que puede dar lugar a intercambios productivos, así como a una citación más temprana y mayor de los trabajos publicados (Véase The Effect of Open Access) (en inglés).
Esta revista sigue la "open access policy" de BOAI (1), apoyando los derechos de los usuarios a "leer, descargar, copiar, distribuir, imprimir, buscar o enlazar los textos completos de los artículos".
(1) http://legacy.earlham.edu/~peters/fos/boaifaq.htm#openaccess