The Relationship Cholesterol Level, Diet and Physical Activities with Recurrent Incidence Stroke in Hospital of Aceh, Indonesia: A Cross Sectional Study

Abstract

Recurrent strokes could increase morbidity and mortality rates and cause neurological deficits with severe
complications, so it is necessary to prevent the risk factors for recurrent strokes. The purpose of the study
to determine the relationship between cholesterol level, diet, and physical activities in post-stroke patients in
Hospital of Aceh, Indonesia. The correlation study with a cross-sectional study design was used in this study.
The population was post-stroke patients who are treated at the Polyclinic of the Aceh Hospital, Indonesia.
The sampling method used purposive sampling with a total sample of 154 respondents. The instruments in this
study used a Physical Activity Level (PAL) questionnaire consisted of 15 items, and patients’ clinical condition
questionnaire. Data collection techniques by means of health checks of clinical conditions and guided interviews.
Data analysis used Chi-square test and logistic regression. The results of the study showed relationship between
cholesterol level, diet, and physical activities with the incidence of recurrent stroke in post-stroke patients
(p<0.05). The most dominating factor was diet (OR: 2.574; 95%CI: 0.936 -7.075). The results of the study need
for the nurses to provide health education to patients regarding the risk of recurrent strokes, by controlling
cholesterol levels and regulate healthy lifestyles and diets.