{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T05:33:45Z","timestamp":1780637625023,"version":"3.54.1"},"reference-count":25,"publisher":"BMJ","issue":"10","license":[{"start":{"date-parts":[[2021,10,17]],"date-time":"2021-10-17T00:00:00Z","timestamp":1634428800000},"content-version":"unspecified","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100008590","name":"the Swedish Stroke Association","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100008590","id-type":"DOI","asserted-by":"crossref"}]},{"name":"the Geriatric funding"},{"name":"the Swedish Associations of Physiotherapists, Neurology."},{"name":"Medical Faculty, Uppsala University"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2021,9,30]]},"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate effects of mobile phone text-messaging exercise instructions on body composition, cardiometabolic risk markers and self-reported health at 3\u2009months after stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Randomised controlled intervention study with per-protocol analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>University Hospital in Sweden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Seventy-nine patients (mean (SD) age 64 (10) years, 37% female) \u226518 years with good motor function (modified Rankin Scale \u22642) and capable to perform 6\u2009min walking test at hospital discharge were randomised to either intervention (n=40) or control group (n=39). Key exclusion criteria: subarachnoid bleeding, uncontrolled hypertension, severe psychiatric problems or cognitive limitations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>The intervention group received beyond standard care, daily mobile phone instructional text messages to perform regular outdoor walking and functional leg exercises. The control group received standard care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Fat mass and fat-free mass were estimated by bioelectric impedance analysis. Cardiometabolic risk factors like blood lipids, glycated haemoglobin and blood glucose were analysed at baseline and after 3\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Both groups changed favourably in fat-free mass (1.83\u2009kg, 95%\u2009CI 0.77 to 2.89; p=0.01, effect size (ES)=0.63 vs 1.22\u2009kg, 95%\u2009CI 0.39 to 2.0; p=0.05, ES=0.54) and fat mass (\u22121.30\u2009kg, 95%\u2009CI \u22122.45 to \u22120.14; p=0.029, ES=0.41 vs \u22120.76\u2009kg, 95%\u2009CI \u22121.74 to 0.22; p=0.123, ES=0.28). Also, many cholesterol related biomarkers improved; for example, total cholesterol \u22120.65 mmol\/L, 95% CI \u22121.10 to \u22120.2; p=0.06, ES: 0.5 vs \u22121.1 mmol\/L, 95% CI \u22121.47 to \u22120.56; p&gt;0.001, ES=0.8. However, there were no between-group differences. At 3 months, 94% and 86%, respectively, reported very good\/fairly good health in the text messaging and control groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>No clear effect of 3\u2009months daily mobile phone delivered training instructions was detected on body composition, cardiovascular biochemical risk factors or self-perceived health. Further research is needed to evaluate secondary prevention efforts in larger populations after recent stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"clintrialgov\" xlink:href=\"NCT02902367\">NCT02902367<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2021-054851","type":"journal-article","created":{"date-parts":[[2021,10,18]],"date-time":"2021-10-18T23:03:08Z","timestamp":1634598188000},"page":"e054851","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":13,"title":["Potential effects on cardiometabolic risk factors and body composition by short message service (SMS)-guided training after recent minor stroke or transient ischaemic attack: post hoc analyses of the STROKEWALK randomised controlled trial"],"prefix":"10.1136","volume":"11","clinical-trial-number":[{"clinical-trial-number":"nct02902367","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1508-1435","authenticated-orcid":false,"given":"Birgit Maria","family":"Vahlberg","sequence":"first","affiliation":[{"name":"Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala Universitet Medicinska fakulteten, Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik","family":"Lundstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Uppsala Universitet Medicinska fakulteten, Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Staffan","family":"Eriksson","sequence":"additional","affiliation":[{"name":"Centre for Clinical Research, Eskilstuna, Sweden"},{"name":"Department of Community Medicine and Rehabilitation, Physiotherapy, Ume\u00e5 University, Ume\u00e5, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulf","family":"Holmback","sequence":"additional","affiliation":[{"name":"Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala Universitet Medicinska fakulteten, Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tommy","family":"Cederholm","sequence":"additional","affiliation":[{"name":"Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala Universitet Medicinska fakulteten, Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,10,18]]},"reference":[{"key":"2025121510344657000_11.10.e054851.1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000757"},{"key":"2025121510344657000_11.10.e054851.2","unstructured":"RIKSstroke . 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