Abstract
Introduction: Stroke remains a major cause of disability and mortality, highlighting the need for effective prevention strategies. Physical activity is a crucial modifiable factor in reducing stroke risk, yet the impact of different exercise modalities and adherence levels requires further exploration. Objective: this study aimed to assess the impact of moderate to vigorous physical activity on stroke risk, distinguishing between aerobic, anaerobic, high-intensity interval training, and steady-state endurance exercises. Additionally, it examined whether adherence to physical activity independently influenced stroke prevention. Methodology: A prospective cohort study with 400 participants assessed physical activity levels and stroke incidence. Multinomial logistic regression and the Cox proportional hazards model were used to examine exercise types and evaluate the impact of adherence on stroke risk. Results: These results align with prior research highlighting the cardiovascular benefits of aerobic exercise while challenging the assumption that adherence alone is a primary determinant of stroke prevention. They emphasize the importance of refining exercise recommendations, focusing on optimal activity types for individuals at increased stroke risk. Discussion: These findings reinforce prior research on the cardiovascular benefits of aerobic exercise while questioning the role of adherence alone in stroke prevention, highlighting the necessity for targeted, evidence-based exercise recommendations. Conclusions: This study reinforces the importance of aerobic exercise in stroke prevention and underscores the need for structured physical activity programs in public health guidelines. Future research should explore the long-term effects of various exercise regimens on diverse populations to optimize stroke prevention strategies.