A cross-sectional study on knowledge, attitude and preparedness for physical activity among individuals at risk of stroke in a tertiary care setting in India

Background Physical inactivity is a modifiable risk factor for stroke, yet less is known about knowledge, attitudes and readiness for physical activity among at-risk individuals in India. This study assessed these domains in a tertiary care setting.Methods A descriptive cross-sectional study was conducted among adults (≥18 years) at cautionary or high risk of stroke, identified using the Stroke Risk Scorecard in the Medicine OPD of a tertiary hospital. Individuals with comorbidities were excluded. Of 484 screened, 220 were included. Knowledge, attitude and readiness for physical activity were assessed using a validated questionnaire, while sedentary behaviour was measured with the Global Physical Activity Questionnaire. Descriptive data analysis was done using SPSS.Results Out of 220 participants, only three correctly identified recommended physical activity guidelines. More than 75% reported a positive attitude towards physical activity. In terms of behavioural readiness, 17.7% were in contemplation, 35.0% in preparation, 6.4% in action and 38.6% in maintenance stages. Mean sedentary time was 5.0 ± 3.2 h/d.Conclusions Participants demonstrated limited knowledge of physical activity recommendations but generally favourable attitudes and varied readiness for change, alongside high levels of sedentary behaviour. These findings suggest the need for targeted educational strategies and stage-specific interventions to support stroke prevention.