Tuesday, 25 July 2017

Modifiable stroke risk factors



Ten potentially modifiable risk factors are collectively associated with about 90% of the PAR of stroke in each major region of the world, among ethnic groups, in men and women, and in all ages. 


Previous history of hypertension or blood pressure of 140/90 mm Hg  (99%)
Regular physical activity (35·8%)
Apolipoprotein  (26·8%)
Diet (23·2%) 
Waist-to-hip ratio (18·6%)
Psychosocial factors (17·4%)
Current smoking (12·4%)
Alcohol consumption (5·8%) 
Diabetes mellitus ( 3·9%)
Cardiac causes (9.1%)

Collectively, these risk factors accounted for 90·7% of the PAR for all stroke worldwide (91·5% for ischaemic stroke, 87·1% for intracerebral haemorrhage), and were consistent across regions (ranging from 82·7% in Africa to 97·4% in southeast Asia), sex (90·6% in men and in women), and age groups (92·2% in patients aged ≤55 years, 90·0% in patients aged >55 years).
Hypertension was more associated with intracerebral haemorrhage than with ischaemic stroke, whereas current smoking, diabetes, apolipoproteins, and cardiac causes were more associated with ischaemic stroke.



Improvement of lifestyle related risk factors 



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