Stroke is a leading cause of death and disability, particularly
in low-income and middle-income countries.
The two major types of stroke
include ischaemic stroke caused by blood clots, which accounts for 85% of
strokes, and haemorrhagic stroke or bleeding into the brain, which accounts for
15% of strokes.
"Study confirmed
the ten modifiable risk factors associated with 90% of stroke cases in all
regions, young and older and in men and women. The study also confirms that
hypertension is the most important modifiable risk factor in all regions, and
the key target in reducing the burden of stroke globally."
The investigators looked
at the different risk factors, and determined the proportion of strokes which
would be cut if the risk factor disappeared.
How to prevent stroke to
a large extend:
If hypertension is
eliminated -36%
If people are physically
active -19%
If people take better
diets -12%
if smoking is eliminated
10%
9% for cardiac (heart) causes
4% for diabetes
6% for alcohol intake
6% for stress
27% for lipids (the study used apolipoproteins, which was found
to be a better predictor of stroke than total cholesterol).
Many of these risk
factors are known to also be associated with each other (such as obesity and
diabetes), and when were combined together, the total for all 10 risk factors
was 91%, which was similar in all regions, age groups and in men and women.
However, the importance
of some risk factors appeared to vary by region. For example, the importance of
hypertension ranged from practically 40% in Western Europe, North America, and
Australia to 60% in Southeast Asia. The risk of alcohol was lowest in Western
Europe, North America and Australia but highest in Africa and south Asia, while
the potential impact of physical inactivity was highest in China.
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