One Third Of All Strokes Have Caused High Blood Pressure.
A brawny universal memorize has found that 10 risk factors account for 90 percent of all the endanger of stroke, with high blood pressure playing the most convincing role. Of that list, five risk factors mostly related to lifestyle - high blood pressure, smoking, abdominal obesity, regime and physical function - are responsible for a full 80 percent of all stroke risk, according to the researchers. The findings come the INTERSTROKE study, a standardized case-control observe of 3000 subjects who had had strokes and an equal company of healthy individuals with no history of stroke from 22 countries antehealth.com. It was published online June 18 in The Lancet.
The cram - slated to be presented Friday at the World Congress on Cardiology in Beijing - reports that the 10 factors significantly associated with apoplectic fit imperil are intoxication blood pressure, smoking, earthly activity, waist-to-hip ratio (abdominal obesity), diet, blood lipid (fat) levels, diabetes, the cup that cheers intake, tension and depression, and heart disorders entengo. Across the board, loaded blood pressure was the most important factor, accounting for one-third of all slam risk.
And "It's important that most of the risk factors associated with work are modifiable," said Dr Martin J O'Donnell, an buddy professor of medicine at McMaster University in Canada, who helped edge the study testimonials. "If they are controlled, it could have a considerable influence on the incidence of stroke".
Controlling blood pressure is important because it plays a crucial role in both forms of stroke: ischemic, the most common frame (caused by blockage of a brain blood vessel), and hemorrhagic or bleeding stroke, in which a blood holder in the brain bursts. In contrast, levels of blood lipids such as cholesterol were top-level in the peril of ischemic stroke, but not hemorrhagic stroke.
So "The most important affair about hypertension is its controllability," O'Donnell said. "Blood put the screws on is easily measured, and there are lots of treatments". Lifestyle measures to conduct blood pressure include reduction of salt intake and increasing incarnate activity. He added that the other risk factors - smoking, abdominal obesity, senate and physical action - in the top five contributors to stroke risk were modifiable as well.
High intake of fish and fruits, for example, were associated with a reduce jeopardy of stroke, according to the study. The researchers unmistakable out several potential limitations of the study, including the sample size, which they said "might be disappointing to provide reliable information" about the power of each risk factor in different regions and ethnic groups.
Many of the same gamble factors have cropped up in other studies, but this is the first stroke risk look at to include both low- and middle-income participants in developing countries and to embrace a brain scan of all participating stroke survivors, according to the researchers. The countries joining in the ponder were Argentina, Australia, Brazil, Canada, Chile, China, Colombia, Croatia, Denmark, Ecuador, Germany, India, Iran, Malaysia, Mozambique, Nigeria, Peru, Philippines, Poland, South Africa, Sudan and Uganda.
The INTERSTROKE investigation confirms that gamy blood coercion "is the matchless cause of attack in developing countries" as well as developed nations, Dr Jack V Tu, of the University of Toronto, wrote in an accompanying editorial. He added that it highlighted the fundamental for trim authorities in those countries to demonstrate strategies to reduce considerable blood pressure, salt intake and other risk factors.
A another phase of the INTERSTROKE study is underway, with researchers looking at the account of risk factors in different regions, ethnic groups and types of ischemic stroke. They'll also reading the association between genetics and throb risk. The researchers plan to enroll 20000 participants.
Dr Larry B Goldstein, big cheese of the Duke Stroke Center, notable that the study underscored what's already known about thump risk. "The bottom line is that the risk factors for low- and middle-income countries seem to be beautiful similar to those of Western countries herbalm.men. The findings restate the importance of attention to lifestyle factors in rub risk - diet, smoking, true activity".
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