Lifestyle modification for stroke prevention: facts and fiction

被引:30
作者
Niewada, Maciej [1 ]
Michel, Patrik [2 ]
机构
[1] Med Univ Warsaw, Dept Expt & Clin Pharmacol, 1b Banacha St, PL-02097 Warsaw, Poland
[2] Univ Lausanne, CHU Vaudois, Neurol Serv, Stroke Ctr, Lausanne, Switzerland
关键词
alcohol and drugs abuse; coffee; diet; lifestyle modification; obesity; physical activity; smoking; stroke risk; DOSE-RESPONSE METAANALYSIS; HEALTH-CARE PROFESSIONALS; BODY-MASS INDEX; PHYSICAL-ACTIVITY; ISCHEMIC-STROKE; PROSPECTIVE COHORT; VASCULAR EVENTS; CARDIOVASCULAR-DISEASE; SECONDARY PREVENTION; COFFEE CONSUMPTION;
D O I
10.1097/WCO.0000000000000285
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose of reviewThe purpose is to summarize recent evidence on lifestyle modifications and first or recurrent stroke risk.Recent findingsWeight reduction, low-risk diet, regular physical activity, smoking cessation, and low-to-moderate alcohol consumption may reduce stroke risk up to 50% or more, but level one evidence is still lacking for several interventions. Appropriate food ingredients can significantly decrease stroke risk as recently confirmed for Mediterranean diet. The optimal intensity and amount of physical exercise is still not well established before and after stroke, although modest levels of activity already show benefits. Passive smoking represents an important health hazard. The impact of tobacco withdrawal using e-cigarette is currently uncertain. Alcohol and stroke risk relation is probably J-shaped for ischaemic stroke and linear for intracranial haemorrhage. Coffee consumption is J-shaped for overall stroke. Several interventions have failed to show significant effects, including regular intake of healthy' forms of fatty acids, various vitamin supplements, and other antioxidants. Both individualized and public educational programmes are likely needed on a repetitive basis to induce and maintain a healthy lifestyle before or after a stroke.
引用
收藏
页码:9 / 13
页数:5
相关论文
共 67 条
[1]  
Aburto NJ, 2013, BMJ-BRIT MED J, V346, DOI [10.1136/bmj.f1378, 10.1136/bmj.f1326]
[2]   Intakes of magnesium, potassium, and calcium and the risk of stroke among men [J].
Adebamowo, Sally N. ;
Spiegelman, Donna ;
Flint, Alan J. ;
Willett, Walter C. ;
Rexrode, Kathryn M. .
INTERNATIONAL JOURNAL OF STROKE, 2015, 10 (07) :1093-1100
[3]   The obesity paradox in stroke: Lower mortality and lower risk of readmission for recurrent stroke in obese stroke patients [J].
Andersen, Klaus Kaae ;
Olsen, Tom Skyhoj .
INTERNATIONAL JOURNAL OF STROKE, 2015, 10 (01) :99-104
[4]  
[Anonymous], 2006, HEALTH TECHNOL ASSES, DOI DOI 10.3310/HTA10020
[5]  
[Anonymous], HLTH TECHNOL ASSESS
[6]  
[Anonymous], NEUROLOGY SS5
[7]   Differential Effect of B-Vitamin Therapy by Antiplatelet Use on Risk of Recurrent Vascular Events After Stroke [J].
Arshi, Baback ;
Ovbiagele, Bruce ;
Markovic, Daniela ;
Saposnik, Gustavo ;
Towfighi, Amytis .
STROKE, 2015, 46 (03) :870-873
[8]   Electronic Cigarettes A Policy Statement From the American Heart Association [J].
Bhatnagar, Aruni ;
Whitsel, Laurie P. ;
Ribisl, Kurt M. ;
Bullen, Chris ;
Chaloupka, Frank ;
Piano, Mariann R. ;
Robertson, Rose Marie ;
McAuley, Timothy ;
Goff, David ;
Benowitz, Neal .
CIRCULATION, 2014, 130 (16) :1418-1436
[9]   Physical Activity and Exercise Recommendations for Stroke Survivors A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association [J].
Billinger, Sandra A. ;
Arena, Ross ;
Bernhardt, Julie ;
Eng, Janice J. ;
Franklin, Barry A. ;
Johnson, Cheryl Mortag ;
MacKay-Lyons, Marilyn ;
Macko, Richard F. ;
Mead, Gillian E. ;
Roth, Elliot J. ;
Shaughnessy, Marianne ;
Tang, Ada .
STROKE, 2014, 45 (08) :2532-2553
[10]  
Cahill K, 2013, COCHRANE DB SYST REV, DOI [10.1002/14651858.CD006103.pub6, 10.1002/14651858.CD009329.pub2]