Association of obesity with recurrent stroke and cardiovascular events

Kumral, Emre; Erdoğan, Can; Ari, Anıl; Bayam, Fatma Ece; Saruhan, Gülsüm

doi:10.1016/j.neurol.2020.06.019

Cited by 19 publications

(9 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Similarly, stressful life events and poor adaptation to stress are independently associated with increased risk of stroke [ 73 , 74 , 75 , 76 ], and psychological distress has been identified as a predictor of fatal ischaemic stroke [ 77 ]. While an obesity paradox is reported in stroke, with respect to vascular events and mortality, recent evidence has identified it as a significant risk factor for recurrent stroke [ 78 , 79 , 80 ].…”

Section: Discussionmentioning

confidence: 99%

A Scoping Review of Non-Pharmacological, Non-Surgical Secondary Prevention Strategies in Ischaemic Stroke and TIA in National Stroke Guidelines and Clinical Audit Documents

et al. 2022

View full text Add to dashboard Cite

The Stroke Action Plan for Europe (2018–2030) calls for national-level secondary prevention plans that address lifestyle, in addition to prevention medications and surgical interventions. This scoping review examines national stroke care guideline and audit documents across WHO regions to identify non-pharmacological, non-surgical stroke secondary prevention recommendations and associated performance indicators. Using a snowballing methodology, 27 guideline documents met the inclusion criteria. Sixteen (59%) detailed, non-pharmacological, non-surgical stroke secondary prevention-addressing known, modifiable population attributable risk factors, of physical inactivity (N = 11), smoking (N = 11), unsafe alcohol consumption (N = 10), diet (N = 8), weight (N = 5), stress (N = 4) and depression (N = 2). Strategies recommended to address these risk factors were: assessment of stroke risk/risk factors (N = 4); provision of advice and information on reducing lifestyle related risk (N = 16); education and counselling for lifestyle behaviour change (N = 8) and onward referral for specialist management of risk (N = 4). Of the nine stroke audits/registries identified, only three (33%) included non-pharmacological, non-surgical quality indicators of documented provision of advice or information on the following: general lifestyle (N = 2); smoking cessation for current smokers (N = 2); reduction in alcohol consumption, where relevant (N = 1), exercise participation (N = 1) and diet (N = 1). Preventive quality indicators addressing the management of weight, stress or depression were absent. This review highlights current gaps in optimal stroke secondary prevention recommendations and their implementation.

show abstract

Section: Discussionmentioning

confidence: 99%

A Scoping Review of Non-Pharmacological, Non-Surgical Secondary Prevention Strategies in Ischaemic Stroke and TIA in National Stroke Guidelines and Clinical Audit Documents

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Zgodnie z wynikami badań otyłość zwiększa podatność mózgu na niedotlenienie i jest uważana za czynnik ryzyka udaru niedokrwiennego mózgu [28], [30]. Co więcej, otyłość jest także czynnikiem ryzyka nawrotu udaru mózgu [29]. Otyłość stanowi nie tylko czynnik ryzyka rozwoju wielu chorób przewlekłych, w tym astmy, ale jest także czynnikiem pogarszającym rokowanie co do ich przebiegu.…”

Section: Implikacje Zdrowotne Nadwagi I Otyłościunclassified

Obesity of children and adults - pandemic of the 21st century

PANASIUK

SZPONAROWICZ

PANEK

et al. 2023

J Educ Health Sport

View full text Add to dashboard Cite

Objective: The aim of the study was to draw attention to the problem of overweight and obesity among children and adults. Another important aspect of this article was to indicate the need of promotion a healthy lifestyle as a way to reduce body weight. Methods: Available literature was reviewed for the purpose of writing this article. Using keywords such as obesity, overweight, pandemics, diet, lifestyle, chronic diseases, metabolic disorders- PubMed was searched. Results: The incidence of overweight and obesity is constantly increasing. This phenomenon is observed all over the world. Obesity has become a pandemic of the 21st century. Consumption of unhealthy, highly processed food is increasing these days. In addition, sedentary lifestyle is very popular. Lifestyle and diet changes are the main causes of this pandemic. The SARS-CoV-2 virus also had an impact on the development of the obesity and overweight pandemic. Obesity affects the quality of life and causes many chronic diseases. The effects on the community are also significant. Obesity and related diseases like diabetes, ischemic heart disease, heart attacks, asthma result in high health care costs. Conclusion: The percentage of overweight and obese people around the world is increasing. It is necessary to promote healthy eating, active lifestyle and look for alternative ways to reduce the scale of overweight and obesity problem.

show abstract

“…Physical activity, antihypertensive treatment, and high fiber intake (i.e., fruits and vegetables) have preventive effects on IS recurrence (Gillman et al, 1995;Zonneveld et al, 2018;. Other modifiable lifestyle characteristics, including obesity, hypertension, diabetes, depression and smoking, usually serve as risk factors (Black et al, 2015;Chen et al, 2019;Huang et al, 2019;Zheng and Yao, 2019;Cao et al, 2020;Szlachetka et al, 2020;Kumral et al, 2021). Despite recent progress in the management and prevention of recurrent stroke, enhanced approaches are needed to further reduce relapse risk.…”

Section: Introductionmentioning

confidence: 99%

Thirty-six months recurrence after acute ischemic stroke among patients with comorbid type 2 diabetes: A nested case-control study

Wang

Liu

Hao

et al. 2022

Front. Aging Neurosci.

View full text Add to dashboard Cite

BackgroundStroke patients have to face a high risk of recurrence, especially for those with comorbid T2DM, which usually lead to much more serious neurologic damage and an increased likelihood of death. This study aimed to explore determinants of stroke relapse among patients with comorbid T2DM.Materials and methodsWe conducted this case-control study nested a prospective cohort of ischemic stroke (IS) with comorbid T2DM. During 36-month follow-up, the second stroke occurred in 84 diabetic IS patients who were allocated into the case group, while 613 patients without recurrence were the controls. We collected the demographic data, behaviors and habits, therapies, and family history at baseline, and measured the variables during follow-up. LASSO and Logistic regression analyses were carried out to develop a prediction model of stroke recurrence. The receiver operator characteristic (ROC) curve was employed to evaluate the performance of the prediction model.ResultsCompared to participants without recurrence, the higher levels of pulse rate (78.29 ± 12.79 vs. 74.88 ± 10.93) and hypertension (72.6 vs. 61.2%) were recorded at baseline. Moreover, a lower level of physical activity (77.4 vs. 90.4%), as well as a higher proportion of hypoglycemic therapy (36.9 vs. 23.3%) was also observed during 36-month follow-up. Multivariate logistic regression revealed that higher pulse rate at admission (OR = 1.027, 95 %CI = 1.005–1.049), lacking physical activity (OR = 2.838, 95% CI = 1.418–5.620) and not receiving hypoglycemic therapy (OR = 1.697, 95% CI = 1.013–2.843) during follow-up increased the risk of stroke recurrence. We developed a prediction model using baseline pulse rate, hypoglycemic therapy, and physical activity, which produced an area under ROC curve (AUC) of 0.689.ConclusionPhysical activity and hypoglycemic therapy play a protective role for IS patients with comorbid diabetes. In addition to targeted therapeutics, the improvement of daily-life habit contributes to slowing the progress of the IS.

show abstract

Association of obesity with recurrent stroke and cardiovascular events

Cited by 19 publications

References 39 publications

A Scoping Review of Non-Pharmacological, Non-Surgical Secondary Prevention Strategies in Ischaemic Stroke and TIA in National Stroke Guidelines and Clinical Audit Documents

A Scoping Review of Non-Pharmacological, Non-Surgical Secondary Prevention Strategies in Ischaemic Stroke and TIA in National Stroke Guidelines and Clinical Audit Documents

Obesity of children and adults - pandemic of the 21st century

Thirty-six months recurrence after acute ischemic stroke among patients with comorbid type 2 diabetes: A nested case-control study

Contact Info

Product

Resources

About