Prevalence and risk factors of stroke in the elderly in Northern China: data from the National Stroke Screening Survey

Abstract

Background The overall global burden of stroke is considerable and increasing. In China, stroke is the leading cause of death and disability. Methods For this study, we used data from the National Stroke Screening Survey in 2012 and the 2010 Chinese population from sixth National Census of Populations to calculate a standardized (by age, gender, and education) stroke prevalence. Prevalence, risk factors, and management of stroke were compared by gender, age, and site. Findings The standardized prevalence rate of survival stroke patients in study population aged 60 and older was 4.94% in total. Hypertension was the most prevalent risk factor for stroke. Compared to men, women were more likely to have diabetes, obesity, elevated low-density lipoprotein cholesterol (LDL-C), and atrial fibrillation ( P < 0.05). Men were far more likely to drink and smoke than women ( P < 0.05). The rates of diabetes and atrial fibrillation were substantially higher in urban than those in rural stroke survivors ( P < 0.05). Rural stroke survivors exhibited higher rates of smoking and alcohol consumption than urban stroke survivors ( P < 0.05). Interpretation The stroke prevalence in China is in line with median worldwide stroke prevalence. Traditional risk factors remain highly prevalent in stroke survivors, among which hypertension was the most common. Stroke prevalence rates and risk factors varied by age, sex, and sociogeological factors. Electronic supplementary material The online version of this article (10.1007/s00415-019-09281-5) contains supplementary material, which is available to authorized users.

The decline in sexual function, psychological disorders (anxiety and depression) and life satisfaction in older men: A cross‐sectional study in a hospital‐based population

“…China has around 1.4 billion people, 200 million of whom are aged over 60, making it the largest ageing population in the world. Additionally, 6.3 million people are estimated to enter into the over 60 age bracket between 2018 and 2050 (Beckman, Waern, Gustafson, & Skoog, 2008; Chen, Yu, Song, & Chui, 2010; Leng et al, 2010; Xia et al, 2019).…”

<p>An Exploratory Study of the Use of the Electronic Health Records of Hypertensive Patients to Support the Primary Prevention of Stroke in Shanghai</p>

“…One large study revealed a 50.01% survival among stroke patients with physical inactivity. 28 Concerning the analysis based on gender, this study found that women were more likely to have diabetes and obesity than men. Similar results were found in a study of stroke patients aged 60 years old or above in northern China 11 and in another study of stroke patients aged 75 years old or above in China.…”

Age-Related Risk Factors at the First Stroke Event

“…HBP, DM, smoking, low aerobic fitness, and obesity are the prominent stroke RFs in younger patients [9,10]. Modifiable RFs, clinical presentation, and outcomes of stroke differ among patients with different age and sex [11][12][13][14][15]. Younger patients with stroke are at an increased risk of cardiovascular mortality and morbidity compared with the general population [15].…”