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Cited by 66Acute Ischemic Stroke ManagementCardiovascular Health and Risk FactorsBlood Pressure and Hypertension Studies

Risk Factors of Stroke in Western and Asian Countries: A Systematic Review and Meta-analysis of Prospective Cohort Studies

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Chen, Xuetao, Zhou, Liang, Zhang, Yanqi, Yi, Dali, Liu, Ling, Rao, Wen, Wu, Yazhou, Ma, Dihui +5 more·2014·BMC Public Health
DOI 10.1186/1471-2458-14-776PMC PMC4246444
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Abstract

BACKGROUND: There has been an increasing trend in the incidence of stroke worldwide in recent years, and the number of studies focusing on the risk factors for stroke has also increased every year. To comprehensively evaluate the risk factors of stroke identified in prospective Western and Asian cohort studies. METHODS: Population-based cohort studies on stroke were searched in databases (PubMed, EMBASE, Web of Science, Google Scholar, etc.), and the library of the Third Military Medical University was manually searched for relevant information. A meta-analysis of Western and Asian studies on risk factors was performed. The pooled hazard ratios (HRs) with 95% confidence intervals (CIs) were calculated to assess the final group of cohort studies. RESULTS: After screening, 22 prospective cohort studies were included in the analyses of this investigation. Two factors, smoking and alcohol consumption, showed statistically significant differences between Western and Asian populations, and the results were as follows (W/A): 2.05 (95% CI, 1.68 ~ 2.49)/1.27 (95% CI, 1.04 ~ 1.55) and 0.89 (95% CI, 0.76 ~ 1.04)/1.28 (95% CI, 1.07 ~ 1.53). The factor BMI = 18.5-21.9 kg/m2 showed statistically significant differences only in Western populations, 0.96 (95% CI, 0.93 ~ 0.99); the factor SBP = 120-139 mm Hg showed statistically significant differences only in Asian populations, 2.29 (95% CI, 1.04 ~ 5.09). CONCLUSIONS: The prevalences of risk factors affect the stroke morbidity in Western and Asian populations, which may be biased by race. The meta-analysis of population-based studies suggests that different preventive measures should be adopted for Western and Asian population groups that are at high risk for stroke.

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Authors
Chen, X., Zhou, L., Zhang, Y., Yi, D., Liu, L., Rao, W., Wu, Y., Ma, D., Liu, X., Zhou, X.-H. A., Lin, H., Cheng, D., & Yi, D.
Affiliations
  • Army Medical University (CN)
  • University of Washington (US)
  • Chongqing University of Posts and Telecommunications (CN)
Corresponding author
Yi, Dong
ORCID
Venue
BMC Public Health
Publisher
Springer Science and Business Media LLC
Published
2014-07-31
Volume
14
Issue
1
Pages
776-776
ISSN
1471-2458 (ISSN-L)
DOI
10.1186/1471-2458-14-776
PMC
PMC4246444
OpenAlex
W2004755877
Cited by
66
References
97
Citations by year
2026: 1 · 2025: 4 · 2024: 3 · 2023: 6 · 2022: 8 · 2021: 8 · 2020: 6 · 2019: 6 · 2018: 8 · 2017: 6 · 2016: 4 · 2015: 6
FWCI
0.71
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Public Health (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
National Natural Science Foundation of China
Topics
  • Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
Keywords
stroke, stroke risk factors, Western populations, Asian populations, smoking, alcohol consumption, body mass index, systolic blood pressure, racial differences, stroke prevention
MeSH terms
Alcohol Drinking, Blood Pressure, Humans, Risk Factors, Smoking, Global Health, Body Mass Index, Stroke

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