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PreprintCited by 84Acute Ischemic Stroke ManagementCardiovascular Health and Risk FactorsBlood Pressure and Hypertension Studies

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Prevalence of stroke and stroke related risk factors: a population based cross sectional survey in southwestern China

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Yi, Xingyang, Luo, Hua, Zhou, Ju, Yu, Ming, Chen, Xiaorong, Tan, Lili, Wei, Wei, Li, Jie·2019·BMC Neurology
DOI 10.21203/rs.2.17357/v3PMC PMC6947997

Preprint — published as 10.1186/s12883-019-1592-z · Paper page

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Abstract

Background: Stroke and its risk factors epidemiological survey can help identify individuals at higher risk and therefore promote stroke prevention strategies. The aim of this study was to estimate the current prevalence of stroke and high risk stroke population, and evaluate stroke associated risk factors in southwestern China. Methods: This was a multi-center, cross sectional survey in southwestern China from May 2015 to September 2015. The 8 communities were selected at random, and 17413 residents aged ≥ 40 years volunteered to participate in this survey. Data were collected through face-to-face survey using a structured questionnaire. 521 participants with incomplete questionnaires on stroke history or risk factors records were excluded. Results: A total of 16892 people included in analysis. The overall prevalence of stroke was 3.1% (95% CI 2.6% - 3.9%), 17.1% of participants were the high risk stroke population. After full adjustments, hypertension, diabetes, dyslipidemia, overweight, lack of exercise and family history of stroke were significantly associated with overall stroke and ischemic stroke. The largest contributor was hypertension (population-attributable risk 23.6%), followed by dyslipidemia, physical inactivity, family history of stroke, diabetes, and overweight. However, only hypertension (OR = 3.66, 95% CI 1.82-8.23) was significantly associated with hemorrhagic stroke. Conclusions: The prevalence of stroke and high risk stroke population was high among adults aged ≥ 40 years in southwestern China. Hypertension, dyslipidemia and lack of exercise were stronger contributors for stroke, these findings suggest that individual-level and population-level interventions for these leading risk factors are necessary to prevent stroke.

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Metadata

Authors
Yi, X., Luo, H., Zhou, J., Yu, M., Chen, X., Tan, L., Wei, W., & Li, J.
Affiliations
  • people's hospital of deyang city
  • Southwest Medical University (CN)
  • people hospital fo deyang city
  • Suining Central Hospital
  • people hospital of deyang city
  • Peoples Hospital of Deyang City
Corresponding author
Yi, Xingyang
ORCID
Venue
BMC Neurology
Publisher
Springer Science and Business Media LLC
Published
2019-12-20
Volume
20
Issue
1
Pages
5-5
ISSN
1471-2377 (ISSN-L)
DOI
10.21203/rs.2.17357/v3
PMC
PMC6947997
OpenAlex
W2998895956
Cited by
84
References
1
Citations by year
2026: 2 · 2025: 11 · 2024: 14 · 2023: 22 · 2022: 19 · 2021: 11 · 2020: 5
FWCI
10.21
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Neurology (publishedVersion, cc-by)
  • Research Square (acceptedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
Health Department of Sichuan Province
Topics
  • Health Sciences › Medicine › Clinical Neurology › 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 prevalence, stroke risk factors, hypertension, dyslipidemia, physical inactivity, diabetes mellitus, overweight, family history of stroke, ischemic stroke, hemorrhagic stroke, population attributable risk, stroke prevention, Southwest China
MeSH terms
Adult, Aged, Aged, 80 and over, China, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Risk Factors, Prevalence, Stroke

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