To examine the potential for stroke prevention by avoidance of hazards related to lifestyle.
Assessment of the lifelong contribution of both individual and combined exposures was a particular feature of the study.
An estimate was sought of the proportion (population attributable risk fraction) of strokes likely to be caused by one or a combination of cigarette smoking, lack of exercise, and obesity.
Eleven general practices in west Birmingham.
Altogether 125 men and women who had just had their first stroke and were aged 35-74 and 198 controls frequency matched for age and sex recruited over 24 months during 1988-90.
The hazards of cigarette smoking for stroke were confirmed and noted to persist for one to two decades after stopping smoking.
Cigarette smoking was estimated to have caused 49% (95% confidence interval 22,67%) of the strokes in this population with roughly equal contributions from current and former smoking.
Combinations of cigarette smoking (current and former) with lack of exercise or previous obesity apparently caused 62% and 72% of the strokes respectively.
If cigarette smoking, lack of exercise and obesity were all avoided, 79% (32,94%) of the strokes could potentially have been prevented.
No stroke patient reported a combination of never smoking, taking regular exercise aged 15 to 25, and avoidance of overweight (body mass index>25 kg/m2). (...)
Mots-clés Pascal : Accident cérébrovasculaire, Prévention, Homme, Epidémiologie, Facteur risque, Tabagisme, Exercice physique, Tissu adipeux, Lipide, Poids corporel, Mode de vie, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie
Mots-clés Pascal anglais : Stroke, Prevention, Human, Epidemiology, Risk factor, Tobacco smoking, Physical exercise, Adipose tissue, Lipids, Body weight, Life habit, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0310012
Code Inist : 002B17C. Création : 15/07/1997.