engleski

Cerebrovascular risk factors and social anamnesis after stroke

PURPOSE: Stroke recurrence may be prevented by removing major risk factors (Bašić-Kes, Demarin, 2014). The aim of this study was to investigate social anamnestic factors and specific risk factors for cerebrovascular disease in stroke survivors. METHODS: 60 ischemic stroke convalescents (30M+30F) were included in the study. All participants had a mild neurologic deficit (NIHSS 5-15). The patients mean age was 71 years (min 45 – max 81). A neurologist recorded risk factors for cerebrovascular disease and social anamnesis during medical examination. RESULTS: Insufficient daily physical activity and high stress levels were present in 72.2 % of participants. BMI values and waist-hip circumference values were above the upper limit in both women and men (p<0.05). Arterial hypertension was present in 84.8% of the patients. 21.8% of patients smoked and males smoked more (p <0.05). Significant gender differences were found in social anamnesis. Men dominantly lived with their partner, while women lived alone (p <0.05). Men were retired while women were not (p <0.05). Multifactorial regression analysis found that over 63% of patients had two or more risk factors for stroke recurrence with the risk increasing with age (p <0.05). CONCLUSION: The obtained results indicate a high prevalence of modifiable risk factors for a stroke recurrence in stroke survivors (Bos et al., 2014), sedentary lifestyle being the most common. There is a real need to educate stroke survivors how to change key living habits in order to prevent stroke recurrence, especially how to be more physically active. Since the risk seems to worsen with age, greater attention should be given in educating older people.

stroke survivors ; risk factors ; sedentary lifestyle

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