Cardiovascular Health Goals Falling Short in Stroke Survivors

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Blood pressure and cholesterol control improved, but the proportion of participants with obesity and prediabetes/diabetes increased.
Blood pressure and cholesterol control improved, but the proportion of participants with obesity and prediabetes/diabetes increased.

HealthDay News — Few US stroke survivors display ideal cardiovascular health, according to a study presented at the American Stroke Association's International Stroke Conference, held from January 24 to 26 in Los Angeles.

Amy Lin, from the University of Southern California in Los Angeles, and colleagues examined the prevalence, pattern, and predictors of achievement of 7 medical and behavioral metrics, known as Life's Simple 7s (LS7), in a nationally representative sample of 1597 US adults with self-reported stroke.

The researchers found that <1% of participants met all 7 ideal LS7 metrics. There was an increase in the proportion with low LS7 (0 to 1) from 18% in 1988-1994 to 34%in 2005-2010. 

Blood pressure and cholesterol control improved from 1988-1994 to 2011-2014, but there were increases in the proportion of participants with obesity (from 27% to 40%) and with prediabetes/diabetes (from 49% to 56%) and a decrease in the healthy diet score >80% (from 22% to 1%). Those with low scores were more likely to be black, have a poverty income ratio ≤200%, and have <12th-grade education (odds ratios, 2.41, 2.1, and 4.62, respectively).

"Stroke survivors who are black, socioeconomically disadvantaged, or less educated have greater odds of having poor cardiovascular health, highlighting the need for targeted interventions," the authors wrote.

Reference

Less than one in 100 stroke survivors meet heart health goals [press release]. Los Angeles, CA: American Heart Association. Published January 24, 2018. Accessed January 30, 2018.

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