An Examination of Modifiable Risk Factors in Stroke Survivors, with a view to recurrent stroke prevention.

Autor: Sibbritt PD; School of Public Health, Faculty of Health, University of Technology Sydney, Level 8, Building 10, 235-253 Jones Street, Sydney, NSW 2007, Australia., Peng DW; School of Public Health, Faculty of Health, University of Technology Sydney, Level 8, Building 10, 235-253 Jones Street, Sydney, NSW 2007, Australia., Hosseini DM; School of Public Health, Faculty of Health, University of Technology Sydney, Level 8, Building 10, 235-253 Jones Street, Sydney, NSW 2007, Australia., Maguire PJ; School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia., Bayes J; School of Public Health, Faculty of Health, University of Technology Sydney, Level 8, Building 10, 235-253 Jones Street, Sydney, NSW 2007, Australia. Electronic address: jessica.bayes@uts.edu.au., Adams PJ; School of Public Health, Faculty of Health, University of Technology Sydney, Level 8, Building 10, 235-253 Jones Street, Sydney, NSW 2007, Australia.
Jazyk: angličtina
Zdroj: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [J Stroke Cerebrovasc Dis] 2022 Aug; Vol. 31 (8), pp. 106547. Date of Electronic Publication: 2022 May 10.
DOI: 10.1016/j.jstrokecerebrovasdis.2022.106547
Abstrakt: Background: Stroke is a major public health problem worldwide, as more people survive their initial stroke event and subsequently live with chronic disability. While extensive research has focused upon preventing primary strokes comparatively little research has examined secondary stroke prevention.
Methods: We analysed data collected from a survey of 576 participants from the 45 and Up Study who had a clinical diagnosis of stroke. Health status was assessed using a variety of validated instruments. Demographics and modifiable risk factors, including health behaviours and diagnosed conditions, were also measured. Logistic regression model building was used to examine the relationship between each modifiable risk factor and the independent variables of demographics and health status measures.
Results: The average time since the most recent stroke for study participants was 10.4 (SD = 8.9) years, with the majority of participants (73.2%) having had only one stroke in total. Regression modelling revealed that health-related hardiness, quality of life, depression and fatigue scores were all statistically significantly associated with heart disease, anxiety, depression and physical activity. For stroke characteristics, years since the most recent stroke was associated with heart disease and the number of strokes was associated with anxiety/nervous disorder, diabetes and alcohol consumption.
Conclusion: Among other identified targets for secondary stroke prevention, fatigue and depressive symptoms appear to be common factors affecting several modifiable stroke risk factors. Addressing fatigue and depressive symptoms may therefore have a positive effect on secondary stroke prevention strategies in post stroke adults. All practitioners providing care for post-stroke adults can work towards improving these health factors thereby enhancing and prioritising secondary stroke prevention strategies.
Competing Interests: Declaration of Competing Interest The authors have no conflicts of interest to declare.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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