Stroke risk factors- influence of the age

Main Article Content

Raúl Soto Cámara
Jerónimo González Bernal
Josefa González Santos
Álvaro Da Silva González
Mirian Santamaría Peláez
Carla Collazo Riobo
Maha Jahouh
Paula Rodríguez Fernández
María Jiménez Barrios

Abstract

Objective: To analyze the influence of different risk factors on the age at which a stroke occurs. Method: An observational cross-sectional study was conducted including all patients admitted consecutively with ischemic stroke at the University Hospital of Burgos (Spain). Sociodemographic and clinical, parameters were collected, exploring possible association with patient’s age by univariate and multivariate analysis. Results: 436 patients were included, with a mean age of 75.39 years (SD ±12.674). The most frequent risk factors were high blood pressure and cardiovascular disease. In the case of having a personal history of arterial hypertension (Odds Ratio [OR] 2.49; 95% Confidence Interval [CI] 1.49-4.16), having a sedentary lifestyle (OR 3.24; 95%CI 1.97-5.31) was related with a greater probability that the patient is aged 75 years or older. However, being overweight/obese (OR 0.51; 95%CI 0.30-0.88), being an active smoker (OR 0.47; 95%CI 0.02-0.11) or alcohol consumption (OR 0.42; 95%CI 0.26-0.69) increased the probability of stroke occurrence before 75 years. Conclusion: The age of occurrence of a case is related to the occurrence of certain risk factors, which are determined in the planning of future education campaigns.

Downloads

Download data is not yet available.

Article Details

How to Cite
Soto Cámara, R., González Bernal, J., González Santos, J., Da Silva González, Álvaro, Santamaría Peláez, M., Collazo Riobo, C., Jahouh, M., Rodríguez Fernández, P., & Jiménez Barrios, M. (2019). Stroke risk factors- influence of the age. International Journal of Developmental and Educational Psychology. Revista INFAD De Psicología., 3(2), 217–226. https://doi.org/10.17060/ijodaep.2019.n2.v2.1913
Section
Articles
Author Biographies

Raúl Soto Cámara, MSN, PhD Departamento de Ciencias de la Salud Facultad de Ciencias de la Salud Universidad de Burgos. España

MSN, PhD
Departamento de Ciencias de la Salud
Facultad de Ciencias de la Salud
Universidad de Burgos. España

Jerónimo González Bernal, PhD Departamento de Ciencias de la Salud Facultad de Ciencias de la Salud Universidad de Burgos. España

PhD
Departamento de Ciencias de la Salud
Facultad de Ciencias de la Salud
Universidad de Burgos. España

Josefa González Santos, PhD Departamento de Ciencias de la Salud Facultad de Ciencias de la Salud Universidad de Burgos. España

PhD
Departamento de Ciencias de la Salud
Facultad de Ciencias de la Salud
Universidad de Burgos. España

Álvaro Da Silva González, MD, PhD Departamento de Ciencias de la Salud Facultad de Ciencias de la Salud Universidad de Burgos. España

MD, PhD
Departamento de Ciencias de la Salud
Facultad de Ciencias de la Salud
Universidad de Burgos. España

Mirian Santamaría Peláez, Departamento de Ciencias de la Salud Facultad de Ciencias de la Salud Universidad de Burgos. España

Departamento de Ciencias de la Salud
Facultad de Ciencias de la Salud
Universidad de Burgos. España

Carla Collazo Riobo, TO. Departamento de Ciencias de la Salud Facultad de Ciencias de la Salud Universidad de Burgos. España

TO.
Departamento de Ciencias de la Salud
Facultad de Ciencias de la Salud
Universidad de Burgos. España

Maha Jahouh, TO. Departamento de Ciencias de la Salud Facultad de Ciencias de la Salud Universidad de Burgos. España

TO.
Departamento de Ciencias de la Salud
Facultad de Ciencias de la Salud
Universidad de Burgos. España

Paula Rodríguez Fernández, TO. Departamento de Ciencias de la Salud Facultad de Ciencias de la Salud Universidad de Burgos. España

TO.
Departamento de Ciencias de la Salud
Facultad de Ciencias de la Salud
Universidad de Burgos. España

María Jiménez Barrios, TO. Departamento de Ciencias de la Salud Facultad de Ciencias de la Salud Universidad de Burgos. España

TO.
Departamento de Ciencias de la Salud
Facultad de Ciencias de la Salud
Universidad de Burgos. España

References

Johnson CO, Nguyen M, Roth GA, Nichols E, Alam T, Abate D, et al. Global, regional, and national burden of stroke, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 2019; 18(5):439–58.

Thrift AG, Thayabaranathan T, Howard G, Howard VJ, Rohwell PM, Feigin VL, et al. Global stroke statistics. Int J Stroke. 2017;12:13-32.

Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R, et al. Heart disease and stroke statistics-2017 Update: A report from the American Heart Association. Circulation. 2017;135:146-603.

Olesen J, Gustavsson A, Svensson M, Wittchen HU, Jönsson B, en representación del grupo de trabajo CDBE 2010. The economic cost of brain disorders in Europe. Eur J Emerg Med. 2012;19(1):155–62.

Lopez-Bastida J, Oliva Moreno J, Worbes Cerezo M, Perestelo Perez L, Serrano-Aguilar P, Montón-Álvarez F. Social and economic costs and health-related quality of life in stroke survivors in the Canary Islands, Spain. BMC Health Serv Res. 2012;12(1):315.

Ruiz-Ares G, Martínez-Sánchez P, Fuentes B. Enfermedades cerebrovasculares. Med. 2015;11(71):4221–9.

O’Donnell MJ, Denis X, Liu L, Zhang H, Chin SL, Rao-Melacini P, et al. Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries (The INTERSTROKE study): A case-control study. Lancet. 2010;376(9735):112–23.

O ’Donnell MJ, Chin SL, Rangarajan S, Xavier D, Liu L, Zhang H, et al. Global and regional eff ects of potentially modificable risk factors associated with acute stroke in 32 countries (INTERSTROKE): a case-control study. Lancet. 2016;388(20):761–75.

Thornicroft G. The INTERSTROKE study on risk factors for stroke. Lancet. 2017;389(10064):35–36.

Fuentes B, Gállego J, Gil-Nuñez A, Morales A, Purroy F, Roquer J, et al. Guía para el tratamiento preventivo del ictus isquémico y AIT (I). Actuación sobre los factores de riesgo y estilo de vida. Neurología. 2012;27(9):560–74.

Prabhakaran S, Chong JY. Risk factor management for stroke prevention. Continuum (Minneap Minn). 2014;20(2):296–308.

Kissela B.M., Khoury J.C., Alwell K., Moomaw C.J., Woo D., Adeoye O., et al: Age at stroke: Temporal trends in stroke incidence in a large, biracial population. Neurology. 2012;79:1781-87.

Maiques Galán A, Brotons Cuixart C, Banegas Banegas JR, Martín Rioboó E, Lobos-Bejarano JM, Álvarez FV, et al. Recomendaciones preventivas cardiovasculares. PAPPS 2016. Aten Primaria. 2016;48:4–26.

Warlow C, Sudlow C, Dennis M, Wardlaw J, Sandercock P. Stroke. Lancet. 2003;362(9391):1211–24.

Bushnell CD, Colon-Emeric CS. Secondary stroke prevention strategies for the oldest patients: Possibilities and challenges. Drugs Aging. 2009;26(3):209–30.

Kissela BM, Khoury JC, Alwell K, Moomaw CJ, Woo D, Adeoye O, et al. Age at stroke: Temporal trends in stroke incidence in a large, biracial population. Neurology. 2012;79(17):1781–7.

Serrano-Villar S, Fresco G, Ruiz-Artacho P, Bravo A, Valencia C, Fuentes-Ferrer M, et al. Stroke in the very old: Myths and realities. Med Clin. 2013;140:53–8.

Lawes CMM, Bennett DA, Feigin VL, Rodgers A. Blood pressure and stroke: an overview of published reviews. Stroke. 2004;35(3):776–85.

Martinez Vila E, Murie Fernandez M, Pagola I, Irimia P. Enfermedades cerebrovasculares. Med. 2011;10(72):4871–4781.

Chobanian A V, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JJJ, et al. The seventh report of the Joint National Committee on prevention, detection, evaluation and treatment of high blood Pressure: The JNC 7 Report. JAMA. 2003;289(19):2560–71.

James P, Oparil S, Carter B, Cushman W, Dennison-Himmelfarb C, Handler J, et al. Evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the eighth joint national committee (The JNC 8). JAMA. 2014;311(5):507–20.

Lee CD, Folsom AR, Blair SN. Physical activity and stroke risk: A meta-analysis. Stroke. 2003;34(10):2475–81.

Wendel-Vos GCW, Schuit a J, Feskens EJM, Boshuizen HC, Verschuren WMM, Saris WHM, et al. Physical activity and stroke. A meta-analysis of observational data. Int J Epidemiol. 2004;33(4):787–98.

Song Y-M, Sung J, Smith GD, Ebrahim S. Body mass index and ischemic and hemorrhagic stroke. Stroke. 2004;35(4):831–6.

Owen CG, Kapetanakis V V, Rudnicka AR, Wathern AK, Lennon L, Papacosta O, et al. Body mass index in early and middle adult life: prospective associations with myocardial infarction, stroke and diabetes over a 30-year period: the British Regional Heart Study. BMJ Open. 2015;5(9):1–9.

Shinton R, Beevers G. Meta-analysis of relation between cigarette smoking and stroke. BMJ. 1989;298(6676):789–94.

Thun MJ, Carter BD, Feskanich D, Freedman ND, Prentice R, Lopez AD, et al. 50-year trends in smoking-related mortality in the United States. N Engl J Med. 2013;368(4):351–64.

Peters SAE, Huxley RR, Woodward M. Smoking as a risk factor for stroke in women compared with men. Stroke. 2013;44(10):2821–8.

Song Y, Cho H. Risk of stroke and myocardial infarction after reduction or cessation of cigarette smoking: a cohort study in korean men. Stroke. 2008;39(9):2432–8.

García-Núñez C, Sáez J, García-Núñez JM, Grau J, Moltó-Jordà JM, Matías-Guiu J. El fumador pasivo como factor de riesgo cerebro vascular. Rev Neurol. 2007;45(10):577–81.

Reynolds K, Lewis B, Nolen JDL, Kinney GL, Sathya B, HeJ,etal. Alcoholconsumption and risk ofstroke:a metaanalysis. JAMA. 2003;289(5):579–88.

Rantakömi SH, Kurl S, Sivenius J, Kauhanen J, Laukkanen JA. The frequency of alcohol consumption is associated with the stroke mortality. Acta Neurol Scand. 2014;130(2):118–24.