Recommendations of the Spanish Society of Neurology for the prevention of stroke. Interventions on lifestyle and air pollution
Por:
Pastor, AG, Martinez, ELC, Rodriguez-Yanez, M, de Lecinana, MA, Amaro, S, Arenillas, JF, Ayo-Martin, O, Castellanos, M, Fuentes, B, Freijo, MM, Gomis, M, Choco, MG, Sanchez, PM, Morales, A, Palacio-Portilla, EJ, Segura, T, Serena, J, Vivancos-Mora, J and Roquer, J
Publicada:
1 jun 2021
Resumen:
Objective: To update the recommendations of the Spanish Society of Neurology regarding lifestyle interventions for stroke prevention.
Development: We reviewed the most recent studies related to lifestyle and stroke risk, including randomised clinical trials, population studies, and meta-analyses. The risk of stroke associated with such lifestyle habits as smoking, alcohol consumption, stress, diet, obesity, and sedentary lifestyles was analysed, and the potential benefits for stroke prevention of modifying these habits were reviewed. We also reviewed stroke risk associated with exposure to air pollution. Based on the results obtained, we drafted recommendations addressing each of the lifestyle habits analysed.
Conclusions: Lifestyle modification constitutes a cornerstone in the primary and secondary prevention of stroke. Abstinence or cessation of smoking, cessation of excessive alcohol consumption, avoidance of exposure to chronic stress, avoidance of overweight or obesity, a Mediterranean diet supplemented with olive oil and nuts, and regular exercise are essential measures in reducing the risk of stroke. We also recommend implementing policies to reduce air pollution. (C) 2020 Sociedad Espanola de Neurologia. Published by Elsevier Espana, S.L.U.
Filiaciones:
Pastor, AG:
Hosp Univ Gregorio Maranon, Serv Neurol, Madrid, Spain
Hosp Univ Cent Asturias, Serv Neurol, Oviedo, Spain
Martinez, ELC:
Hosp Univ Gregorio Maranon, Serv Neurol, Madrid, Spain
Hosp Univ Cent Asturias, Serv Neurol, Oviedo, Spain
Rodriguez-Yanez, M:
Hosp Univ Santiago de Compostela, Serv Neurol, La Coruna, Spain
de Lecinana, MA:
Hosp Univ La Paz, Serv Neurol, Madrid, Spain
Amaro, S:
Hosp Clin & Univ, Serv Neurol, Barcelona, Spain
Arenillas, JF:
Hosp Clin Univ Valladolid, Serv Neurol, Valladolid, Spain
Ayo-Martin, O:
Complejo Hosp Univ Albacete, Serv Neurol, Albacete, Spain
Castellanos, M:
Complejo Hosp Univ A Coruna, Serv Neurol, La Coruna, Spain
Fuentes, B:
Hosp Univ La Paz, Serv Neurol, Madrid, Spain
Freijo, MM:
Hosp Univ Cruces, Serv Neurol, Baracaldo, Spain
:
Hosp Univ Germans Trias i Pujol, Serv Neurol, Barcelona, Spain
Choco, MG:
Hosp St Joan Despi Moises Broogi, Serv Neurol, Barcelona, Spain
Sanchez, PM:
Hosp Torrecardenas, Serv Neurol, Almeria, Spain
Morales, A:
Hosp Clin Univ Virgen de la Arrixaca, Serv Neurol, Murcia, Spain
Palacio-Portilla, EJ:
Hosp Univ Marques de Valdecilla, Serv Neurol, Santander, Spain
Segura, T:
Complejo Hosp Univ Albacete, Serv Neurol, Albacete, Spain
Serena, J:
Biomed Res Inst Girona, Serv Neurol, Girona, Spain
Vivancos-Mora, J:
Hosp Univ La Princesa, Serv Neurol, Madrid, Spain
Roquer, J:
IMIM Hosp del Mar, Serv Neurol, Barcelona, Spain
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