Handbook of clinical nutrition and stroke-Humana Press

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Title

Handbook of clinical nutrition and stroke-Humana Press

Description

The prevalence of stroke in the USA is high and its cost will increase as the population ages. In addition, stroke incidence and mortality will increase in less developed
countries due to changing lifestyles and population characteristics. The health burden from stroke will be tremendous and will further tax healthcare resources here in
the USA and across the world. However, improvement in control of vascular risk
factors could help offset the ominous stroke projections. One analysis, using the
Archimedes model, estimated that if everyone received 11 recommended prevention activities, such as aspirin if their 10-year MI risk ≥10 %, lowering BP to 140/90
in nondiabetic people, lowering HgbA1C to <7.0 in diabetics, or reducing weight to
body mass index <30 kg/m 2
, and they achieved feasible improvements in their vascular risk factor status, strokes would be reduced 20 % in the next 30 years [ 37 , 43 ].
For stroke that does occur, optimizing management will be critical to reduce disability and maximize functional outcomes.