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ASA: Few Stroke Survivors Have Ideal Cardiovascular Health

Improved BP, cholesterol control from 1988-1994 to 2011-2014 but increases in obesity, diabetes

THURSDAY, Jan. 25, 2018 (HealthDay News) — Few U.S. stroke survivors display ideal cardiovascular health, according to a study presented at the American Stroke Association’s International Stroke Conference, held from Jan. 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 seven medical and behavioral metrics, known as Life’s Simple 7s (LS7), in a nationally representative sample of 1,597 U.S. adults with self-reported stroke.

The researchers found that <1 percent of participants met all seven ideal LS7 metrics. There was an increase in the proportion with low LS7 (zero to one) from 18 percent in 1988-1994 to 34 percent in 2005-2010. Blood pressure and cholesterol control improved from 1988-1994 to 2011-2014, but there were increases in the proportion with obesity (from 27 to 40 percent) and with prediabetes/diabetes (from 49 to 56 percent) and a decrease in the healthy diet score >80 percent (from 22 to 1 percent). Those with low scores were more likely to be black, have a poverty income ratio ≤200 percent, 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 write.

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