Dr. Mohammed Mubashshir, Dr. Arif Hoda, Dr. Santwana Chandrakar


Introduction: Reducing the burden of stroke in the population requires identification of modifiable risk factors. The present study was conducted to assess the prevalence of various risk factors for stroke in the patients admitted to our hospital.

Methodology: Consecutive indoor patient admitted for stroke in ward or Intensive Care Unit (ICU) were included and were compared with controls, which where selected from the patients admitted in ward who had no history of stroke.

Results: During the study period, we included 92 cases of stroke and 92 controls. We found a significantly higher proportion of obese in the stroke group as compared to the control group (28% vs 3%). A significantly higher proportion of stroke cases had a sedentary lifestyle as compared to controls (78% vs 39%, p value < 0.05). On obtaining detailed dietary intake history, a significantly lower proportion of stroke cases had fruits and vegetable consumption at least 400 gm/day, a significantly higher proportion of stroke cases had oil/ghee consumption more than 40 gm/day and salt more than 5 gm/day. Personal history revealed a significantly higher proportion of smoking, consuming smokeless tobacco and alcohol among stroke cases as compared to controls. Diabetes mellitus and hypertension cases were also significantly more commonly observed among stroke cases as compared to controls. 

Conclusions: Identifying the risk factors and controlling them early is the only plausible way of reducing the burden of stroke in India.


diabetes mellitus; hypertension; risk factors; stroke

Full Text:



Johnson CO, Nguyen M, Roth GA, Nichols E, Alam T, Abate D, Abd-Allah F, Abdelalim A, Abraha HN, Abu-Rmeileh NM, Adebayo OM. Global, regional, and national burden of stroke, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet Neurology. 2019 May 1;18(5):439-58.

Kamalakannan S, Gudlavalleti AS, Gudlavalleti VS, Goenka S, Kuper H. Incidence & prevalence of stroke in India: A systematic review. The Indian journal of medical research. 2017 Aug;146(2):175.

Pearson TA, Palaniappan LP, Artinian NT, Carnethon MR, Criqui MH, Daniels SR, et al. American heart association guide for improving cardiovascular health at the community level, 2013 update: A scientific statement for public health practitioners, healthcare providers, and health policy makers. Circulation. 2013; 127:1730–1753.

Ovbiagele B, Goldstein LB, Higashida RT, Howard VJ, Johnston SC, Khavjou OA, et al. Forecasting the future of stroke in the united states: A policy statement from the american heart association and american stroke association. Stroke; a journal of cerebral circulation. 2013; 44:2361–2375.

Manson JE, Colditz GA, Stampfer MJ, Willett WC, Krolewski AS, Rosner B, et al. A prospective study of maturity-onset diabetes mellitus and risk of coronary heart disease and stroke in women. Arch Intern Med. 1991; 151:1141–1147.

Global Burden of Metabolic Risk Factors for Chronic Diseases C. Lu Y, Hajifathalian K, Ezzati M, Woodward M, Rimm EB, et al. Metabolic mediators of the effects of body-mass index, overweight, and obesity on coronary heart disease and stroke: A pooled analysis of 97 prospective cohorts with 1.8 million participants. Lancet. 2014; 383:970–983

Appel LJ, Angell SY, Cobb LK, Limper HM, Nelson DE, Samet JM, et al. Population-wide sodium reduction: The bumpy road from evidence to policy. Ann Epidemiol. 2012; 22:417–425

Estruch R, Ros E, Salas-Salvado J, Covas MI, Corella D, Aros F, et al. Primary prevention of cardiovascular disease with a mediterranean diet. N Engl J Med. 2013; 368:1279–1290.

Kuo SH, Lee YT, Li CR, Tseng CJ, Chao WN, Wang PH, et al. Mortality in emergency department sepsis score as a prognostic indicator in patients with pyogenic liver abscess. The American journal of emergency medicine. 2013; 31:916–921

Bhat VM, Cole JW, Sorkin JD, Wozniak MA, Malarcher AM, Giles WH, et al. Dose-response relationship between cigarette smoking and risk of ischemic stroke in young women. Stroke. 2008; 39:2439–2443

Song YM, Cho HJ. Risk of stroke and myocardial infarction after reduction or cessation of cigarette smoking: A cohort study in korean men. Stroke. 2008; 39:2432–2438

Chen R, Ovbiagele B, Feng W. Diabetes and stroke: epidemiology, pathophysiology, pharmaceuticals and outcomes. The American journal of the medical sciences. 2016 Apr 1;351(4):380-6.

Aronow WS. Hypertension-related stroke prevention in the elderly. Current hypertension reports. 2013 Dec 1;15(6):582-9.

Fox CS, Golden SH, Anderson C, Bray GA, Burke LE, De Boer IH, Deedwania P, Eckel RH, Ershow AG, Fradkin J, Inzucchi SE. Update on prevention of cardiovascular disease in adults with type 2 diabetes mellitus in light of recent evidence: a scientific statement from the American Heart Association and the American Diabetes Association. Circulation. 2015 Aug 25;132(8):691-718.


  • There are currently no refbacks.