Lifestyle Factors and Stroke Prevention: From the Individual to the Community.

IF 4.8 2区医学 Q1 CLINICAL NEUROLOGY

Current Neurology and Neuroscience Reports Pub Date : 2024-10-01 Epub Date: 2024-08-24 DOI:10.1007/s11910-024-01370-x

Ali Saad, Laurel Cherian, Karima Benameur

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引用次数: 0

Abstract

Purpose of review: The overwhelming majority of stroke burden can be prevented through the pillars of lifestyle medicine: diet, exercise, sleep, substance abuse, stress management, and healthy relationships. Among these, diet confers the greatest attributable risk.

Recent findings: Despite abundant data and integration of lifestyle medicine within major stroke prevention guidelines, several barriers to effective implementation remain. These include lack of emphasis in medical education, integration in hospital certification metrics, reimbursement from medical insurance, and health policy that inadequately addresses social determinants of health. However, both top-down and bottom-up solutions introduced within the last few years are helping to break down these barriers. This review highlights recent literature and interventions that are closing the gap between the theory and practice of stroke prevention through lifestyle risk factors from a US perspective. By strategically targeting the various institutional barriers, it is possible and essential to substantially reduce stroke burden.

查看原文本刊更多论文

生活方式因素与中风预防：从个人到社区。

回顾的目的：绝大多数中风都可以通过生活方式医学的支柱来预防：饮食、运动、睡眠、药物滥用、压力管理和健康的人际关系。其中，饮食带来的可归因风险最大：尽管有丰富的数据并将生活方式医学纳入了主要的中风预防指南，但有效实施仍存在一些障碍。这些障碍包括医学教育中缺乏重视、医院认证指标中缺乏整合、医疗保险报销以及卫生政策未充分考虑健康的社会决定因素。不过，在过去几年中，自上而下和自下而上的解决方案都有助于打破这些障碍。本综述重点介绍了最近的文献和干预措施，从美国的角度来看，这些措施正在缩小通过生活方式风险因素预防中风的理论与实践之间的差距。通过战略性地针对各种体制障碍，有可能也有必要大幅降低中风负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Neurology and Neuroscience Reports 医学-临床神经学

CiteScore

9.20

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Neurology and Neuroscience Reports provides in-depth review articles contributed by international experts on the most significant developments in the field. By presenting clear, insightful, balanced reviews that emphasize recently published papers of major importance, the journal elucidates current and emerging approaches to the diagnosis, treatment, management, and prevention of neurological disease and disorders. Presents the views of experts on current advances in neurology and neuroscience Gathers and synthesizes important recent papers on the topic Includes reviews of recently published clinical trials, valuable web sites, and commentaries from well-known figures in the field.