How the Majority of Strokes Could Be Prevented

"The majority of strokes could be prevented," reports the Associated Press, according to the first new guidelines in 10 years from the American Stroke Association, which are "aimed at helping people and their doctors do just that."

Stroke was the fourth leading cause of death in the U.S. in 2023, according to the Centers for Disease Control and Prevention, and more than half a million Americans have a stroke every year. But up to 80% of strokes may be preventable with better nutrition, exercise and identification of risk factors... The good news is that the best way to reduce your risk for stroke is also the best way to reduce your risk for a whole host of health problems — eat a healthy diet, move your body and don't smoke...

Eating healthy can help control several factors that increase your risk for stroke, including high cholesterol, high blood sugar, and obesity, according to the heart association. The group recommends foods in the so-called Mediterranean diet such as fruits, vegetables, whole grains and olive oil, which can help keep cholesterol levels down. It suggests limiting red meat and other sources of saturated fat. Instead, get your protein from beans, nuts, poultry, fish and seafood. Limit highly processed foods and foods and drinks with a lot of added sugar. This can also reduce your calorie intake, which helps keep weight in check.

Getting up and walking around for at least 10 minutes a day can "drastically" reduce your risk, said Dr. Cheryl Bushnell, a neurologist at Wake Forest University School of Medicine who was part of the group that came up with the new guidelines. Among the many benefits: Regular exercise can help reduce blood pressure, a major risk factor for stroke. Of course, more is better: The heart association recommends at least 150 minutes of moderate aerobic or 75 minutes of vigorous activity — or some combination — per week. How you do it doesn't matter so much, experts said: Go to the gym, take a walk or run in your neighborhood or use treadmills or stepper machines at home. Diet and exercise can help control weight, another important risk factor for strokes.

But in addition, the guidelines now recommend that doctors consider new weight-loss drugs like Ozempic, Wegovy, Mounjaro and Zepbound for people with obesity or diabetes. (Though "people still need to eat well and get exercise, cautions Dr. Fadi Nahab, a stroke expert at Emory University Hospital.")

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