Social Determinants of Health (Jul 2019)

Life style assessment in two age groups of ischemic stroke: One cross-sectional study in Iran

  • Arezoo Chouhdari,
  • Hadi Shahrabi,
  • Hossein Pakdaman,
  • Kamran Heidari,
  • Kourosh Gharagozli

DOI
https://doi.org/10.22037/sdh.v5i3.28807
Journal volume & issue
Vol. 5, no. 3

Abstract

Read online

Background and aim: To describe lifestyle related risk factors in ischemic stroke. Material and methods: In this cross-sectional study patients with ischemic stroke in two age groups assessed for lifestyle. Demographic characteristics (age, sex, BMI, marital status, educational level, job type as low or full stress, living area), lifestyle habits and past medical history in two age groups collected in the Structured form by researchers. Chi-square (Fisher's exact) test for assessment statistical difference between categorical variables applied. Also, multivariate logistic regression model to predict possible life-threatening style can lead to stroke under the age of 50 (odds ratio, 95% confidence interval) used. All statistical tests were two-tailed and were performed with the use of SPSS18. P values <0.05 were regarded as indicating significance. Results: Totally, 11.2% of ischemic stroke cases were 50 ≥ years old. In the multivariable logistic regression model higher BMI (P=0.02, OR = 1.5, 95% CI = 1.2 – 4.3), smoking (P<0.001, OR = 1.8, 95% CI = 1.08 – 2.56), alcohol drinking (P<0.001, OR = 1.6, 95% CI = 1.01 – 3.87), hookahs consumption (P<0.001, OR = 1.2, 95% CI = 1.1 – 3.5) were more predicted factors for ischemic stroke incidence in age ≤50 and only appropriate diet (low fat,sugar,salt/high fruits and vegetables)(P=0.01, OR = 0.7, 95% CI = 0.04-0.87) was more preventive factors against stroke in age ≤ 50 years than over 50. Conclusion: Based on this survey many lifestyle factors effect on the incidence of ischemic stroke in any age group. Therefore, periodic monitoring and effective educating healthy people should be planned.

Keywords