Original Article
Study on the correlation between healthy lifestyle practices and stroke in elderly people
Yang Yan, Zhang Xiaona, Zhang Juan, Hou Tingting, Wang Xiang, Du Yifeng, Dong Siqin
Published 2024-10-14
Cite as Chin J Geriatr, 2024, 43(10): 1260-1264. DOI: 10.3760/cma.j.issn.0254-9026.2024.10.004
Abstract
ObjectiveTo investigate the relationship between lifestyle factors and stroke in the elderly.
MethodsData were obtained from a natural cohort of the Multimodal Intervention to Delay Dementia and Disability in Rural China(MIND-China)study.A total of 5 009 participants aged 60 years and above were enrolled, of whom 954(19.05%)had experienced a stroke.Logistic regression analyses were conducted to assess the association between five lifestyle factors(smoking, drinking, physical exercise, social activity and sleep quality)and the incidence of stroke.
ResultsIn model 1, after adjusting for age, sex and education, only social activity(OR=0.783, 95%CI: 0.668-0.917)and good sleep quality(OR=0.731, 95%CI: 0.621-0.860)emerged as protective factors against stroke(both P<0.05).No statistically significant associations were found between other lifestyle factors and stroke.Analysis of a variety of healthy lifestyle practice combinations showed that having 3(OR=0.639, 95%CI: 0.433-0.944), 4(OR=0.620, 95%CI: 0.409-0.941)and 5(OR=0.397, 95%CI: 0.197-0.799)healthy lifestyle practices were protective factors against stroke(all P<0.05).In model 2, after adjusting for age, sex, education, body mass index, diabetes, hyperlipidemia, hypertension, and the APOE genotype, the results were consistent with those of Model 1.
ConclusionsLifestyle factors are significantly associated with the risk of stroke in the elderly population.The healthier lifestyle practices are adopted, the lower the risk of stroke will be.
Key words:
Life style; Stroke; Health status
Contributor Information
Yang Yan
Department of Geriatric Neurology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China
Zhang Xiaona
Department of Geriatric Neurology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China
Zhang Juan
Department of Geriatric Neurology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China
Hou Tingting
Department of Neurology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China
Wang Xiang
Department of Neurology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China
Du Yifeng
Department of Neurology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China
Dong Siqin
Department of Geriatric Neurology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China
