Global Burden of Stroke Attributable to Low Physical Activity/High Body Mass Index Among People Aged 55 Years and Older

Author:

Li Xin-Yu12ORCID,Lv Jia-Jie1ORCID,Zhao Yan13ORCID,Zhang Yuan-Jie1ORCID,Yang Xi-Tao4ORCID,Zhang Ru-Hong2ORCID,Guo Zhi-Lin1ORCID,Wang Zhao-Wei5,Cheng Zhi-Hua1ORCID

Affiliation:

1. Department of Neurosurgery (X.-Y.L., J.-J.L., Y.Z., Y.-J.Z., Z.-L.G., Z.-H.C.), Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University, PR China.

2. Department of Plastic and Reconstructive Surgery (X.-Y.L., R.-H.Z.), Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University, PR China.

3. Department of Nursing (Y.Z.), Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University, PR China.

4. Department of Interventional Therapy, Multidisciplinary Team of Vascular Anomalies (X.-T.Y.), Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University, PR China.

5. Department of Neurology, Qianjiang Central Hospital of Hubei Province, PR China (Z.-W.W.).

Abstract

BACKGROUND: This study aimed to quantify the global stroke burden attributable to low physical activity and high body mass index in adults aged ≥55 years using data from the Global Burden of Disease 2019 study. METHODS: We extracted data on stroke mortality, disability-adjusted life years, and risk factor exposure from the Global Burden of Disease 2019 study for people aged ≥55 years. We calculated the population-attributable fraction and absolute number of stroke cases and disability-adjusted life years attributable to low physical activity and high body mass index by location, age group, sex, and year. RESULTS: Globally, body mass index and physical inactivity-attributable stroke burden have declined modestly since 1990, but with diverging escalatory regional trajectories. Population growth and aging drive this rising burden. CONCLUSIONS: Multidimensional, context-specific strategies focused on modifiable lifestyle risks are imperative to address the modest declines and escalatory regional trajectories in body mass index and physical inactivity-attributable stroke burden.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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