The volume of the abdominal circumference is directly associated with a higher risk of ischemic stroke (CVA) and cerebral hemorrhage, according to a study carried out by the University of Oxford, in the United Kingdom.
In an article published in the journal JAMA Network on December 14, 2022, researchers suggest that the population and physicians pay greater attention to controlling fat in the central region of the body as a stroke prevention strategy.
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The scientists evaluated data from 490,071 adults in the UK collected over 12 years to understand whether there is an association between general adiposity – body mass index (BMI) -, central adiposity (in the belly region), and waist circumference with ischemic stroke, intracerebral hemorrhage and subarachnoid hemorrhage.
Increased waist circumference was associated with an increased risk of intracerebral hemorrhage and ischemic stroke, which happens when an artery in the brain is blocked. It was not related, however, to the risk of subarachnoid hemorrhage.
The endocrinologist at the Tivoli clinic, Bruno Babetto, who did not participate in the study, explains that until then the association of general and central adiposity with the main types of stroke was not clear. The study gives a new perspective on the subject.
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A stroke, also known as a stroke or stroke, is an interruption of blood flow to a region of the brain.
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The accident can occur for several reasons, such as accumulations of fatty plaques or formation of a clot – which give rise to ischemic stroke – bleeding due to high blood pressure and even rupture of an aneurysm – causing hemorrhagic stroke.
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Many symptoms are common to ischemic and hemorrhagic strokes, such as: very severe headache, weakness or numbness in some part of the body, paralysis and sudden loss of speech
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Stroke has no cure, however, it can be prevented in most cases. When this happens, it is possible to invest in treatments to improve the condition and in rehabilitation to reduce the risk of sequelae.
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Most of the time, it happens in people over 50 years old, however, it is also possible to affect young people. The disease can happen due to five main causes
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Smoking and poor diet: it is important to adopt a healthier diet, rich in vegetables, fruits and lean meat, in addition to practicing physical activity at least 3 times a week and not smoking
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High blood pressure, cholesterol and diabetes: these diseases must be adequately controlled, in addition to adopting healthy lifestyle habits to reduce their negative effects on the body, since they can trigger strokes
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Defects in the heart or blood vessels: these changes can be detected in routine consultations and, if identified, must be followed up. In some people, it may be necessary to use medications, such as blood thinners.
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Illicit drugs: it is recommended to seek help from a center specialized in drugs so that the detoxification process can be carried out and, thus, improve the patient’s quality of life, reducing the chances of stroke
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Increased blood clotting: diseases such as lupus, sickle cell anemia or thrombophilias; diseases that inflame blood vessels, such as vasculitis; or cerebral spasms, which impede blood flow, should be investigated
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Research shows that body mass index is not associated with ischemic stroke and is inversely linked to cerebral and subarachnoid hemorrhages, which are ruptures of cerebral arteries.
“These findings suggest that central and general adiposity have independent and contrasting associations with the risk of different types of stroke”, says the endocrinologist.
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Babetto clarifies that abdominal fat, specifically, generates inflammation and the release of inflammatory factors that cause injury and formation of fatty plaques in the arteries, which can cause obstruction (ischemic stroke) and vessel rupture (intracerebral or subarachnoid hemorrhagic stroke).
stroke prevention
The endocrinologist suggests that people measure their waists at home to get a sense of the real health risk. An adult’s waist should be less than half their height. “Measuring BMI is also useful, but it doesn’t take into account excess weight around the abdomen,” he clarifies.
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The post Waist circumference is related to stroke risk, says study first appeared on Metropolis.
