nach oben

Neurological Sciences

Erschienen in:

03.10.2022 | Original Article

Prevalence and the age of onset patterns of stroke in Jiangsu Province, China

verfasst von: Chenlu He, Qian Chen, Ziyuan Shen, Ying Zhang, Hao Hou, Yifei Pei, Wei Wang, Xunbao Zhang

Erschienen in: Neurological Sciences | Ausgabe 1/2023

Einloggen, um Zugang zu erhalten

Abstract

Objectives

Little was known regarding the current age of onset patterns of stroke. This study aimed to examine the prevalence of stroke and explore the age of onset patterns of stroke in Jiangsu Province, China.

Materials and methods

Participants were recruited from April 2012 to April 2013 in Jiangsu Province, China. Survival analysis models were used to evaluate the hazards of stroke by a single year of age. Kaplan–Meier analysis and the log-rank test were used to explore the disparities of the age of onset patterns of stroke.

Results

This population-based study was conducted among 39,887 participants aged ≥ 18 years in Jiangsu Province, China. Of the 740 (1.9%) events of stroke, 13.2% suffered from hemorrhagic stroke (HS) and 86.8% suffered from ischemic stroke (IS). The prevalence of HS and IS were 0.3% and 1.7%, respectively. The estimated mean age of onset of stroke was 71.98 (95% CI: 71.97–71.99) years by the survival model. Up to age of 45 years, the estimated hazards of stroke onset were at a relatively low level. From the age of 45 years, the increases in hazards accelerated and peaked at age 75 years. Urban, smoking, and drinking males had a higher risk of stroke than their counterparts (P < 0.05). However, no such difference was found among females.

Conclusions

The findings emphasize the importance of implementing stroke prevention interventions in Jiangsu Province, China, especially for urban, smoking, and drinking males. It is of great significance to strengthen comprehensive management of health-related behaviors, including smoking cessation and moderate consumption of alcohol to have sustained beneficial effects on stroke risk.

Chenlu He and Qian Chen contributed equally to this work.

Nur mit Berechtigung zugänglich

Huang Y, Li J, Zhu X et al (2017) Relationship between healthy lifestyle behaviors and cardiovascular risk factors in Chinese patients with type 2 diabetes mellitus: a subanalysis of the CCMR-3B STUDY. Acta Diabetol 54:569–579. https://doi.org/10.1007/s00592-017-0981-2CrossRef

Feigin VL, Forouzanfar MH, Krishnamurthi R et al (2014) Global and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010. Lancet 383:245–254. https://doi.org/10.1016/s0140-6736(13)61953-4CrossRef

Wafa HA, Wolfe CDA, Emmett E, Roth GA, Johnson CO, Wang Y (2020) Burden of stroke in Europe: thirty-year projections of incidence, prevalence, deaths, and disability-adjusted life years. Stroke 51:2418–2427. https://doi.org/10.1161/STROKEAHA.120.029606CrossRef

Norrving B, Kissela B (2013) The global burden of stroke and need for a continuum of care. Neurology 80:S5-12. https://doi.org/10.1212/WNL.0b013e3182762397CrossRef

Avan A, Digaleh H, Di Napoli M et al (2019) Socioeconomic status and stroke incidence, prevalence, mortality, and worldwide burden: an ecological analysis from the Global Burden of Disease Study 2017. BMC Med 17:191. https://doi.org/10.1186/s12916-019-1397-3CrossRef

Wang YJ, Li ZX, Gu HQ et al (2020) China Stroke Statistics 2019: a report from the National Center for Healthcare Quality Management in Neurological Diseases, China National Clinical Research Center for Neurological Diseases, the Chinese Stroke Association, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention and Institute for Global Neuroscience and Stroke Collaborations. Stroke Vasc Neurol 5:211–239. https://doi.org/10.1136/svn-2020-000457CrossRef

Hong KS, Bang OY, Kang DW et al (2013) Stroke statistics in Korea: part I. Epidemiology and risk factors: a report from the Korean stroke society and clinical research center for stroke. J Stroke 15:2–20. https://doi.org/10.5853/jos.2013.15.1.2CrossRef

Setyopranoto I, Bayuangga HF, Panggabean AS et al (2019) Prevalence of stroke and associated risk factors in Sleman District of Yogyakarta Special Region. Indonesia Stroke Res Treat 2019:2642458. https://doi.org/10.1155/2019/2642458CrossRef

Writing Group M, Mozaffarian D, Benjamin EJ et al (2016) Heart disease and stroke statistics-2016 update: a report from the American Heart Association. Circulation 133:e38-360. https://doi.org/10.1161/CIR.0000000000000350CrossRef

10.

Mehndiratta MM, Khan M, Mehndiratta P, Wasay M (2014) Stroke in Asia: geographical variations and temporal trends. J Neurol Neurosurg Psychiatry 85:1308–1312. https://doi.org/10.1136/jnnp-2013-306992CrossRef

11.

Timmis A, Townsend N, Gale C et al (2018) European Society of Cardiology: Cardiovascular Disease Statistics 2017. Eur Heart J 39:508–579. https://doi.org/10.1093/eurheartj/ehx628CrossRef

12.

Liu L, Wang D, Wong KS, Wang Y (2011) Stroke and stroke care in China: huge burden, significant workload, and a national priority. Stroke 42:3651–3654. https://doi.org/10.1161/STROKEAHA.111.635755CrossRef

13.

Lavados PM, Hoffmeister L, Moraga AM et al (2021) Incidence, risk factors, prognosis, and health-related quality of life after stroke in a low-resource community in Chile (NANDU): a prospective population-based study. Lancet Glob Health 9:e340–e351. https://doi.org/10.1016/S2214-109X(20)30470-8CrossRef

14.

Thapa L, Shrestha S, Kandu R et al (2021) Prevalence of stroke and stroke risk factors in a South-Western Community of Nepal. J Stroke Cerebrovasc Dis 30:105716. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.105716CrossRef

15.

Wang W, Jiang B, Sun H et al (2017) Prevalence, incidence, and mortality of stroke in China: results from a nationwide population-based survey of 480,687 adults. Circulation 135:759–771. https://doi.org/10.1161/CIRCULATIONAHA.116.025250CrossRef

16.

Chen C, Lu FC (2004) Department of Disease Control Ministry of Health PRC. The guidelines for prevention and control of overweight and obesity in Chinese adults. Biomed Environ Sci 17:1–36

17.

Chen X, Unger JB (1999) Hazards of smoking initiation among Asian American and non-Asian adolescents in California: a survival model analysis. Prev Med 28:589–599. https://doi.org/10.1006/pmed.1999.0487CrossRef

18.

Chen X, Yu B, Lasopa SO, Cottler LB (2017) Current patterns of marijuana use initiation by age among US adolescents and emerging adults: implications for intervention. Am J Drug Alcohol Abuse 43:261–270. https://doi.org/10.3109/00952990.2016.1165239CrossRef

19.

Lindsay MP, Norrving B, Sacco RL et al (2019) World Stroke Organization (WSO): Global Stroke Fact Sheet 2019. Int J Stroke 14:806–817. https://doi.org/10.1177/1747493019881353CrossRef

20.

Li Q, Wu H, Yue W et al (2017) Prevalence of stroke and vascular risk factors in China: a nationwide community-based study. Sci Rep 7:6402. https://doi.org/10.1038/s41598-017-06691-1CrossRef

21.

Zhang FL, Guo ZN, Wu YH et al (2017) Prevalence of stroke and associated risk factors: a population based cross sectional study from northeast China. BMJ Open 7:e015758. https://doi.org/10.1136/bmjopen-2016-015758CrossRef

22.

He J, Klag MJ, Wu Z, Whelton PK (1995) Stroke in the People’s Republic of China. II. Meta-analysis of hypertension and risk of stroke. Stroke 26:2228–2232

23.

Li Q, Li T, Jiang Y et al (2017) A cross-sectional study of salt intake and blood pressure control in patients with hypertension in Xuzhou city. Jiangsu J Prevent Med 28:524–526

24.

Chang T, Gajasinghe S, Arambepola C (2015) Prevalence of stroke and its risk factors in Urban Sri Lanka: population-based study. Stroke 46:2965–2968. https://doi.org/10.1161/STROKEAHA.115.010203CrossRef

25.

Xing L, Jing L, Tian Y et al (2020) High prevalence of stroke and uncontrolled associated risk factors are major public health challenges in rural northeast China: a population-based study. Int J Stroke 15:399–411. https://doi.org/10.1177/1747493019851280CrossRef

26.

Guan T, Ma J, Li M et al (2017) Rapid transitions in the epidemiology of stroke and its risk factors in China from 2002 to 2013. Neurology 89:53–61. https://doi.org/10.1212/WNL.0000000000004056CrossRef

27.

Shaheen HA, Abdel Wahed WY, Hasaneen ST (2019) Prevalence of stroke in Fayoum Governorate, Egypt: a community-based study. J Stroke Cerebrovasc Dis 28:2414–2420. https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.06.031CrossRef

28.

Khedr EM, Elfetoh NA, Al Attar G et al (2013) Epidemiological study and risk factors of stroke in Assiut Governorate, Egypt: community-based study. Neuroepidemiology 40:288–294. https://doi.org/10.1159/000346270CrossRef

29.

Vlismas K, Stavrinos V, Panagiotakos DB (2009) Socio-economic status, dietary habits and health-related outcomes in various parts of the world: a review. Cent Eur J Public Health 17:55–63. https://doi.org/10.21101/cejph.a3475CrossRef

30.

Ru X, Wang W, Sun H et al (2019) Geographical difference, rural-urban transition and trend in stroke prevalence in China: findings from a national epidemiological survey of stroke in China. Sci Rep 9:17330. https://doi.org/10.1038/s41598-019-53848-1CrossRef

31.

Feigin VL, Roth GA, Naghavi M et al (2016) Global burden of stroke and risk factors in 188 countries, during 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet Neurol 15:913–924. https://doi.org/10.1016/S1474-4422(16)30073-4CrossRef

32.

Lu J, Lu Y, Wang X et al (2017) Prevalence, awareness, treatment, and control of hypertension in China: data from 1.7 million adults in a population-based screening study (China PEACE Million Persons Project). Lancet 390:2549–2558. https://doi.org/10.1016/S0140-6736(17)32478-9CrossRef

33.

Redfern A, Peters SAE, Luo R et al (2019) Sex differences in the awareness, treatment, and control of hypertension in China: a systematic review with meta-analyses. Hypertens Res 42:273–283. https://doi.org/10.1038/s41440-018-0154-xCrossRef

34.

Zhang X, Shu L, Si C et al (2015) Dietary patterns and risk of stroke in adults: a systematic review and meta-analysis of prospective cohort studies. J Stroke Cerebrovasc Dis 24:2173–2182. https://doi.org/10.1016/j.jstrokecerebrovasdis.2015.05.035CrossRef

35.

Larsson SC, Wallin A, Wolk A, Markus HS (2016) Differing association of alcohol consumption with different stroke types: a systematic review and meta-analysis. BMC Med 14:178. https://doi.org/10.1186/s12916-016-0721-4CrossRef

36.

Fernandez-Sola J (2015) Cardiovascular risks and benefits of moderate and heavy alcohol consumption. Nat Rev Cardio 112:576–587. https://doi.org/10.1038/nrcardio.2015.91CrossRef

37.

De Gaetano G, Costanzo S, Di Castelnuovo A et al (2016) Effects of moderate beer consumption on health and disease: a consensus document. Nutr Metab Cardiovasc Dis 26:443–467. https://doi.org/10.1016/j.numecd.2016.03.007CrossRef

38.

Chen X, Yu B, Wang Y (2017) Initiation of electronic cigarette use by age among youth in the U.S. Am J Prev Med 53:396–399. https://doi.org/10.1016/j.amepre.2017.02.011CrossRef

39.

Report on stroke prevention and treatment in China Writing Group (2019) The prevention and treatment of stroke still face huge challenges-Brief report on stroke prevention and treatment in China, 2018. Chinese Circulation Journal 34:105–119. https://doi.org/10.3969/j.issn.1000-3614.2019.02.001CrossRef

40.

Report on stroke prevention and treatment in China Writing Group (2020) Brief report on stroke prevention and treatment in China, 2019. Chin J Cerebrovasc Dis 17:272–281. https://doi.org/10.3969/j.issn.1672-5921.2020.05.008

Titel: Prevalence and the age of onset patterns of stroke in Jiangsu Province, China
verfasst von: Chenlu He
Qian Chen
Ziyuan Shen
Ying Zhang
Hao Hou
Yifei Pei
Wei Wang
Xunbao Zhang
Publikationsdatum: 03.10.2022
Verlag: Springer International Publishing
Erschienen in: Neurological Sciences / Ausgabe 1/2023
Print ISSN: 1590-1874
Elektronische ISSN: 1590-3478
DOI: https://doi.org/10.1007/s10072-022-06428-7

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Neurologie

Sozialer Aufstieg verringert Demenzgefahr

24.05.2024 Demenz Nachrichten

Hirnblutung unter DOAK und VKA ähnlich bedrohlich

17.05.2024 Direkte orale Antikoagulanzien Nachrichten

Kommt es zu einer nichttraumatischen Hirnblutung, spielt es keine große Rolle, ob die Betroffenen zuvor direkt wirksame orale Antikoagulanzien oder Marcumar bekommen haben: Die Prognose ist ähnlich schlecht.

Was nützt die Kraniektomie bei schwerer tiefer Hirnblutung?

17.05.2024 Hirnblutung Nachrichten

Eine Studie zum Nutzen der druckentlastenden Kraniektomie nach schwerer tiefer supratentorieller Hirnblutung deutet einen Nutzen der Operation an. Für überlebende Patienten ist das dennoch nur eine bedingt gute Nachricht.

Thrombektomie auch bei großen Infarkten von Vorteil

16.05.2024 Ischämischer Schlaganfall Nachrichten

Auch ein sehr ausgedehnter ischämischer Schlaganfall scheint an sich kein Grund zu sein, von einer mechanischen Thrombektomie abzusehen. Dafür spricht die LASTE-Studie, an der Patienten und Patientinnen mit einem ASPECTS von maximal 5 beteiligt waren.

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Abstract

Objectives

Materials and methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2023

Safety of COVID-19 vaccine in patients with epilepsy: a meta-analysis

Clonazepam for the management of sleep disorders

Unmet needs and gaps in the identification of secondary progression in multiple sclerosis: a Southern Italy healthcare professionals’ perspective

Aseptic meningitis in Fabry disease due to a novel GLA variant: an expanded phenotype?

Cervical spondylolisthesis in mucopolysaccharidosis type II