Hello, I'm David Spence.
I'm professor of neurology and
clinical pharmacology at Western University in London Canada,
and Director of the Stroke Prevention and Atherosclerosis Research Center.
This talk is about lifestyle and nutrition in stroke prevention.
When disclosures are on this slide and none is relevant to this talk.
In thinking about stroke prevention it's important to keep
medication which most doctors seem to emphasize in perspective,
medication is only a small part of stroke prevention,
and lifestyle is much more important than most doctors think it is.
When we rank the things we can do to prevent stroke in order of importance,
it's likely that smoking cessation and a Mediterranean diet would rank near the top.
So, the importance of lifestyle was demonstrated in
this study from the US Public Health study,
and the Nurses Health Study,
43,000 men and 71,000 women followed.
And what this study reported was that persons who followed all healthy lifestyle choices,
which were not smoking,
a moderate intake of alcohol,
a body mass index less than 25,
daily exercise of 30 minutes,
and a diet scored in the top 40 percent had a reduction of stroke by 80 percent.
Now, that was in unhealthy Americans.
Among Swedish women, Swedish people may be more healthy than Americans.
So, a healthy lifestyle reduced stroke by
62 percent among Swedish women who were healthy at the beginning.
In Swedish men with hypertension and hyperlipidemia,
all five healthy lifestyle choices
reduced coronary artery disease by more than 80 percent.
So, lifestyle is hugely important.