Study on the correlation between healthy lifestyle practices and stroke in elderly people
Objective To investigate the relationship between lifestyle factors and stroke in the elderly.Methods Data 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.Results In 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.Conclusions Lifestyle 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.