Introduction: Lifestyles such as consuming behavior, smoking, and sport have been investigated to have relationships with ischemic stroke events. Consumptions of fish, vegetable-and-fruit, and aerobic sport are protective in primary prevention of ischemic stroke. Conversely, excessive coffee consumption and smoking are risk factors of ischemic stroke event. But there were no available study which investigates those factors and their relationship with recurrent ischemic stroke events (RISE) in purpose of secondary preventive efforts. Method: Case-control study designed on post ischemic stroke patients who were routinely check-up in Cipto-Mangunkusumo-Hospital (RSCM) Neurology Outward during February 2010. “Case group” refer to patients who had RISE in recent one year, while “control group” refer to patients who had only once ischemic stroke more than one year ago. Data was gathered from interviews about lifestyles during one recent year and analyzed with chi-square and logistic regression. Result: 52 subjects obtained, consists of 24 as “case group” and 28 as “control group”. Demographic characteristics show no significant difference between “case group” and “control group” in age, sex, and several major risk factors of stroke. Lower incidence of RISE has correlation with vegetable-and-fruit consumption ≥10portions/week (OR:0,168;95%CI:0,04–0,714;p=0,01), fish consumption ≥1x/week (OR:0,33;95%CI:0,86–1,284;p=0,1), and aerobic sport at least 30 minutes ≥3x/week (OR:0,216;95%CI:0,065–0,713;p=0,01). Conversely, higher incidence of RISE has correlation with coffee consumption ≥ 3 cups/day (OR:2,4;95%CI:1,7–2,5;p=0,016), and smoking in recent one year (OR:27;95%CI:3,144–231,871;p<0,001). With logistic regression analysis, significant relationship only occurs in smoking (as risk factor) and sport (as protective factor) due to RISE. Conclusion: This study suggests that consuming vegetable and fruit ≥10portions/week and aerobic sport at least 30 minutes ≥3x/week have protective effects against RISE. Conversely, coffee consumption ≥ 3cups/day and smoking increase incidences of RISE.
|Publication status||Published - 2011|