The mounting obesity epidemic in the United States has contributed
to an increase in the number of strokes occurring among younger
Americans.
New research has revealed that the average age of patients
suffering a first stroke in the greater Cincinnati area has dropped by
almost three years between 1993 and 2005.
The findings of the analysis
were recently presented at the American Stroke Association conference
in San Antonio.
Brett Kissela, M.D., of the University of
Cincinnati Neuroscience Institute set out to determine why many of the
stroke patients seen in the neurology department of the hospital were
not much older than the age of 50.
Kissela and his colleagues analyzed
data from 17 hospitals in the Cincinnati metropolitan area spanning two
counties in Ohio and three in northern Kentucky, which provided a
nationally representative population of approximately 1.3 million
people.
They discovered that the average age of stroke victims had
decreased from 71.3 in 1993 to 68.4 by the end of 2005.
During
the same period of time, the percentage of patients suffering a stroke
prior to reaching the age of 45 jumped from 4.5 percent to 7.3 percent.
Kissela described the findings as “tragic” because young people who
become disabled from stroke lose a lot of productive life. Kissela
theorized that the increase in risk factors among younger Americans
such as obesity, diabetes, and hypertension, may be the reasoning
behind the trend.
Prior findings of his research team have shown that
diabetes alone can contribute to a five to 10 time greater likelihood
of stroke among people under the age of 65. Kissela pointed out, “We’re
just seeing these conditions come sooner, so it’s probably not
surprising that the strokes would come sooner.”
In contrast to
the increased number of strokes seen in younger patients, rates have
actually declined among whites ages 65 and older, as well as in blacks
ages 85 and older. However, the rates may be offset by the number of
younger patients suffering strokes.
Kissela maintains that generally,
the absolute risk of stroke remains significantly lower among younger
Americans than in the older population. Occurrences numbered about 25
per 100,000 whites and 55 per 100,000 blacks between the ages of 20 and
44 in 2005. In comparison, the rates were 1,263 per 100,000 whites and
1,029 per 100,000 blacks, in patients ages 85 and older.
The consequences reflected in the cost of health care in the U.S. could
be staggering if this trend continues. Because younger people are more
likely to survive a stroke, the resulting need for decades of care
could make costs skyrocket.
The mortality rate among stroke victims
between the ages of 46 and 64 is eight to 12 percent.
Beyond
obesity, diabetes and high blood pressure, other common risk factors
for stroke include smoking, high cholesterol, lack of physical
activity, poor diet and the use of oral contraceptives.
As the majority
of the most common risk factors are associated with obesity, the
message becomes that developing and maintaining a healthy lifestyle is
the key to preservation of health.
Now more than ever, parents need to
become healthy role models for their children, as well as educate them
about the risks associated with being overweight.
Lives can be saved by
providing children with a healthy diet, and promoting physical activity to help them gain a healthy attitude toward health and fitness.