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Stroke is a leading cause of death and disability in developing countries, afflicting individuals at a young age. The contribution of established vascular risk factors to ischaemic stroke in young adults has not been evaluated systematically in Indians. We compared the prevalence of the following risk factors: smoking, elevated blood pressure, high fasting blood glucose and abnormal lipids. Compared with community controls, stroke patients had a higher prevalence of smoking multivariable adjusted odds ratio OR 7. Compared with hospital controls, stroke patients had a higher prevalence of smoking OR 3. Key components of the metabolic syndrome and smoking are associated with ischaemic stroke in young South Indian adults. Our observations underscore the importance of targeting adolescents and young adults for screening and prevention to reduce the burden of ischaemic stroke in young adults.
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Risk factors for acute ischaemic stroke in young adults in South India
The lack of current data in the United States has, among other things, hampered discussions of the proposal to increase folate intake by the general population. Blood testing was done in people aged 60 years or older and follow-up assessment with the Schilling test and other tests was offered when results were abnormal. Although cobalamin deficiency had been suspected by the physicians of three subjects, they had been treated inadequately and still had evidence of deficiency. Excluding these three partially treated subjects from the analysis, 1. The prevalence was 2.
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