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KMID : 1161020200020020043
Korea Journal of Geriatric Occupational Therapy
2020 Volume.2 No. 2 p.43 ~ p.53
Lifestyle Modification for Secondary Stroke Prevention: Review
Shin Jae-Yong

Abstract
Introduction : Secondary stroke accounts for 23% of all stroke incidents and can be prevented by up to 90% by controlling risk factors such as high blood pressure, cholesterol levels, obesity, physical inactivity, diabetes, smoking, and alcohol intake. Among the methods of controlling risk factors, lifestyle modification is a non-pharmaceutical method in which a healthy lifestyle can be maintained through diet, physical activity, smoking cessation, abstinence, and obesity management.

Body : Lifestyle modification is essential to prevent secondary stroke. This includes maintaining a healthy diet, moderate-intensity exercise of 20-60 minutes per day, smoking cessation, moderate alcohol consumption (2 glasses for men, 1 glass for women), and a BMI of 25 or less. These can lower blood pressure and LDL cholesterol, which are major risk factors for stroke, reduce body weight and blood sugar levels, and relieve vascular sclerosis. It is more beneficial to apply multiple factors at the same time than to adjust only one or two factors, and in particular, to maintain a healthy lifestyle through self-directed lifestyle correction for successful long-term prevention of secondary stroke.

Conclusion : An effective secondary stroke prevention program requires planning one that comprehensively covers risk factors, with a multidisciplinary approach and a long-term, intensive, and sustainable system and strategy for successful operation in place.
KEYWORD
Lifestyle modification, Secondary stroke, Stroke, Stroke prevention, Stroke risk factor
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