You can COMPLETELY BLAME your doctors and stroke hospital. You are not gotten to 100% recovery thus not being able to do enough physical activity. You have NO diet protocol, so no healthy diet. NO diet protocol for natural blood pressure and cholesterol control. This is all your doctors responsibility, don't let them deflect responsibility by quoting this asinine response; 'All strokes are different, all stroke recoveries are different'.
Originally published7 Dec 2018Stroke. 2018;0:STROKEAHA.118.022644
Abstract
Background and Purpose—
The
American Heart Association’s Life’s Simple 7 (LS7) defines ideal
cardiovascular health by 7 metrics: not smoking, regular physical
activity, normal body mass index, blood pressure, plasma glucose, and
total cholesterol levels, and a healthy diet. We assessed prevalence and
predictors of ideal LS7 among US stroke survivors.
Methods—
Among
67 514 participants in the National Health and Nutrition Examination
Surveys from 1988 to 1994 and 1999 to 2014, 1597 adults (≥18 years) had
self-reported history of stroke. LS7 metrics were categorized as poor,
intermediate, and ideal; ideal LS7 scores were calculated (1 point for
each ideal metric met). Trends in poor, intermediate, and ideal
cardiovascular health were assessed. Odds of low (0–1) versus high (≥4)
ideal LS7 scores were assessed according to sex, race, poverty income
ratio, and education level, before and after adjusting for covariates.
Results—
Only
1 participant met all ideal LS7 metrics. The proportion with low LS7
score increased from 17.9% in 1988 to 1994 to 35.4% in 2011 to 2014 (P<0.001).
Over that time frame, prevalence of poor blood pressure (≥140/90 mm Hg)
and poor cholesterol (≥240 mg/dL) decreased (45.2%–26.5% and
37.2%–10.3%), whereas prevalence of poor body mass index (≥30 kg/m2),
poor diet (healthy eating index score <50), and poor physical
activity (0 minutes moderate/vigorous activity per week) increased
(26.9%–39.0%; 14.2%–50.6%; 44.6%–70.9%; all P<0.05). After
adjustment, black race (odds ratio, 2.29; 95% CI, 1.17–4.48), poverty
income ratio ≤200% (odds ratio, 2.20, 95% CI, 1.11–4.36), and ≤12th
grade education (odds ratio, 4.50; 95% CI, 2.27–8.92) were associated
with low ideal LS7 scores.
Conclusions—
Over
the past 3 decades, blood pressure and cholesterol control among stroke
survivors improved, but rates of obesity, poor diet, and physical
inactivity increased. Stroke survivors who are black, poor, or less
educated are less likely to have ideal cardiovascular health.
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