Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, December 11, 2018

Sleep duration related to stroke risk, varies by race

How is your doctor assuring you have the correct sleep protocol? Do sleeping pills count? They were handed out like candy in my hospital at 10pm.

Sleep duration related to stroke risk, varies by race


Black men who sleep for a short amount of time had a decreased risk for incident stroke, and white men with longer sleep duration had an increased risk for incident stroke, according to a study published in Neurology.
“These results suggest that short and long sleep duration may have different consequences for people depending on race and sex,” Virginia J. Howard, PhD, professor of epidemiology at the University of Alabama at Birmingham School of Public Health, said in a press release. “More research is needed to determine the mechanisms behind these relationships. In the meantime, this emphasizes how important it is to better monitor and control cardiovascular risk factors in middle-aged to older people who have long sleep periods.”

Megan E. Petrov, PhD, assistant professor at Arizona State University College of Nursing and Health Innovation in Phoenix, and colleagues analyzed data from 16,733 patients (mean age, 64 years; 42% men; 37% black) from the REGARDS study who were free from stroke and obstructive sleep apnea. Patients completed an ancillary sleep module with questions on habitual sleep duration. A telephone interview was conducted every 6 months to collect information on suspected stroke events.
At baseline, 10.4% of patients reported receiving less than 6 hours of sleep and 6.8% reported sleeping at least 9 hours.
During a median follow-up of 6.1 years, 460 stroke events occurred, with 172 of them occurring in black patients.
There were significant interactions between sleep duration and race-sex groups (P = .0023) and sleep duration and race (P = .018) that were linked to incident stroke.
Black patients with short sleep duration had a decreased risk for stroke after adjusting for stroke risk factors (HR = 0.49; 95% CI, 0.28-0.85). This was most pronounced in black men (HR = 0.21; 95% CI, 0.07-0.69).
The risk for stroke was elevated in white men with long sleep duration after adjusting for stroke risk factors (HR = 1.71; 95% CI, 1.06-2.76).
“The underlying mechanisms that may explain the race and race by sex differences we found in the association between sleep duration and incident stroke are not well-understood,” Petrov and colleagues wrote. “The alleged reduction in associated risk of incident stroke among black adults with short sleep duration, particularly black men, is perplexing, and conflicts with other studies examining race by sleep interactions on cardiometabolic risk factors.” – by Darlene Dobkowski
Disclosures: Howard and Petrov report no relevant financial disclosures. Please see the study for all other authors’ relevant financial disclosures.

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