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.

Monday, January 14, 2019

Association of body mass index and waist-to-hip ratio with brain structure

So not only does your doctor need to recover your lost 5 cognitive years from your stroke but needs to make sure you have the ability to exercise so as not to put on extra weight around your middle. Hell my doctor did nothing, ended up gaining 35 lbs. post stroke which took me 2 years to get rid of 20 lbs. of that by walking 10,000 steps per day. My gait is still fucked up due to spasticity, doctor did nothing to solve that.  You don't want a smaller brain, you need the maximum volume of neurons because YOU need to research how you are going to recover. Your doctor and therapists are of little help since there are no stroke protocols to get you anywhere close to 100% recovery. Everything in stroke is a failure, that's why we need survivors in charge.

Association of body mass index and waist-to-hip ratio with brain structure


Mark Hamer, G. David Batty
First published January 9, 2019, DOI: https://doi.org/10.1212/WNL.0000000000006879
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Abstract

Objective To examine the association of body mass index (BMI) and waist-to-hip ratio (WHR) with brain volume.
Methods We used cross-sectional data from the UK Biobank study (n = 9,652, age 55.4 ± 7.5 years, 47.9% men). Measures included BMI, WHR, and total fat mass as ascertained from bioimpedance. Brain images were produced with structural MRI.
Results After adjustment for a range of covariates, higher levels of all obesity measures were related to lower gray matter volume: BMI per 1 SD (β coefficient −4,113, 95% confidence interval [CI] −4,862 to −3,364), WHR (β coefficient −4,272, 95% CI −5,280 to −3,264), and fat mass (β coefficient −4,590, 95% CI −5,386 to −3,793). The combination of overall obesity (BMI ≥30 kg/m2) and central obesity (WHR >0.85 for women, >0.90 for men) was associated with the lowest gray matter compared with that in lean adults. In hypothesis-free testing with a Bonferroni correction, obesity was also related to various regional brain volumes, including caudate, putamen, pallidum, and nucleus accumbens. No associations between obesity and white matter were apparent.
Conclusion The combination of heightened BMI and WHR may be an important risk factor for gray matter atrophy.
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