Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2006-8-21
pubmed:abstractText
Stroke is an important cause of morbidity and mortality, and is an economic burden. Diabetes and obesity are two important modifiable risk factors for stroke. Patients with diabetes have a higher incidence of stroke and a poorer prognosis after stroke. Risk-factor modification is the most important aspect of prevention of stroke in diabetes and obesity. This includes lifestyle modifications and different therapeutic modalities to control conditions, such as diabetes, hypertension, dyslipidemia and arrhythmia. Recent landmark studies have shown the beneficial effects of statins in diabetic patients even with close to normal or normal low-density lipoprotein cholesterol. Obesity, which is a risk factor for diabetes, hypertension and hyperlipidemia has been shown to be an independent risk factor for stroke. Increased leptin, dysregulation of adipocyte proteins, increased insulin resistance and C-reactive protein may be factors involved in the increased incidence of cardiovascular morbidity and mortality directly related to obesity. Visceral fat is a much bigger health risk than subcutaneous fat. Lifestyle interventions and pharmacotherapeutic agents have been used to manage obesity. In morbidly obese patients, surgical intervention seems to be the best method of treatment with a long-lasting favorable metabolic outcome. In the 21st Century, with the advanced medical knowledge and the therapeutic modalities available, it should be possible to reduce the incidence of stroke associated with diabetes and obesity.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
1744-8344
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
4
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
487-502
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:16918267-Anti-Inflammatory Agents, Non-Steroidal, pubmed-meshheading:16918267-Aspirin, pubmed-meshheading:16918267-Atrial Fibrillation, pubmed-meshheading:16918267-Blood Glucose, pubmed-meshheading:16918267-Cardiovascular Agents, pubmed-meshheading:16918267-Carotid Stenosis, pubmed-meshheading:16918267-Diabetes Mellitus, pubmed-meshheading:16918267-Diabetic Angiopathies, pubmed-meshheading:16918267-Diabetic Nephropathies, pubmed-meshheading:16918267-Diabetic Retinopathy, pubmed-meshheading:16918267-Dyslipidemias, pubmed-meshheading:16918267-Humans, pubmed-meshheading:16918267-Hypertension, pubmed-meshheading:16918267-Insulin Resistance, pubmed-meshheading:16918267-Ischemic Attack, Transient, pubmed-meshheading:16918267-Leptin, pubmed-meshheading:16918267-Life Style, pubmed-meshheading:16918267-Lipoproteins, pubmed-meshheading:16918267-Obesity, pubmed-meshheading:16918267-Plasminogen Activator Inhibitor 1, pubmed-meshheading:16918267-Risk Factors, pubmed-meshheading:16918267-Smoking, pubmed-meshheading:16918267-Stroke
pubmed:year
2006
pubmed:articleTitle
Stroke prevention in diabetes and obesity.
pubmed:affiliation
University of Missouri-Columbia, Department of Internal Medicine, MA410 Health Science Center, One Hospital Drive, Columbia, MO 65212, USA. RomayneL@health.missouri.edu
pubmed:publicationType
Journal Article, Review