Abdominal Obesity and Risk of Ischemic Stroke-A Hospital Based Observational Retrospective Study

Author(s): Mohammad Ziaur Rahman, Fahima Sultana, Md. Kamrul Azad, Amitav Banik, Kishore Kumar Shil

Introduction:

Stroke is a global health problem. It is the leading cause of adult disability and the second leading cause mortality worldwide. It is a leading cause of functional impairment, with 20% of survivors requiring institutional care after three months and 15%- 30% being permanently disabled.

Objectives:

Obesity is a problem now a day. The purpose of this study is to see the association of abdominal obesity define by waist-to-hip ratio with ischemic stroke and also to see the correlation with other risk factors of ischemic stroke.

Methods:

It is a hospital based observational retrospective study conducted on purposively selected (non probability) hospitalized patients who had been admitted into medicine units (Unit IV and Unit IX) of Dhaka Medical College Hospital, Dhaka during a period of 6 months extending from 1 may 2009 to 31 October 2009. Cases (n=102) with CT scan of brain done were interviewed and examined and had measurements of waist and hip circumference and waist to hip ratio (WHR) calculated.

Results:

63.72% of the ischemic stroke patient had abnormal WHR. The correlation with other risk factors showed that 94.12% of ischemic stroke patient had other co-morbidity. Among them 77.08% patient had hypertension, 37.59% patients had H/o smoking, 15.62% patients had DM and 10.42% patients had dyslipidaemia.

Conclusions:

The results reveals that abdominal obesity has an association with ischemic stroke.

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