Recommendations of the Spanish Society of Neurology for the prevention of stroke. Interventions on lifestyle and air pollution

García Pastor, A.López-Cancio Martínez, E.Rodríguez-Yáñez, M.Alonso de Leciñana, M.Amaro, S.Arenillas, J.F.Ayo-Martín, O.Castellanos, M.Fuentes Gimeno, Blanca EulaliaFreijo, M.M.Gomis, M.Gómez Choco, M.Martínez Sánchez, P.Morales, A.Palacio-Portilla, E.J.Segura, TomásSerena, JoaquínVivancos-Mora, J.Roquer, JaumeSpanish Society of Neurology's Cerebrovascular Disease Study Group2022-01-202022-01-202021García Pastor A, López-Cancio Martínez E, Rodríguez-Yáñez M, Alonso de Leciñana M, Amaro S, Arenillas JF, et al. Recommendations of the Spanish Society of Neurology for the prevention of stroke. Interventions on lifestyle and air pollution. Neurología. 2021 Jun; 36(5): 377-87. DOI: 10.1016/j.nrleng.2020.05.0202173-5808http://hdl.handle.net/10230/52269Objective: to update the recommendations of the Spanish Society of Neurology regarding lifestyle interventions for stroke prevention. Development: We reviewed the most recent studies related to lifestyle and stroke risk, including randomised clinical trials, population studies, and meta-analyses. The risk of stroke associated with such lifestyle habits as smoking, alcohol consumption, stress, diet, obesity, and sedentary lifestyles was analysed, and the potential benefits for stroke prevention of modifying these habits were reviewed. We also reviewed stroke risk associated with exposure to air pollution. Based on the results obtained, we drafted recommendations addressing each of the lifestyle habits analysed. Conclusions: Lifestyle modification constitutes a cornerstone in the primary and secondary prevention of stroke. Abstinence or cessation of smoking, cessation of excessive alcohol consumption, avoidance of exposure to chronic stress, avoidance of overweight or obesity, a Mediterranean diet supplemented with olive oil and nuts, and regular exercise are essential measures in reducing the risk of stroke. We also recommend implementing policies to reduce air pollution.application/pdfeng2173-5808/© 2020 Sociedad Española de Neurología. Published by Elsevier España, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).Recommendations of the Spanish Society of Neurology for the prevention of stroke. Interventions on lifestyle and air pollutioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1016/j.nrleng.2020.05.020Air pollutionContaminación atmosféricaHábitos de vidaIctusLifestylePrevenciónPreventionStrokeinfo:eu-repo/semantics/openAccess