Association With Dietary Patterns,Ideal Cardiovascular Health Behaviors And Factors Upon The Morbidity Risk Of Ischemic Stroke

Objectives 1 To explore the relationship between dietary patterns,ideal cardiovascular health behaviors and factors and the risk of ischemic stroke.2 Whether there is interaction between dietary patterns and ideal cardiovascular health behaviors and factors on the risk of ischemic stroke,so as to provide basis for the prevention and treatment of ischemic cerebrovascular disease.Methods A case-control study was designed.From October 2019 to October 2020,322 patients with ischemic stroke admitted to the Department of Neurology,Affiliated Hospital of North China University of technology in Tangshan were selected as the case group,and322 healthy people with the same number of cases were selected as the control group.The three-day 24-hour dietary review scale,ideal cardiovascular health behavior and factor evaluation scale,drinking behavior questionnaire,Pittsburgh sleep quality index scale(PSQI),self-made general data questionnaire and clinical data questionnaire were used to evaluate the dietary intake,ideal cardiovascular health behaviors and factors,drinking behavior,sleep time,general factors,and the results of the study were as follows: 1 Clinical indicators.The database was established by Excel 2019 software,and SPSS 23.0 was used for statistical analysis.The results showed that there were differences in the general demographic data,clinical data,diet mode,ideal cardiovascular health behavior and factors of the two groups by using the the test of chi-square.The non conditional logistic regression analysis was used to analyze the dietary pattern The relationship between ideal cardiovascular health behaviors and factors and the risk of ischemic stroke was established.The OR value and 95% CI were calculated.Results 1 The comparison of general data between the case group and the control group showed that there were no statistically significant differences in age and sleep time between the two groups(P>0.05),but there were statistically significant differences in gender,marital status,monthly income,educational level and drinking behavior between the case group(P<0.05).2 Comparison of clinical data between the case group and the control group showed that there were no statistically significant differences in LDL-C and uric acid between the two groups(P>0.05),but there were statistically significant differences in neck circumference,waist-hip ratio,arterial plaque,HDL-C,Onodera index and PLR between the case group(P<0.05).The results of comparison of dietary patterns,ideal cardiovascular health behaviors and factors between case group and control group showed that there were statistically significant differences between the two groups(P<0.05).4 Unconditional Logistic stratified regression analysis of dietary pattern and ideal cardiovascular health behaviors and factors and the risk of ischemic stroke showed that dietary pattern and ideal cardiovascular health behaviors and factors were independent influencing factors of the risk of ischemic stroke,and the differences were statistically significant(P<0.05).5Unconditional Logistic interaction model showed that the multiplicative interaction of dietary pattern and cardiovascular health factors and behaviors had no significant effect on the risk of ischemic stroke(P>0.05),while the additive interaction of dietary pattern and ideal cardiovascular health behaviors and factors had a significant effect on the risk of ischemic stroke(P<0.05).Compared with people with non-ideal cardiovascular health status based on vegetarian diet,people with non-ideal cardiovascular health status based on meat diet and people with non-ideal cardiovascular health status based on staple diet had higher risk of ischemic stroke(OR=5.870,95%CI:1.812～19.018),29.794 times(OR=29.794,95%CI:9.227～96.210),and the differences were statistically significant(P<0.05).Conclusions Dietary pattern and ideal cardiovascular health behavior and factors were the influencing factors of ischemic stroke risk;There is an additive interaction between dietary patterns and ideal cardiovascular health behaviors and factors on the risk of ischemic stroke.Figure 0;Table 10;Reference 178...