Twenty-Four-Year Trends in the Incidence of Ischemic Stroke in Sweden From 1987 to 2010

Rosengren, Annika; Giang, Kok Wai; Lappas, Georgios; Jern, Christina; Torén, Kjell; Björck, Lena

doi:10.1161/strokeaha.113.001170

Cited by 151 publications

(135 citation statements)

References 26 publications

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“…8 The trends were consistent 5 A recent, nationwide study from Sweden found a continuous rising incidence of IS in people aged 18 to 44 years from 1987 to 2010. 12 Similarly, increasing incidence was revealed in a register-based study among Dutch men and women aged 35 to 64 years from 1997 to 2005. 4 A rise in the prevalence of hospitalization for IS in people <45 years of age from 1995 to 2008 was also discovered in a study based on administrative data from United States.…”

Section: Discussionmentioning

confidence: 76%

“…Although these findings must be interpreted with caution because of the low number of end points in this age group, they are in line with other studies reporting an increase in incidence for the youngest age groups. 5,8,12 In a prospective, population-based study from Dijon, the incidence of first-time IS among men and women <55 years increased significantly from the period 1994 to 2002 to the period 2003 to 2011. 8 The trends were consistent 5 A recent, nationwide study from Sweden found a continuous rising incidence of IS in people aged 18 to 44 years from 1987 to 2010.…”

Section: Discussionmentioning

confidence: 99%

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Time Trends in Incidence and Case Fatality of Ischemic Stroke

Vangen-Lønne

Wilsgaard

Johnsen

et al. 2015

Stroke

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Background and Purpose-Ischemic stroke incidence has declined in industrialized countries the last decades, with possible exception for the youngest age groups. We estimated age-and sex-specific trends in incidence and case fatality of firstever ischemic stroke between 1977 and 2010 in a Norwegian municipality. Methods-Age-adjusted time trends in incidence from 1977 to 2010 were estimated by fractional polynomial and Poisson regression, and case fatality by logistic regression in 36 575 participants of the population-based Tromsø Study. Results-There were 1214 first-ever ischemic strokes within a total follow-up time of 611 176 person-years. The overall age-and sex-adjusted incidence decreased by 24% in 1995 to 2010. In women aged 30 to 49 years, the incidence increased significantly from 1980 to 2010. In men aged 30 to 49 years, there was a nonsignificant, rising trend from 1977 to 2010. Men aged 50 to 64 years had similar incidence in 2010 compared with 1989. From the mid-1990s to 2010, the incidence declined significantly in women aged 50 to 74 years and in men aged 65 to 74 years, but remained stable in those aged ≥75 years. Case fatality decreased significantly in men aged 30 to 84 years from 1995 to 2010, whereas there was no significant change in women. Conclusions-Age-adjusted incidence of first-ever ischemic stroke increased in young women, declined in women aged 50 to 74 years and men aged 65 to 74 years and remained stable among the oldest. Case fatality declined in men aged 30 to 84 years, but not in women.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Time Trends in Incidence and Case Fatality of Ischemic Stroke

Vangen-Lønne

Wilsgaard

Johnsen

et al. 2015

Stroke

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“…Some studies have found increasing obesity rates in young and middle‐aged people, which may have negative impact on cardiovascular disease risk (Rosengren et al. 2013). Furthermore, cardiovascular diseases were shown to be most common causes of death among younger ischemic stroke survivors (Giang et al.…”

Section: Discussionmentioning

confidence: 99%

Twenty years trends in mortality rates from stroke in Klaipeda

et al. 2016

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BackgroundDuring the past decades, mortality from stroke decreased in many western European countries; however, changes concerning long‐term stroke mortality in eastern European countries are less evident.ObjectiveTo assess age‐ and gender‐specific trends in stroke mortality in Klaipeda (Lithuania) from 1994 to 2013.DesignDescriptive epidemiological study.Setting/subjectsPermanent population of Klaipeda.MethodsData on 2509 permanent residents of Klaipeda aged 35–79 years who died from stroke between 1994 and 2013 were gathered. Directly, age‐standardized (European population) stroke mortality rates were analyzed using joinpoint regression separately for specific age groups (35–64, 65–79, and 35–79 years) and by gender. Annual percentage change (APC) and 95% CIs were presented.ResultsStroke mortality in the 35‐ to 79‐year‐old age group peaked in 1994–1997, it then decreased by −9.9% (95% CI: −18.7, −0.2) yearly up until 2001 and leveled off by −0.2% (−5.1, 4.9) between 2001 and 2013. Among men aged 35–64 years, mortality decreased substantially by 12.8% (−21.5, −3.3) per year from 1994 to 2001 and turned positive by 6.3% (0.8, 12.1) between 2000 and 2013. Among women aged 35–64 years, mortality decreased significantly by 15.5% (−28.1, −0.7) from 1994 to 2000. There was evidence of recent plateauing of trends for 35‐ to 64‐year‐old women between 2000 and 2013. In the 65‐ to 79‐year‐old age group, mortality decreased from 1994 onward yearly by −5.5% (−7.9, −3.0) in women and by −3.3% (−5.6, −0.9) in men.ConclusionsJoinpoint regression revealed steadily decreasing trend in stroke mortality between 1994 and 2001. The decline in death rates flattened out in the recent decade. Mortality rates varied among age groups and were more pronounced in adults aged 35–64 years. It is essential to monitor and manage stroke risk factors, especially among middle‐aged population.

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“…The article "BMI increase through puberty and adolescence is associated with risk of adult stroke" by Ohlsson et al 1 explores the relationship between body mass index (BMI) when a person is young (adolescence) and risk of stroke when the person is older (adults). Previous studies 2,3 have shown that rate of stroke is decreasing in older adults but increasing in younger adults. This finding coincides with an increasing BMI in children and young adults.…”

Section: Body Mass Index In Early Life and Stroke In Adult Lifementioning

confidence: 94%