Stroke Risk Factors

When you know the most common stroke risk factors, you can use this knowledge to make lifestyle changes. This will protect your health and lower your stroke risk.

What Increases Your Risk for Stroke?

You can’t control some stroke risk factors, such as age, gender, race and family history (genetics). The likelihood of stroke increases as you grow older. Women have a higher lifetime risk of stroke. Stroke occurs more often in Black, Alaska Native, American Indian and Hispanic adults. And if a family member has had a stroke, you’re at higher risk.

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Risk Factors You Can Change

Some stroke risk factors you can control. These account for 82% to 90% of strokes. You’re more likely to have a stroke if you have a medical condition that affects your heart and blood vessels. These conditions include:

Certain lifestyle habits can increase your risk for a stroke, too, such as:

  • Being overweight
  • Eating an unhealthy diet
  • Not getting enough exercise
  • Smoking
  • Using illegal drugs or drinking too much alcohol

Assess Your Stroke Risk Factors

View the Stroke Risk Scorecard [pdf, English] or Evaluación del riesgo de ataque o derrame cerebral [pdf, Español] from the American Stroke Association to assess your risk.

How to Lower Your Stroke Risk

Work with your health care team to lower your stroke risk by:

  • Taking all medicines exactly as prescribed. Check with your health care team before taking nonprescription medicines, supplements or natural remedies.
  • Following your treatment plan if you have heart disease.
  • Managing your blood sugar if you have diabetes.
  • Talking to your health care team about how to manage high blood pressure and cholesterol levels.

Lifestyle Changes

Lifestyle changes can also help prevent a stroke. These include:

  • Eating a healthy diet low in sodium (salt) and saturated and trans-fat. Include at least five servings of fruits and vegetables daily.
  • Trying to keep a healthy weight. If you are overweight, ask us for help to lose weight.
  • Staying fit and exercising regularly.
  • Learning ways to manage stress and relax. Take up a hobby, listen to music, watch movies or take walks. Try deep breathing exercises when you feel stressed.
  • Quitting smoking, talk with your doctor about the best way to quit.
  • Limiting alcohol use.
  • Stopping illegal drug use. If you need help, ask us about addiction services.

Talking with your doctor to decide if the benefits of taking a daily aspirin outweigh the risks.

Improve Your Health with the Mediterranean Diet

Following a diet plan that is rich in fruits, vegetables, whole grains and lean meats, like the Mediterranean diet, can help you:

  • Lose excess weight
  • Lower elevated blood pressure
  • Reduce cholesterol level

Make your meals more Mediterranean-like by:

  • Increasing the number of fruits and vegetables you eat as snacks, desserts and meals
  • Changing the way you think about meat. Eat red meat only occasionally. Have smaller portions, similar to the size of a deck of cards, when eating chicken or lean meat as a main course.
  • Consuming low-fat dairy products. Eat Greek or plain yogurt, low-fat milk and smaller amounts of various cheeses.
  • Eat fish and seafood at least twice a week. Fish such as tuna, trout, salmon, herring and sardines are rich in heart-healthy omega-3 fatty acids. They’re good for brain and heart health. Avoid breaded and deep-fried fish.
  • Fix a vegetarian meal one night a week. Build these meals around beans, legumes, whole grains and vegetables. When one night feels comfortable, try two nights per week.
  • Use good fats. Replace butter with healthier oils. Include sources of healthy fats in daily meals like olive or canola oil, nuts, peanuts, sunflower seeds, nut butters and avocados.
  • Choose whole grains. Include whole grain breads, pasta, brown rice and other grains like bulgur. Whole grains are rich in many important nutrients, and extra fiber may make you more satisfied.
  • Limit sweets and desserts. Have fruit with meals and snacks in place of sweets. Save special treats for celebrations.
  • Use herbs and spices instead of salt to flavor foods.

Recent studies have shown that the Mediterranean way of life is key to good health. It includes daily exercise, not smoking, limited alcohol, and a healthy weight. It is just as important as diet.

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