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Common Heart Problem Doubles Your Chances of Alzheimer's

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Every 40 seconds, someone in the U.S. suffers a stroke, an event that can instantly alter their life. While strokes are known for causing paralysis and speech difficulties, a lesser-known but equally alarming consequence is their link to dementia. New research shows that strokes, particularly ischemic ones, can significantly increase the risk of cognitive decline, including Alzheimer’s disease. The good news? You have the power to lower your risk with simple lifestyle changes.

Key Takeaways

  • Stroke and Dementia Link: An ischemic stroke can double the risk of dementia, and having multiple strokes can increase this risk up to 8.5 times.

  • Prevention is Possible: Lifestyle changes such as regular exercise, healthy eating, and blood pressure management significantly lower the risk of both stroke and dementia.

  • Public Health Success: A large-scale stroke prevention program in Canada led to a 37.9% decrease in strokes among seniors and a 15.4% reduction in dementia cases.

One Stroke Could Change Your Mind—Forever

About 800,000 Americans suffer a stroke every year.

While a stroke often has short-term health consequences for those who survive, such as partial paralysis, inability to speak and memory loss, stroke also presents a long-term risk to your intellectual abilities. The latest research shows that having a stroke can dramatically increase your risk of Alzheimer’s disease.

There are two main types of strokes – ischemic and hemorrhagic. A hemorrhagic stroke occurs when an artery supplying blood to the brain fails and begins to bleed. An ischemic stroke results from an artery blockage that cuts off blood flow to a part of the brain. The latter are the most common, affecting 87 percent of stroke victims. They also appear to be the most dangerous to your memory.

Ischemic Stroke Doubles Dementia Risk 

A study in Israel shows that suffering from an ischemic stroke doubles your chance of dementia. What’s more, the risk increases even further if the stroke is very severe or if you suffer from more than one stroke.1

In the study, researchers analyzed the health data of more than 15,000 people aged 45 to just 64 over a period of about 30 years. The researchers discovered that having three or more strokes increased the risk of dementia by an alarming 8.5 times!

What’s more, even having one severe stroke multiplied the dementia risk by five times when compared to someone who’d only had one minor stroke.

But there’s good news. By following a few lifestyle tips to lower your risk for stroke, you can also lower your risk for memory loss later in life.

Protecting Yourself Against Stroke

Fortunately, there’s plenty of research that shows how simple, healthy lifestyle changes can protect you against both strokes and dementia.

For example, a large study in Ontario, Canada found that a public health stroke prevention program emphasizing healthy habits reduced the rate of both stroke and dementia in seniors. The widespread health education program focused on getting people to give up smoking, exercise more and control their blood pressure. During this research, scientists analyzed information on the overall health, not merely instances of stroke and dementia, from 5.5 million people in Ontario over 12 years.

They found the incidence of stroke dropped for participants in the program over the age of 50. And for people over the age of 80, strokes fell by 37.9 percent, while the incidence of Alzheimer’s and other types of dementia declined by 15.4 percent.2

If you’re ready to get your own stroke risk under better control, here’s what to do:

  • Walk about half an hour a day: A study in Sweden demonstrates that you only have to walk around 35 minutes daily to lower your chances of a severe stroke.3

  • Avoid oral contraceptives: Research at the University of Maryland shows that oral contraceptives elevate a woman’s stroke risk. Another study showed the risk is small, increasing stroke risk for eight out of every 100,000 women. This occurs because oral contraceptives can raise blood pressure and also make blood more likely to clot. The good news is that when a woman stops taking oral contraceptives, this increase appears to fall away. What really matters, say the University of Maryland researchers, is whether or not other stroke risk factors are present, such as smoking. Their study found that for women with non-type O blood, taking oral contraceptives and being a smoker is particularly dangerous – quadrupling the possibility of suffering a stroke.4

  • Eat more vegetables and less processed food or sugar: Eat more vegetables, goji berries, and foods rich in gallic acid while reducing processed food and sugar intake. Research at Harvard indicates that eating a healthier plant-based diet can lower your stroke risk by 10 percent.5

  • Drink green tea and/or coffee: A study in Japan involving 46,000 people shows that drinking green tea or coffee daily reduces your stroke risk and the chances that you may die from a stroke or heart attack.6

  • Stay away from tobacco: Smoking dramatically increases your stroke risk.

  • Manage high blood pressure: When you suffer from high blood pressure, not only can this increase your risk of stroke, but high blood pressure alone can increase your risk of memory loss. And, if you also smoke while suffering with high blood pressure, your stroke risk skyrockets.7

The research is clear: By protecting your body against stroke of any kind, you’re not only protecting your heart, you’re protecting your brain and lowering your risk of eventually developing Alzheimer's disease or some other type of memory-robbing dementia.

Summary

Every 40 seconds, someone in the U.S. suffers a stroke, and the consequences may be more severe than previously thought. Studies show that ischemic strokes, which account for 87% of all strokes, can double the risk of dementia. For those who experience multiple strokes, the risk increases up to 8.5 times. However, research also highlights that simple lifestyle modifications—such as regular exercise, a healthy diet, and blood pressure control—can significantly reduce stroke risk and, in turn, lower the likelihood of developing dementia. Public health initiatives focusing on stroke prevention have already proven effective, demonstrating that proactive measures can protect both heart and brain health.

Frequently Asked Questions

How does having a stroke increase the risk of dementia?

A stroke can damage brain cells and disrupt essential cognitive functions, making dementia more likely, especially if multiple strokes occur.

Are all strokes equally dangerous in terms of dementia risk?

Ischemic strokes, which result from artery blockages, are particularly linked to a higher risk of dementia. The severity and frequency of strokes also play a role.

Can stroke-related dementia be prevented?

Yes, by maintaining a healthy lifestyle—exercising, eating well, managing blood pressure, and avoiding tobacco—one can lower the risk of both stroke and dementia.

Is there evidence that prevention efforts actually work?

Yes, studies have shown that public health programs emphasizing healthy habits have successfully reduced both stroke and dementia rates.

What are the best lifestyle changes to lower stroke and dementia risk?

Walking for at least 30 minutes daily, quitting smoking, eating more vegetables, drinking green tea or coffee, and managing blood pressure are all effective strategies.

  1. American Stroke Association. (2021, March 11). Risk of dementia rises significantly with severity and number of strokes [Conference presentation]. International Stroke Conference.
  2. Cerasuolo, J. O., Cipriano, L. E., Sposato, L. A., Kapral, M. K., Fang, J., Gill, S. S., Hackam, D. G., & Hachinski, V. (2017). Population-based stroke and dementia incidence trends: Age and sex variations. Alzheimer's & dementia : the journal of the Alzheimer's Association, 13(10), 1081–1088.
  3. Reinholdsson, M., Palstam, A., & Sunnerhagen, K. S. (2018). Prestroke physical activity could influence acute stroke severity (part of PAPSIGOT). Neurology, 91(16), e1461–e1467.
  4. Loyola University Health System. (2018, March 5). Birth control pills increase risk of ischemic stroke: But risk is very small for women without other stroke risk factors. ScienceDaily.
  5.  American Stroke Association. (2021, March 11). Non-O blood type may increase stroke risk among women who smoke, take oral contraceptives.
  6. Baden, M. Y., Shan, Z., Wang, F., Li, Y., Manson, J. E., Rimm, E. B., Willett, W. C., Hu, F. B., & Rexrode, K. M. (2021). Quality of Plant-Based Diet and Risk of Total, Ischemic, and Hemorrhagic Stroke. Neurology, 96(15), e1940–e1953.
  7. Stroke Journal Report. (2021, February 4). Drinking green tea, coffee lowers risk of death for stroke and heart attack survivors. American Heart Association.
  8. Huangfu, X., Zhu, Z., Zhong, C., Bu, X., Zhou, Y., Tian, Y., Batu, B., Xu, T., Wang, A., Li, H., Zhang, M., & Zhang, Y. (2017). Smoking, Hypertension, and Their Combined Effect on Ischemic Stroke Incidence: A Prospective Study among Inner Mongolians in China. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 26(12), 2749–2754.

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