Fewer than one in 100 stroke survivors meet all of Life’s Simple 7 goals for ideal cardiovascular health identified by the American Heart Association. Moreover, the proportion who fail to meet almost all of the criteria is on the rise, according to preliminary research presented at the American Stroke Association’s International Stroke Conference 2018, a world premier meeting dedicated to the science and treatment of cerebrovascular disease for researchers and clinicians.

Life’s Simple 7 was developed to monitor healthy behaviors: not smoking, getting regular physical activity, eating a healthy diet, and achieving normal BMI, blood pressure, blood sugar, and total cholesterol.

In a nationally representative sample of 67,514 US adults, 1,597 had prior stroke and had data for all 7 measures. Researchers reported that fewer than one in five stroke survivors met at least 4 ideal health metrics during the study period. The proportion who met none or just one of the ideal health indicators increased from 18% in 1988-1994 to 35% in 2011-2014.

Other changes between 1988-1994 and 2011-2014:

•rates of high blood pressure decreased from 45% to 26%;

•rates of high cholesterol decreased from 37% to 10%;

•rates of obesity increased from 27% to 39%;

•rates of prediabetes/diabetes increased from 49% to 56%; and

•proportion with a poor diet increased from 14% to 51%.

After adjusting for other risk factors, stroke survivors meeting zero or one of the ideal Life’s Simple 7 metrics were more likely to be black, living in poverty, and not graduated from high school. These results highlight the need for targeted interventions to improve cardiovascular health, researchers said.