6/19/2023 0 Comments A Final Stroke by Daniel May![]() ![]() For race, no racial differences in the diabetes–stroke association were reported in an initial investigation (1987–1995) from the Atherosclerosis Risk in Communities (ARIC) study ( 9) however, an updated analysis with additional follow-up found that the diabetes–stroke association was stronger among black adults than white adults ( 10, 11). In contrast, the recently updated Framingham Stroke Risk Function reported that the magnitude of the diabetes–stroke association was stronger among men than women ( 3). For sex, no differences were reported in several prospective cohort studies ( 4– 6), whereas two meta-analyses indicated the stroke risk associated with diabetes was greater among women than men ( 7, 8). Similarly, a stronger association at younger ages was reported in the recently updated Framingham Stroke Risk Function ( 3). In the Greater Cincinnati/Northern Kentucky Stroke Study (GCNKSS), the risk of stroke associated with diabetes was greater among adults aged <65 years compared with those aged ≥65 years. ![]() However, it is unclear what impact age, sex, and race may have on the association of diabetes with stroke risk, as several prior studies have reported different findings. Diabetes is an established risk factor for stroke ( 1) and is included in cardiovascular risk prediction models ( 2, 3). ![]()
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