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c.  Smoking


                                           Tobacco smoking was identified as one of the key modifiable risk

                                           factors for stroke in a study of stroke epidemiology and risk factor

                                           management. (Guzik and Bushnell, 2017). Smoking raises the risk
                                           of stroke through a variety of processes and is an acknowledged

                                           contributor  to  stroke  incidence.  Tobacco  smoke  contains

                                           substances  that  can  damage  blood  arteries  and  encourage  the
                                           formation of blood clots, such as nicotine and carbon monoxide.

                                           Inflammatory and oxidative strain are also caused by smoking,
                                           which contributes to the development of coronary artery disease

                                           or the formation of plaque in the arteries.


                                    d.  Place of living


                                           According to a study conducted in northern China, the prevalence

                                           of ischemic stroke was higher in rural areas than in urban ones (Li
                                           et al., 2019). There are a number of possible explanations for this

                                           difference.  One  probable  explanation  is  that  rural  and  urban
                                           inhabitants  have  different  lifestyles  and  socioeconomic

                                           considerations.  Rural  locations  frequently  have  a  greater

                                           frequency of stroke risk factors, such as  smoking,  a poor diet,
                                           physical inactivity, and restricted access to healthcare facilities.

                                           These factors may raise the risk of stroke in rural populations.


                                    e.  Obesity


                                          Overweight or obese people are more likely to have a stroke, with

                                          61.58% of stroke patients being overweight or obese Chen et al.
                                          (2022).  Individuals  who  carry  excess  weight  are  more  likely  to

                                          experience  a  stroke  compared  to  those  within  a  healthy  weight
                                          range.








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