RT Journal Article T1 Recommendations of the Spanish Society of Neurology for the prevention of stroke. Interventions on lifestyle and air pollution A1 Garcia Pastor, A. A1 Lopez-Cancio Martinez, E. A1 Rodriguez-Yanez, M. A1 de Lecinana, M. Alonso A1 Amaro, S. A1 Arenillas, J. F. A1 Ayo-Martin, O. A1 Castellanos, M. A1 Fuentes, B. A1 Freijo, M. M. A1 Gomis, M. A1 Gomez Choco, M. A1 Martinez Sanchez, P. A1 Morales, A. A1 Palacio-Portilla, E. J. A1 Segura, T. A1 Serena, J. A1 Vivancos-Mora, J. A1 Roquer, J. A1 Soc Espanola Neurologia, K1 Stroke K1 Prevention K1 Lifestyle K1 Air pollution K1 Environmental tobacco-smoke K1 Cigarette-smoking K1 Ischemic-stroke K1 Cardiovascular-disease K1 Mediterranean diet K1 Physical-activity K1 Incident stroke K1 Risk-factor K1 Association K1 Mortality AB Objective: To update the recommendations of the Spanish Society of Neurology regarding lifestyle interventions for stroke prevention.Development: We reviewed the most recent studies related to lifestyle and stroke risk, including randomised clinical trials, population studies, and meta-analyses. The risk of stroke associated with such lifestyle habits as smoking, alcohol consumption, stress, diet, obesity, and sedentary lifestyles was analysed, and the potential benefits for stroke prevention of modifying these habits were reviewed. We also reviewed stroke risk associated with exposure to air pollution. Based on the results obtained, we drafted recommendations addressing each of the lifestyle habits analysed.Conclusions: Lifestyle modification constitutes a cornerstone in the primary and secondary prevention of stroke. Abstinence or cessation of smoking, cessation of excessive alcohol consumption, avoidance of exposure to chronic stress, avoidance of overweight or obesity, a Mediterranean diet supplemented with olive oil and nuts, and regular exercise are essential measures in reducing the risk of stroke. We also recommend implementing policies to reduce air pollution. (C) 2020 Sociedad Espanola de Neurologia. Published by Elsevier Espana, S.L.U. PB Elsevier espana slu SN 0213-4853 YR 2021 FD 2021-06-01 LK https://hdl.handle.net/10668/24915 UL https://hdl.handle.net/10668/24915 LA es DS RISalud RD Apr 4, 2025