There are several different causes of stroke, and sometimes lifestyle factors such as smoking, obesity and reduced exercise can contribute. Changes in diet and aspects of lifestyle can lower the occurrence of a stroke however some people may be more at risk of stroke than others depending on their risk factors.
Where can I find more information?
There are many resources available that can support with changing your lifestyle to reduce the risk of further stroke.
The Stroke Association provide a leaflet full of hints and tips on many aspects of lifestyle that can affect how you can make changes to reduce your risk of further stroke. The British Heart Foundation guidance explains clearly what happens in your body when you have a stroke - Stroke - Your Quick Guide BHF
Making changes to your lifestyle and more importantly maintaining changes is not always easy. Setting realistic goals and tracking your progress can be helpful. The NHS Better Health website provides a range of tools and apps that can help you do this.
Being overweight, having diabetes or pre-diabetes, high cholesterol, high blood pressure and atrial fibrillation can increase your risk of further stroke. To help you manage this risk factors we have shared some helpful resources that may help.
Being overweight increases your risk of having a stroke as it can increase your blood pressure and increase your risk of developing diabetes. The NHS Website has support on managing your weight which includes how to manage your weight if you are in a wheelchair.
The Stroke Association provides videos to support you to be more active (Stroke-Specific Exercise Video Programme | My Stroke Guide). The British Dietetic Association also provide advice on setting realistic goals and keeping on track with weight loss: Weight Loss. The British Heart Foundation has also developed a guide that can help with portion control of meals and making sense of reading labels. This might help with managing your weight Portion sizes and food labels - BHF.
Having diabetes nearly doubles your risk of a stroke. Diabetes can also increase your risk of developing other diseases e.g. heart disease, kidney disease. Having too much sugar in your blood can lead to damage of the blood vessels and increase the risk of the vessels becoming blocked. Managing your diabetes is a key factor in reducing your risk of cardiovascular diseases such as stroke. The Stroke Association have information on the link between diabetes and stroke. For more detailed information on living with diabetes and recipes, Diabetes UK offer further information Eating with diabetes | Guide to diabetes | Diabetes UK. If you need advice about how to manage your diabetes you can ask a nurse or dietitian-there may be one within the stroke team or at your GP practice.
Over time high blood pressure can lead to cardiovascular disease including strokes and heart disease and other conditions such as kidney disease and vascular dementia. High blood pressure can cause you to feel dizzy, have palpitations or headaches but does not always have symptoms, so the first sign might be a heart attack or stroke. It is important to check your blood pressure regularly to ensure your levels stay within the healthy range. You can get this done by a member of your stroke team, at your GP surgery and in some pharmacies. Find a pharmacy that offers free blood pressure checks. If you have a BP monitor at home, the NHS blood pressure checker website provides advice on making sense of your readings.
If your blood pressure is high, you might be prescribed medication (anti-hypertensives) to control your levels. However, you should also make any other positive changes to your diet to reduce your blood pressure. The British Dietetic Association provides evidence based information on how simple changes to your diet could reduce your blood pressure - High blood pressure and diet.
Atrial fibrillation (AF) is a heart condition that causes an irregular heartbeat and raises your risk of a stroke. AF can happen to anyone, including people who are otherwise fit and well. It usually affects adults, and your risk goes up with age. It’s more common in men, and people with conditions such as heart disease, diabetes, obesity, overactive thyroid, and high blood pressure. It’s also more common in smokers. If you have AF you will probably be prescribed medicines called anticoagulants to reduce your risk of stroke. The Stroke Association offer further information on AF and how to manage your risk of stroke with AF.
We all need cholesterol in our body but high levels of certain types of ‘bad’ cholesterol (LDL/low density lipoprotein or non-HDL/non-High Density Lipoprotein) in your blood is a risk factor for stroke and other cardiovascular events. Too much LDL cholesterol can lead to a build-up of fatty deposits in your blood vessels increasing your risk of a clot forming and therefore further stroke or heart disease. It is important to have your cholesterol levels checked after a stroke; this will usually be done in hospital and your GP practice should review this once you are home. The Stroke Association provide information on understanding cholesterol levels.
Making changes to your diet can reduce your LDL cholesterol levels and the British Dietetic Association provide some useful information on what changes will make a difference, food fact sheet - BDA. You may also be provided with medication such as a statin to reduce your LDL cholesterol. For information about medication, diet and understanding your cholesterol levels the British Heart Foundation and Heart UK have further resources:
Although stress does not cause a stroke it may affect blood pressure which can lead to a stroke. Anxiety and depression may affect your ability to look after your general health which may increase your risk factors for stroke. Seeking support for emotional problems can help you to relax and manage emotions. The following resources can help and there is more information on our emotions and mental health page.
- Emotional changes - Stroke Association
- Rethink mental illness Support Groups (rethink.org)
- Healthy minds services Support finder – Healthy Minds
If you are already under the care of your local community stroke team, you can ask them more about this topic at your next visit.
Support in Your Area
For support in your area that can help you improve lifestyle factors you can find information, resources activity groups here:
Live Well Bradford
Home - Living Well
Telephone 01274 438884 Email hello
Provides information, tools and information on activity groups in Bradford and District.
Cook Well for Less
Cook Well For Less | Keighley Healthy Living | West Yorkshire
Telephone 01535 677177 Email: admin
A four week cooking course, starting from the fundamentals. Fun and friendly sessions design recipes.
The Cooking Hub
Cooking Hub – Inn Churches
Telephone 01274 955010 Email: hello
A cooking course provider in Bradford, offering fund cooking classes suitable for people of all abilities.
There are a number of services across the area that provide practical, online and in person advice and support to help you to quit smoking
Yorkshire Smoke free Service
Telephone 0800 612011 (free from landlines) 0330 6601166 (free from most mobiles)
Leeds Stop Smoking Services
Leeds Stop Smoking Services
Telephone 0800 1694219
Calderdale and Huddersfield Smoking Cessation Service
Smoking cessation - CHFT
Telephone : 0800 6120011
Smoke free advisors offer telephone support for people living in Calderdale, Wakefield, Sheffield, Barnsley or Doncaster.
Living Well – Smoke free
Stopping smoking | North Yorkshire Council
Telephone: 0300 1312131 ( North Yorkshire ) 01274 437700 ( Bradford)
Email hello
Provide information for stopping smoking, stop smoking clinics across North Yorkshire and access to a local stop smoking advisor, nicotine replacement therapy.
Misuse of illegal drugs can increase the risk of a stroke by causing damage to the blood vessels and raising the blood pressure abruptly. You can find help in your area to support you with reducing use of alcohol and drugs:
- North Yorkshire Horizons: North Yorkshire Horizons - Adult Alcohol and Drug Recovery Service. Rated Outstanding by the CQC. Call 01723 330730
- Forward Leeds: Seacroft - Forward Leeds
- New Vision Bradford: New Vision Bradford
- Turning Point, Wakefield: Turning Point Inspiring Recovery
- Calderdale in Recovery: Calderdale in Recovery - Help with Drink and Drug Services
- Change, grow Live – Kirklees: Drug and Alcohol Service - Kirklees
- Better Living Stroke Service , Calderdale- exercise groups: Health, Wellbeing & Fitness Groups and Classes – Calderdale Forum 50 Plus
- Walking Yoga, Bradford: Age UK Bradford and District -| Activities and events
- Age UK Walking football , Bradford: Walking Football | Age UK
- Over50’s exercise class, Bradford: Over 50'S Exercise Class - Grange Interlink
- Exercise after stroke, Harrogate: Where to Turn | Harrogate & District Community Action
- Different strokes – Leeds. Exercise groups and social support for people under 65 years: Leeds Central Support Group | Different Strokes
- Ilkley and Skipton Stroke Rehabilitation Classes: Get Moving for Rehabilitation - Eat, Move, Be Happy
- Eat, move, be happy – Ilkey & Skipton: Get Moving Exercise Classes - Eat, Move, Be Happy
- BEEP (Bradford Encouraging Exercise in People) - Living Well
- Aspire Health Referral - Wakefield Council
- Thornes park disabled cycling Wakefield
- Wheels for fun, Leeds
- Countryside access and activities - Wakefield, Harrogate and district: Open Country
- Exercise groups, Harrogate and district: Active health scheme – Brimhams Active
- Street Bikes – Spenborough running track: Streetbikes Mixed Ability Cycling Spenborough
- Talking therapies Kirklees: Kirklees Talking Therapies - South West Yorkshire Partnership NHS Foundation Trust
- Mental Wellbeing Service, Leeds: Leeds Community Healthcare NHS Trust
- Turning point Talking Therapy, Wakefield: Referral Form (mayden.co.uk)
- Bradford district and Craven Talking Therapies: Bradford and Craven Talking Therapies (bdctalkingtherapies.nhs.uk)
- A guide to mental health in Bradford: Mental Health - Welcome to Bradford
- Rethink mental illness: Support Groups (rethink.org)
- Healthy minds services: Support finder – Healthy Minds
- Bradford District Care Trust: BDCT Services
- Mindwell Leeds: MindWell (mindwell-leeds.org.uk)
- North Yorkshire: Adult Mental Health - NHS North Yorkshire CCG
Connecting with your local community and engaging in hobbies and interests can provide significant health benefits and support improve mood. For further information please see hobbies and interest section.
Advice for Health Care Professionals
This will be a link to HCP section (coming soon), which will include:
- Referral forms to weight management service
- Making every contact count training - Free Making Every Contact Count training can be accessed here to support anyone to make small changes that will help to reduce their blood pressure
- Personalised care training
Audio Visual Resources