Volume 15, Issue 9, Pages (August 2016)

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Volume 15, Issue 9, Pages 913-924 (August 2016) Global burden of stroke and risk factors in 188 countries, during 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013 Prof Valery L Feigin, MD, Gregory A Roth, MD, Prof Mohsen Naghavi, MD, Priya Parmar, PhD, Rita Krishnamurthi, PhD, Sumeet Chugh, MD, George A Mensah, MD, Prof Bo Norrving, MD, Ivy Shiue, PhD, Marie Ng, PhD, Kara Estep, BA, Kelly Cercy, BA, Prof Christopher J L Murray, MD, Prof Mohammad H Forouzanfar, PhD The Lancet Neurology Volume 15, Issue 9, Pages 913-924 (August 2016) DOI: 10.1016/S1474-4422(16)30073-4 Copyright © 2016 Elsevier Ltd Terms and Conditions

Figure 1 Stroke-related DALYs attributable to all modifiable risk factors combined for both sexes in 2013 DALY=disability-adjusted life-year. The Lancet Neurology 2016 15, 913-924DOI: (10.1016/S1474-4422(16)30073-4) Copyright © 2016 Elsevier Ltd Terms and Conditions

Figure 2 Top risk factors ranked by number of DALYs attributable to stroke for both sexes combined in 21 regions in 2013 For the list of countries included within these regions, please see the appendix (pp 1–2). DALY=disability-adjusted life-year. The Lancet Neurology 2016 15, 913-924DOI: (10.1016/S1474-4422(16)30073-4) Copyright © 2016 Elsevier Ltd Terms and Conditions

Figure 3 Global distribution of leading risk factors for stroke-related DALYs in 2013 Maps show the five leading risk factors for stroke-related DALYs (as established by PAF) for both sexes combined in 2013: high systolic blood pressure (A), diet low in fruit (B), high body-mass index (C), diet high in sodium (D), and smoking (E). DALY=disability-adjusted life-year. PAF=population-attributable fraction. The Lancet Neurology 2016 15, 913-924DOI: (10.1016/S1474-4422(16)30073-4) Copyright © 2016 Elsevier Ltd Terms and Conditions

Figure 4 Stroke-related, age-standardised DALYs attributable to behavioural, environmental, and metabolic risk clusters by sex in 2013 DALY=disability-adjusted life-year. The Lancet Neurology 2016 15, 913-924DOI: (10.1016/S1474-4422(16)30073-4) Copyright © 2016 Elsevier Ltd Terms and Conditions