Stroke, Vol 21, 1262-1267, Copyright © 1990 by American Heart Association
A Shinkawa, K Ueda, Y Hasuo, Y Kiyohara and M Fujishima
We investigated seasonal variation in the incidence of cerebral stroke
among the general population aged greater than or equal to 40 years in
November of 1961 in Hisayama, Japan. During the 24-year follow-up period,
311 cases of cerebrovascular diseases occurred. The date or month of onset
was determined in 308 cases, of which 51 were classified as intracerebral
hemorrhage, 223 as cerebral infarction, and 27 as subarachnoid hemorrhage.
We observed a significant seasonality in the incidence of all stroke (p
less than 0.01), of intracerebral hemorrhage (p less than 0.05), and of
cerebral infarction (p less than 0.01), whereas subarachnoid hemorrhage had
no significant seasonal pattern. Subjects less than 64 years of age showed
a significant seasonal variation in the incidence of both intracerebral
hemorrhage (p less than 0.05) and cerebral infarction (p less than 0.01). A
significant seasonal pattern for the incidence of intracerebral hemorrhage
was also noted among persons with hypertension (p less than 0.05) or a high
serum cholesterol level (p less than 0.05), whereas such a pattern for
cerebral infarction was documented among normotensive persons (p less than
0.05) and those with a low serum cholesterol level (p less than 0.01). In
addition, the incidences of intracerebral hemorrhage and cerebral
infarction were negatively correlated with mean ambient temperature (p less
than 0.01 and p less than 0.05, respectively), and all stroke and
intracerebral hemorrhage in men were significantly related to intradiurnal
temperature change (p less than 0.05 and p less than 0.01, respectively).
The significance of the seasonal occurrence of stroke is discussed in
relation to relevant risk factors.
ARTICLES
Seasonal variation in stroke incidence in Hisayama, Japan
Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
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