No significant effect was found on cardiovascular events , mortality , diastolic blood pressure , or cholesterol .
Conclusions — We found that lifestyle interventions are effective in lowering systolic blood pressure .
About other end points , this systematic review found no effect of lifestyle interventions on cardiovascular event rate mortality , diastolic blood pressure , or total cholesterol
Background and Purpose — Patients with a transient ischemic attack or ischemic stroke have an increased risk of subsequent cardiovascular events .
The purpose of this systematic review and meta- analysis was to determine whether lifestyle interventions focusing on behaviorally modifiable risk factors with or without an exercise program are effective in terms of ( 1 ) preventing recurrent cardiovascular events , ( 2 ) reducing mortality , and ( 3 ) improving modifiable risk factors associated with cardiovascular disease in patients after a transient ischemic attack or ischemic stroke .
Feasibility, safety and efficacy of an early aerobic rehabilitation program for patients after minor ischemic stroke: A pilot randomized controlled trial.
OBJECTIVE To examine the feasibility , safety and effectiveness of an early aerobic rehabilitation program for patients after minor ischemic stroke . DESIGN R and omized control trial . METHODS Twenty-eight patients , 1 - 3 weeks post minor ischemic stroke ( modified Rankin scale ; mRS ≤ 2 ) , were r and omly assigned to intervention or control groups . Measures were taken at weeks 1 and 6 . All participants were instructed in home practice to achieve strength and flexibility , and were asked to continue their normal community routine . Intervention group participants performed a supervised exercise training program twice a week for 6 weeks .  Exercise capacity was evaluated by the 6-minute walk distance test ( 6MWD ) , and the modified Bruce treadmill test . RESULTS Eight subjects out of 14 participated in all 12 training sessions , one at less than 50 % of the sessions , while five reached the highest stage of the program . No adverse events were noted during the intervention period . In the intention to treat analysis a significant improvement over time was seen for the functional parameters only . No interaction ( group*time ) was found . According to the per protocol analysis a significant interaction effect was found ; only the intervention group participants showed a significant clinical change in the 6MWD test ( 412 ± 178 meters to 472 ± 196 meters , vs the control group 459 ± 116 meters to 484 ± 122 meters , p < 0.01 ) . CONCLUSIONS An early supervised aerobic training after minor ischemic stroke is feasible and well tolerated and , in a per- protocol analysis , was associated with improved walking endurance . Further studies with a larger sample size are needed to assess the effect of such a program on functional abilities , prevention of risk factors , and recurrent stroke
No significant effect was found on cardiovascular events , mortality , diastolic blood pressure , or cholesterol .
Conclusions — We found that lifestyle interventions are effective in lowering systolic blood pressure .
About other end points , this systematic review found no effect of lifestyle interventions on cardiovascular event rate mortality , diastolic blood pressure , or total cholesterol
Background and Purpose — Patients with a transient ischemic attack or ischemic stroke have an increased risk of subsequent cardiovascular events .
The purpose of this systematic review and meta- analysis was to determine whether lifestyle interventions focusing on behaviorally modifiable risk factors with or without an exercise program are effective in terms of ( 1 ) preventing recurrent cardiovascular events , ( 2 ) reducing mortality , and ( 3 ) improving modifiable risk factors associated with cardiovascular disease in patients after a transient ischemic attack or ischemic stroke .