Seasonal Variations and Their Impact on Brain Stroke Risk

Seasonal Variations and Their Impact on Brain Stroke Risk

Did you know that the risk of brain stroke doesn’t remain constant throughout the year? A higher incidence of strokes was identified in winter and spring. Lower temperatures may increase the risk of strokes. Cold weather is associated with an increased risk of cardiac arrhythmias, including atrialfibrillation, elevated blood pressure, as well as serum lipids, proteins involved in blood clotting, and viscosity. Exacerbation of air pollution, including gases and particulate matter, during winter and spring might also contribute to the seasonal variation in stroke incidence. Understanding these seasonal trends can help individuals take preventative steps to manage their risk effectively.

For a detailed insight into 'Seasonal Variations and Their Impact on Brain Stroke Risk', experienced and well-known Dr. Neeharika L Mathukumalli, Sr. Consultant Neurophysicianat Star Hospitals, shares her expert perspective in this article.  Keep reading to learn more.

Dr. Neeharika L Mathukumalli, Sr. Consultant Neurophysician at
Star Hospitals Banjara Hills Hyderabad

1. What is a brain stroke, and why is it important to understand its causes?

A brain stroke, or cerebrovascular accident, is a serious medical emergency that happens when blood flow to part of the brain is interrupted or when a blood vessel in the brain bursts. Without a steady supply of oxygen and nutrients from the blood, brain cells can start to die within minutes. This can cause long-term disability, permanent brain damage, or even death if not treated quickly.

Several factors can lead to a brain stroke, which includes:

Diabetes: Elevated blood sugar levels can damage blood vessels over time, increasing the likelihood of a stroke.
Hypertension (High Blood Pressure): This is the most significant risk factor for stroke, as it can weaken arteries and lead to blockages or ruptures.
Morbid Obesity: Excess body weight is associated with conditions like hypertension and diabetes, which elevate stroke risk.
Physical Inactivity: Lack of regular exercise can contribute to obesity, high blood pressure, and high cholesterol, all of which are risk factors for stroke.
Dyslipidemia (Abnormal Blood Lipid Levels): High levels of LDL cholesterol or low levels of HDL cholesterol can lead to plaque buildup in arteries, increasing stroke risk.
Smoking: Tobacco use damages blood vessels, raises blood pressure, and reduces oxygen in the blood, all contributing to stroke risk.
Alcoholism: Excessive alcohol intake can increase blood pressure and contribute to other conditions that raise stroke risk. 
Heart Disease (Including Abnormal Heart Rhythms): Conditions like atrial fibrillation can cause clots in the heart that may travel to the brain leading to a stroke.
Transient Ischemic Attacks (TIAs): Often called "mini-strokes," TIAs are temporary blockages that serve as warning signs for potential full-blown strokes
Illicit Drug Use: Substances such as cocaine and amphetamines can cause sudden increases in blood pressure and lead to stroke.
Prior Stroke: Having experienced a stroke increases the risk of subsequent strokes.

2. How do changes in temperature during different seasons affect the risk of brain strokes?

Cold weather increases blood pressure and viscosity, while hot weather causes dehydration and thicker blood, both raising stroke risks. Extreme temperature changes and climate shifts further heighten the likelihood of strokes. Non-modifiable risk factors for brain strokes are aspects you cannot change, like your age, gender, race, or family history of stroke. If strokes run in your family or you have genetic predispositions, your risk may be higher. Understanding these factors can help in early prevention and management.

3. Why is the risk of brain stroke higher in winter compared to other seasons?

Colder weather can cause blood vessels to constrict, which raises blood pressure, a major risk factor for stroke. This leads to a higher chance of ischemic stroke, especially when temperatures drop suddenly. While the exact cause of ischemic stroke is still unclear, it's believed that cold weather can increase blood pressure, blood clotting, and affect the breakdown of clots, all of which contribute to the risk. 

4. Does hot weather in summer also increase the chances of brain strokes? If yes, how?

Extreme temperatures, whether very hot or very cold, can increase the risk of stroke by affecting blood pressure and heart conditions. High heat and humidity can lead to dehydration and increased clotting tendency of blood leading to brain stroke. It’s important to recognize that temperature extremes play a significant role in stroke occurrence. Remember, stroke is a medical emergency, and getting immediate treatment can greatly improve recovery chances.

5. Can sudden weather changes, like shifting from hot to cold, trigger a brain stroke?

Yes, sudden weather changes, like shifting from hot to cold, can trigger a brain stroke. A study presented at the American Heart Association International Conference found that not only cold weather but also rapid temperature changes and high humidity can increase the risk of stroke. For every five-degree temperature variation, the risk of hospitalization due to stroke increases by six percent. Additionally, as humidity raises, the stroke risk increases by two percent for every five-degree raise in the dew point.

6. Are older people more affected by seasonal variations when it comes to brain stroke risk?

Yes, older people are more affected by seasonal variations in brain stroke risk. A 1°C temperature change can increase the risk of ischemic stroke by 2.7% in those over 65. Older adults may also have difficulty regulating body temperature. Additionally, certain medications that affect blood pressure and circulation can raise stroke risk in the elderly.

7. Do lifestyle changes in different seasons, like less exercise in winter, increase stroke risks?

Yes, lifestyle changes in different seasons, like less exercise in winter, can increase stroke risks. In colder months, many people spend more time indoors and reduce physical activity. This lack of exercise makes blood vessels less flexible and reduces healthy blood flow, which can raise the risk of stroke. Regular exercise is important for maintaining overall heart and brain health, regardless of the season.

8. How can people protect themselves from brain strokes caused by seasonal changes?

To protect yourself from bran strokes caused by seasonal changes, consider the following lifestyle modifications:

Monitor Blood Pressure: Track your blood pressure at home and consult a doctor if you notice any concerning patterns, especially during colder months.
Stay Physically Active: Aim for at least 30 minutes of daily activity, even indoors, to keep your blood circulation optimal.
Avoid Alcohol Consumption: Avoid drinking to avoid dehydration and keep blood pressure stable.
Dress Warmly: Wear layers and cover your neck and chest to reduce strain on your heart in cold weather.
Reduce Salt Intake: Avoid processed foods high in sodium to help manage blood pressure.
Eat Well, Quit Smoking, and Sleep Well: A healthy diet, quitting smoking, and proper sleep support overall health.
Consult Your Doctor: If you have high blood pressure, check with your doctor about medication adjustments during weather changes. Seek medical care for respiratory infections like flu.

Adopting these habits can help manage stroke risks linked to seasonal changes. Star Hospitals is a leading healthcare provider known for its advanced medical care and expertise in various specialties. Book an appointment with our experts today for world-class treatment and personalized care.