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Determinants of the decline in mortality from acute stroke in England: linked national database study of 795 869 adults

BMJ 2019; 365 doi: https://doi.org/10.1136/bmj.l1778 (Published 22 May 2019) Cite this as: BMJ 2019;365:l1778

Linked editorial

More people are surviving after acute stroke

Re: Determinants of the decline in mortality from acute stroke in England: linked national database study of 795 869 adults

Perhaps an underlying dietary change may explain this reduced mortality.
It is at odds with the evidence of increasing obesity in the population.

I suspect that the phasing out of trans fatty acids from manufactured food may correlate with improved health generally.
In the case of stroke TFAs make cell walls stiffer and perhaps more prone to rupture.
There is a general reduction in heart attacks in US over an earlier period.
This was thought to be due to statins but may also have been a result reducing TFAs in the diet?
Is there any post mortem analysis of brain tissue for TFAs?

Competing interests: No competing interests

28 May 2019
Ron Horgan
Retired research chemist
Retired
Eaglemont Melbourne