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In the United States, strokes are a top cause of death and a major cause of disability, according to the American Stroke Association. This is a scary reality, especially since many of the stroke risk factors are pretty silent (like high cholesterol and high blood pressure) ― until they’re not.

But just because some of the risk factors aren’t always obvious doesn’t mean strokes can’t be controlled. In fact, it’s estimated that 80% of strokes are preventable through lifestyle changes like exercise, diet, and more, according to the Centers for Disease Control and Prevention.

No one knows that more than the experts who treat the issue. Stroke doctors say they think a lot about the key ways to lower their risk (and their patients’ risk) of stroke.

“I like to think of it more proactively — what I could do to prevent stroke,” said Dr. Anthony Kim, a vascular neurologist and medical director of the University of California at San Francisco Stroke Center.

Below, stroke doctors share the habits they personally avoid ― and why you should avoid them, too.

Have A Sedentary Lifestyle

According to Dr. Arthur Wang, director of endovascular neurosurgery at Tulane University School of Medicine, one of the modifiable risk factors for stroke is having a sedentary lifestyle.

While there isn’t one across-the-board definition of a sedentary lifestyle, overall, it means spending too much time sitting or lying down and not enough time exercising or moving around.

“It’s been shown that regular physical activity helps keep your blood vessels clog-free. It stops the buildup of plaque in the arteries,” Wang said. “And so we generally recommend that people get probably 30 minutes of moderate exercise maybe five times a week.”

This could mean going for walks, runs, biking, gardening, or joining a group workout class — there is no wrong way to get moving.

Ignore High Blood Pressure

“It turns out that a lot of the same things that we would recommend for a healthy lifestyle also reduce the risk of both heart disease and stroke,” Kim said. “But if there’s one factor that is the most impactful it would be blood pressure, blood pressure, blood pressure.”

Elevated blood pressure, particularly over time, can lead to problems, he said: High blood pressure is the biggest modifiable

stroke risk facto

“If you took a magic wand and waved it and suddenly eliminated high blood pressure from the U.S. population, there would be 60% fewer strokes,” Kim said. “It’s by far the leading risk factor for stroke and we call it the silent killer because oftentimes, patients don’t feel it; you have to have it checked and monitored and treated.”

If you took a magic wand and waved it and suddenly eliminated high blood pressure from the U.S. population, there would be 60% fewer strokes.Dr. Anthony Kim, University of California, San Francisco, Stroke Center

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It’s important to lead an active lifestyle, eat nutritious foods, and manage things like your blood pressure, doctors say.

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