Heart healthPreventive careStroke

5 lifestyle changes to dramatically lower stroke risk

Try these tips to help prevent strokes.

Jan, 20263 min read
LearnNeurologyIschemic stroke5 lifestyle changes to dramatically lower stroke risk
  • The golden health rules to reduce stroke
  • Why it works

Did you know that, of the most common type of stroke, 80 percent are preventable? There are a number of lifestyle changes you can make to help reduce your risk.

While you may already include some of these in your daily routine, your risk of stroke drops dramatically if you do all five. 

  • Walk briskly every day 
  • Maintain a healthy weight 
  • Avoid cigarette smoke 
  • Enjoy alcohol only in moderation 
  • Eat as nutritiously as you can 

The golden health rules to reduce stroke 

In a large, landmark 2008 study of men and women in their 50s published in Circulation, those who stuck most closely to these five basic health habits were 80 percent less likely to have an ischemic stroke, the kind that occurs when a clot blocks blood flow to the brain. This group of people got in about 30 minutes a day of moderate or vigorous exercise, such as brisk walking, dancing, or cycling. Each had a body mass index (BMI) below 25. Their diet mainstays were fruit, veggies, whole grains, and lean protein. And the women had no more than one alcoholic drink per day, while the men had no more than two. 

The more healthful lifestyle factors you can rack up, the lower your risk of stroke. But even adopting one or two of these habits could be beneficial.

Take exercise, for example. A study published in JAMA Network Open in 2021 suggested that the more time spent doing physical activity—and the less time spent being sedentary—the better. Researchers analyzed the activity habits of more than 7,600 middle-aged adults and found that those who did the most amount of moderate-intensity physical activity each day had a 43 percent lower risk of stroke than those who did the least. What’s more, those who were least active had the highest chances of stroke.

Even walking can help reduce the risk of stroke. The key is to walk with intention: Research shows that the faster you walk, the greater benefit you get in terms of stroke risk reduction. One meta-analysis of seven studies published in 2020 in the Journal of Sport and Health Science found that each increase in walking speed of 1 kilometer per hour (roughly 0.6 miles per hour) was linked to a reduction in stroke risk of 13 percent. 

Why it works 

These five lifestyle changes not only help prevent stroke itself, but also the conditions that lead to stroke, including high blood pressure and diabetes. Cigarette smoke, heavy alcohol consumption, and obesity are also known stroke risk factors.

Here’s how to overcome some common obstacles and turn these suggestions into real-life habits. 

  • It’s too cold to walk outside. The remedy? Try a simple workout you can do in your living room. 
  • Eating healthfully is too expensive. No doubt that the price of fresh foods can add up. Discover how to enjoy a nutritious diet while saving at the supermarket. 
  • It’s hard to lose weight, no matter what I do. We understand: Maintaining a healthy weight takes time, attention, and real effort. Find out how to drop pounds with science-backed tips
  • Quitting smoking is impossible. The good news is that you’re not alone. Learn how to tell when you’re ready to kick the habit. 
  • One drink, two drinks—what’s the difference? It can be easy to let things slide at cocktail hour, but it’s important to be mindful of smart limits. Get the scoop on healthy alcohol consumption.
Sources: American Heart Association Recommendations for Physical Activity in Adults and Kids. Last reviewed Apr 18 + 7
  1. American Heart Association Recommendations for Physical Activity in Adults and Kids. Last reviewed Apr 18, 2018.
  2. Chiuve SE, Rexrode KM, et al. Primary prevention of stroke by healthy lifestyle. Circulation. 2008;118(9):947-954.
  3. Hooker SP, Diaz KM, Blair SN, et al. Association of Accelerometer-Measured Sedentary Time and Physical Activity With Risk of Stroke Among US Adults. JAMA Netw Open. 2022;5(6).
  4. Centers for Disease Control and Prevention. Preventing Stroke Deaths: Progress Stalled. Page last reviewed: September 6, 2017.
  5. Meschia JF, Bushnell C, Boden-Albala B, et al. Guidelines for the primary prevention of stroke: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014;45(12):3754-3832.
  6. Kleindorfer D, Twofighi A, Chaturvedi S, et al. 2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association. Stroke. 2021;52:e364–e467.
  7. Quan M, Xun P, Wang R, He K, Chen P. Walking pace and the risk of stroke: A meta-analysis of prospective cohort studies. J Sport Health Sci. 2020;9(6):521-529.
  8. Hayes S, Forbes JF, Celis-Morales C, et al. Association Between Walking Pace and Stroke Incidence: Findings From the UK Biobank Prospective Cohort Study. Stroke. 2020;51(5):1388-1395.
Written byMichael Gollust.
Medically reviewed byAnn Wendling, MD, MPH.March, 2025
Updated onJanuary, 2024
ask-md
AskMD
Concerned about your heart health?
Written byMichael Gollust.
Medically reviewed byAnn Wendling, MD, MPH.March, 2025
Updated onJanuary, 2024
  • The golden health rules to reduce stroke
  • Why it works
ask-md
AskMD
Questions about blood pressure?
Sources: American Heart Association Recommendations for Physical Activity in Adults and Kids. Last reviewed Apr 18 + 7
  1. American Heart Association Recommendations for Physical Activity in Adults and Kids. Last reviewed Apr 18, 2018.
  2. Chiuve SE, Rexrode KM, et al. Primary prevention of stroke by healthy lifestyle. Circulation. 2008;118(9):947-954.
  3. Hooker SP, Diaz KM, Blair SN, et al. Association of Accelerometer-Measured Sedentary Time and Physical Activity With Risk of Stroke Among US Adults. JAMA Netw Open. 2022;5(6).
  4. Centers for Disease Control and Prevention. Preventing Stroke Deaths: Progress Stalled. Page last reviewed: September 6, 2017.
  5. Meschia JF, Bushnell C, Boden-Albala B, et al. Guidelines for the primary prevention of stroke: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014;45(12):3754-3832.
  6. Kleindorfer D, Twofighi A, Chaturvedi S, et al. 2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association. Stroke. 2021;52:e364–e467.
  7. Quan M, Xun P, Wang R, He K, Chen P. Walking pace and the risk of stroke: A meta-analysis of prospective cohort studies. J Sport Health Sci. 2020;9(6):521-529.
  8. Hayes S, Forbes JF, Celis-Morales C, et al. Association Between Walking Pace and Stroke Incidence: Findings From the UK Biobank Prospective Cohort Study. Stroke. 2020;51(5):1388-1395.

Recommended for you

Neurology
5 ways to lower your stroke risk now
Slideshow
Neurology
5 healthy habits to help prevent a stroke
Video
Neurology
Updated guidelines offer new advice on how to prevent strokes
Article
Neurology
How walking may help lower stroke risk
Article
Neurology
What you need to know about stroke
Article
AskMDHow can I be more consistent?
AskMd LogoAskMd Logo
Privacy policyConsumer health data privacyTerms of use
Cookie policyYour privacy choices

© 2026 Sharecare, Inc.