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1、第二十四页：Metabolicsyndromehasbeenassociatedwithanincreasedriskofprevalentstroke.代谢综合征已与风险增加的普遍中风。IntheNationalHealthandNutritionExaminationSurvey,among10357subjects,482在全国健康和营养调查，其中10个357个科目，482theprevalenceofmetabolicsyndromewashigherinpersonswithaself-reported代谢综合征的患病率较高的人与自我报告historyofstroke(43.5%)
2、thaninsubjectswithnohistoryofCVD(22.8%;P0.001).历史的中风（43.5%）比科目没有历史的心血管疾病（22.8%；p）。Themetabolicsyndromewasindependentlyassociatedwithstrokehistoryinall代谢综合征是独立与中风史的所有ethnicgroupsandbothsexes(OR,2.16;95%CI,0.48to3.16).民族和性别（或，2.16；95%，0.48-3.16）。Recommendations建议1.Managementofindividualcomponentsofth
3、emetabolicsyndromeisrecommended,1。管理的各个组成部分的代谢综合征的建议，includinglifestylemeasures(ie,exercise,appropriateweightloss,properdiet)包括生活方式的措施（即，适当的锻炼，体重减轻，适当的饮食）andpharmacotherapy(ie,medicationsforloweringBP,loweringlipids,glycemic和药物治疗（即药物，降低血压，降低血脂，血糖control,andantiplatelettherapy)asreflectedintheNCEPAT
4、PIIIandtheJNC7,90andasendorsedorindicatedinothersectionsofthisguideline.(Refertorelevant控制，和抗血小板治疗）中所反映的ncepatp三并捷讯7,90和认可或表明在其他部分的这一方针。（参阅相关sectionsforClassesandLevelsofEvidenceforeachrecommendation.)部分类和水平的证据，每一项建议。）2.Theeffectivenessofagentsthatameliorateaspectsoftheinsulinresistance2。代理有效性，改善方面
5、的胰岛素抵抗syndromeforreducingstrokeriskisunknown(ClassIIb;LevelofEvidenceC).综合征减少中风的风险是未知的（类防爆；水平的证据，丙）。第二十五页：AlcoholConsumption酒精消费MoststudiessuggestaJ-shapedassociationbetweenalcoholconsumptionandthe大多数研究表明一个J形酒精消费之间的联系和riskoftotalandischemicstroke,withaprotectiveeffectinlightormoderate总的风险和缺血性中风，具有保
6、护作用的轻或中度drinkersandanelevatedriskwithheavyalcoholconsumption.8,492,493,497–504In饮酒和高风险的重型酒精消费。8492493497–504contrast,alinearassociationexistsbetweenalcoholconsumptionandriskof相反，一个线性协会之间的酒精消费和风险hemorrhagicstroke.LighttomoderatealcoholconsumptionisassociatedwithgreaterlevelsofHDLcholesterol,507–509r
7、educedplateletaggregation,lowerfibrinogenconcentrations,andincreasedinsulinsensitivityandglucosemetabolism.Heavyalcoholconsumptioncanresultinhypertension,hypercoagulability,reducedcerebralbloodflow,andincre
