In the December 9/23, 2002, issue of the ARCHIVES, in a prospective study by Kurth et al1 it was clearly demonstrated that excess weight is a strong predictor of stroke (total, ischemic, and hemorrhagic) in men. Even though obesity is regarded as a modifiable risk factor of cardiovascular disease, it has been neglected in the overall stroke risk estimation over the past years.2 Moreover, debatable data have been reported considering obesity and stroke in studies involving men and women.3 In this regard, Dey et al4 have recently shown that high values of waist circumference (≥99 cm) and body mass index (≥28 [calculated as weight in kilograms divided by the square of height in meters]) increase the risk for stroke in 70-year-old men but not in women.
Milionis HJ, Goudevenos J, Seferiadis K, Elisaf MS. Associations Between Body Mass Index and Risks in Elderly Patients With a First-Ever Acute Ischemic Stroke. Arch Intern Med. 2003;163(8):980. doi:10.1001/archinte.163.8.980-a