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Efforts to reduce the number of heart attacks and strokes are being stalled by weight gain and increasing diabetes prevalence, analysis of Scottish health data suggests.
But progress in further reducing cardiovascular disease has been hampered by increasing body mass index (BMI) and diabetes prevalence over the same period.
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The number of heart attacks in Scotland fell from 1069 per 100,000 people in 1990 to 276 per 100,000 people in 2014.
Ischaemic strokes, which are caused by a blood clot in the brain, fell from 608 per 100,000 people to 188 per 100,000 people over the same period.
The study found that 74 per cent of this fall in heart attacks and 68 per cent of the reduction in strokes could be accounted for by changes in risk factor prevalence.