Reference is no longer made to an low-density lipoprotein target for statin therapy because the decision to use moderate or intensive statin therapy depends on estimated risk of future cardiovascular events. Diet and nutrition A Mediterranean diet supplemented with nuts may be considered in lowering the risk of stroke (Class IIb; Level of Evidence B). New recommendation Hypertension Regular blood pressure screening and appropriate treatment of patients with hypertension, including lifestyle modification and pharmacological therapy, are recommended (Class I; Level of Evidence A). Annual blood pressure screening for high blood pressure and health-promoting lifestyle modification are recommended for patients with prehypertension (systolic blood pressure of 120 139 mmHg or diastolic blood pressure of 80 89 mmHg) (Class I; Level of Evidence A). New recommendations Successful reduction of blood pressure is more important in reducing stroke risk than the choice of a specific agent, and treatment should be individualized on the basis of other patient characteristics and medication tolerance (Class I; Level of Evidence A). New recommendation Self-measured blood pressure monitoring is recommended to improve blood pressure control (Class I; Level of Evidence A) New recommendation Obesity and body fat distribution Among overweight (body mass index=25 to 29 kg/m2 ) and obese (body mass index >30 kg/m2 ) individuals, weight reduction is recommended for lowering blood pressure (Class I; Level of Evidence A). Overweight and obesity have now been defined on the basis of body mass index (Continued) Obesity and body fat distribution cont'd Among overweight (body mass index=25 to 29 kg/m2 ) and obese (body mass index >30 kg/m2 ) individuals, weight reduction is recommended for reducing the risk of stroke (Class I; Level of Evidence B). 