We defined stroke risk factors at the first assessment, including: diabetes diagnosed by a doctor (field #2443), BMI (field #21001), current smoking (field #20116), hypertension, family history of stroke, and LDL cholesterol. For hypertension we used an expanded definition including self-reported high BP (either on BP medication, data fields #6177, #6153; or SBP > 140 mm Hg, fields #4080, #93; or DBP > 90 mm Hg, data fields #4079, #94) as well as hospital records; for registry cases, we use HESIN (hospital admission) and death registry data including both primary and secondary diagnoses/causes of death (HESIN: ICD9 401–405, ICD10 I10–I15; death: ICD10 I10–I15, data fields #40001, #40002). For family history of stroke, we considered history in any first-degree relative (father, mother, sibling; fields #20107, #20110, and #20111, respectively).