There is good evidence that statin therapy is effective in patients with coronary artery disease or with other risk factors (e.g., diabetes). The use of statins based on lifestyle changes is recommended for primary prevention of ischemic stroke. Other lipid-modifying drugs, such as niacin derivatives, bile acid chelators, nixic acid and ezetimibe, do not reduce the risk of stroke. Diet is recommended to reduce sodium intake and increase potassium intake to reduce hypertension. A diet rich in fruits, vegetables and low-fat dairy products and reduced saturated fat is emphasized. A diet rich in fruits and vegetables is considered to reduce the risk of stroke. Increased physical activity is recommended for exercise intensity because of its ability to reduce the risk of stroke. It is recommended that adults should perform at least 150 min (2h30min) of moderate intensity or 75 min (1h15min) of high intensity aerobic exercise per week.