Stroke rates among younger adults have risen sharply, according to a new analysis covering nearly three decades. The study found that the number of strokes in people aged 20 to 54 nearly doubled over that period, a trend researchers say is alarming given that stroke is often thought of as a condition of older age.

The increase was largely driven by ischemic strokes, which occur when a blood vessel in the brain becomes blocked. The researchers also linked the rise to high blood pressure and diabetes, both of which have become more common in younger populations. However, the authors note that these factors do not fully explain the trend, and they are not certain why stroke rates have climbed so steeply.

The findings underscore the need for younger adults to monitor cardiovascular risk factors, even if they do not fit the traditional profile for stroke. The researchers call for further investigation into the causes behind the increase, particularly the role of lifestyle and metabolic changes over the past three decades.