Purpose: to study the risk factors of cerebral strokes among the adult population of Kyiv in the pre-war and war periods. Object and methods of the study. The study materials were based on the data of sectoral statistical reporting for the city of Kyiv from 2016 to 2023 and our own comparative study on the analysis of identified risk factors and comorbidities in patients with cerebral strokes in the pre-war and war periods. Results. The analysis of risk factors in the group of patients recruited during martial law to the group of patients of the pre-war period revealed an increase in the percentage of patients with a number of medical and non-medical factors, where the most significant was an increase of 1,09 times the number of arterial hypertension, 1.04 times — dyslipoproteinemia, 3.2 times — coronary heart disease, 1.7 times — obesity, 2 times — excessive alcohol consumption and 4.3 times — chronic or acute stress on the eve of stroke. Conclusion. An increase in the frequency of a number of risk factors for cerebral stroke during the war period led to a deterioration in epidemic indicators of stroke in the city and requires strengthening of preventive work at the primary level of medical care.