Ekavi N Georgousopoulou1,2, Duane D Mellor2, Nenad Naumovski2, Evangelos Polychronopoulos1, Stefanos Tyrovolas1,3, Suzanne Piscopo4, Giuseppe Valacchi5,6, Foteini Anastasiou7, Akis Zeimbekis8, Vassiliki Bountziouka1, Efthimios Gotsis1, George Metallinos1, Dimitra Tyrovola1, Alexandra Foscolou1, Josep-Antoni Tur9, Antonia-Leda Matalas1, Christos Lionis7, Labros Sidossis1,10, Demosthenes Panagiotakos1. 1. Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece. 2. Department of Nutrition-Dietetics, University of Canberra, Faculty of Health, Canberra, Australia. 3. Parc Sanitari Sant Joan de Déu, Fundació Sant Joan de Déu, CIBERSAM, Universitat de Barcelona, Barcelona, Spain. 4. Department of Health, University of Malta, Nutrition, Family and Consumer Studies Office, Msida, Republic of Malta. 5. Department of Life Sciences and Biotechnology, University of Ferrara, Ferrara, Italy. 6. Animal Science Department, Plants for Human Health Institute, North Carolina State University, Kannapolis, NC, USA. 7. Clinic of Social and Family Medicine, School of Medicine, University of Crete, Heraklion, Greece. 8. Health Center of Kalloni, General Hospital of Mitilini, Mitilini, Greece. 9. Research Group on Community Nutrition and Oxidative Stress, Universitat de les Illes Balears & CIBERobn, E-07122 Palma de Mallorca, Spain. 10. Department of Medicine, Robert Wood Johnson Medical School, Rutgers University, New Jersey, USA.
Abstract
BACKGROUND: Adherence to a Mediterranean dietary pattern is a well-established protective factor against cardiovascular disease (CVD). However, diet quality is only one aspect of the overall healthy lifestyle adopted by Mediterranean populations. The latter has never been evaluated as a multi-factorial composite lifestyle. Thus, the aim of the present study was to provide a broader picture of the Mediterranean lifestyle and its effects on CVD risk, among elderly individuals. METHODS: During 2005-2015, 2,749 older (aged 65-100 years) from 21 Mediterranean islands (MEDIS) and the rural Mani region (Peloponnesus) of Greece were voluntarily enrolled onto the study. Dietary habits, physical activity status, socio-demographic characteristics, lifestyle parameters (sleep, smoking habits, social life and educational status) and clinical profile aspects were derived through standard procedures. RESULTS: The overall prevalence of the traditional CVD risk factors were 62.3% for hypertension, 22.3% for diabetes mellitus (type 2) and 47.7% for hypercholesterolemia. The presence of diabetes mellitus was positively predicted by the geriatric depression scale (GDS) [odds ratio (OR) =1.13, 95% confidence interval (CI): 1.02-1.25] and by an urban residential environment (OR =2.57, 95% CI: 1.10-6.06) after adjusting for several confounders. Presence of hypertension was predicted by increasing age (OR =1.07, 95% CI: 1.02-1.12), increasing body mass index (BMI) (OR =1.12, 95% CI: 1.04-1.21), the habit of midday sleep (OR =2.07, 95% CI: 1.07-4.02) and inversely predicted by the frequency of socializing with friends (OR =0.767, 95% CI: 0.616-0.955). The estimated score in the GDS was the only independent positive predictor for the presence of hypercholesterolemia (OR =1.10, 95% CI: 1.01-1.21). CONCLUSIONS: Lifestyle parameters such as social life, midday sleep (siesta) and residential environment are strongly associated with the presence of CVD risk factors in elderly and should be part of broader CVD prevention strategies to reduce the burden of the disease.
BACKGROUND: Adherence to a Mediterranean dietary pattern is a well-established protective factor against cardiovascular disease (CVD). However, diet quality is only one aspect of the overall healthy lifestyle adopted by Mediterranean populations. The latter has never been evaluated as a multi-factorial composite lifestyle. Thus, the aim of the present study was to provide a broader picture of the Mediterranean lifestyle and its effects on CVD risk, among elderly individuals. METHODS: During 2005-2015, 2,749 older (aged 65-100 years) from 21 Mediterranean islands (MEDIS) and the rural Mani region (Peloponnesus) of Greece were voluntarily enrolled onto the study. Dietary habits, physical activity status, socio-demographic characteristics, lifestyle parameters (sleep, smoking habits, social life and educational status) and clinical profile aspects were derived through standard procedures. RESULTS: The overall prevalence of the traditional CVD risk factors were 62.3% for hypertension, 22.3% for diabetes mellitus (type 2) and 47.7% for hypercholesterolemia. The presence of diabetes mellitus was positively predicted by the geriatric depression scale (GDS) [odds ratio (OR) =1.13, 95% confidence interval (CI): 1.02-1.25] and by an urban residential environment (OR =2.57, 95% CI: 1.10-6.06) after adjusting for several confounders. Presence of hypertension was predicted by increasing age (OR =1.07, 95% CI: 1.02-1.12), increasing body mass index (BMI) (OR =1.12, 95% CI: 1.04-1.21), the habit of midday sleep (OR =2.07, 95% CI: 1.07-4.02) and inversely predicted by the frequency of socializing with friends (OR =0.767, 95% CI: 0.616-0.955). The estimated score in the GDS was the only independent positive predictor for the presence of hypercholesterolemia (OR =1.10, 95% CI: 1.01-1.21). CONCLUSIONS: Lifestyle parameters such as social life, midday sleep (siesta) and residential environment are strongly associated with the presence of CVD risk factors in elderly and should be part of broader CVD prevention strategies to reduce the burden of the disease.
Authors: Natalia Pérez-Ferre; Laura Del Valle; Maria José Torrejón; Idoya Barca; María Isabel Calvo; Pilar Matía; Miguel A Rubio; Alfonso L Calle-Pascual Journal: Clin Nutr Date: 2014-09-16 Impact factor: 7.324
Authors: Massimo F Piepoli; Arno W Hoes; Stefan Agewall; Christian Albus; Carlos Brotons; Alberico L Catapano; Marie- Therese Cooney; Ugo Corrà; Bernard Cosyns; Christi Deaton; Ian Graham; Michael Stephen Hall; F D Richard Hobbs; Maja-Lisa Løchen; Herbert Löllgen; Pedro Marques-Vidal; Joep Perk; Eva Prescott; Josep Redon; Dimitrios J Richter; Naveed Sattar; Yvo Smulders; Monica Tiberi; H Bart van der Worp; Ineke van Dis; W M Monique Verschuren; Simone Binno Journal: Kardiol Pol Date: 2016 Impact factor: 3.108
Authors: Usama Bilal; Julia Díez; Silvia Alfayate; Pedro Gullón; Isabel Del Cura; Francisco Escobar; María Sandín; Manuel Franco Journal: BMC Med Res Methodol Date: 2016-08-22 Impact factor: 4.615
Authors: Elena S George; Ekavi N Georgousopoulou; Duane D Mellor; Christina Chrysohoou; Christos Pitsavos; Demosthenes B Panagiotakos Journal: Nutrients Date: 2022-06-07 Impact factor: 6.706