Association between siesta (daytime sleep), dietary patterns and the presence of metabolic syndrome in elderly living in Mediterranean area (MEDIS study)

The moderating effect of gender

E. N. Georgousopoulou, N. Naumovski, D. D. Mellor, S. Tyrovolas, S. Piscopo, G. Valacchi, N. Tsakountakis, A. Zeimbekis, V. Bountziouka, E. Gotsis, G. Metallinos, D. Tyrovola, J. Kellett, A. Foscolou, J. A. Tur, A. L. Matalas, C. Lionis, E. Polychronopoulos, L. Sidossis, Demosthenes B. Panagiotakos & 1 others Medis Study Group The Medis Study Group

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objectives: Several lifestyle parameters including diet, physical activity and sleep were associated in isolation with the presence of Metabolic Syndrome (MetS) in adults, to date there is a paucity of studies which evaluated their combined role aging populations and especially with respect to gender. Therefore, the aim of the present study was to provide a global consideration of the lifestyle factors associated with MetS among elderly individuals. Design: Cross-sectional observational study. Setting: 21 Mediterranean islands and the rural Mani region (Peloponnesus) of Greece. Participants: during 2005-2015, 2749 older (aged 65-100 years) from were voluntarily enrolled in the study. Measurements: Dietary habits, energy intake, physical activity status, sociodemographic characteristics, lifestyle parameters (sleeping and smoking habits) and clinical profile aspects were derived through standard procedures. The presence of MetS was defined using the definition provided by NCEP ATP III (revised) and cluster analysis was used to identify overall dietary habit patterns. Results: The overall prevalence of MetS in the study sample was 36.2%, but occurred more frequently in females (40.0% vs. 31.8%, respectively, p=0.03). Individuals with MetS were more likely to sleep during the day (89.4% vs. 76.8% respectively, p=0.039) and frequent ‘siesta’ was positively linked to the odds of MetS presence in females (Odds Ratio (OR) =3.43, 95% Confidence Intervals (CI): 1.08-10.9), but not for men (p=0.999). The lower carbohydrate (i.e., 45.2% of total daily energy, 120±16gr/day) dietary cluster was inversely associated with the odds for MetS presence, but only for men (OR=0.094, 95%CI: 0.010-0.883). Conclusions: Lifestyle parameters including sleep and diet quality are strongly associated with the presence of MetS in elderly cohort, but different their level of influence appears to be different, depending on gender. Further research is needed to better consider the role of lifestyle characteristics in the management of MetS in clinical practice.

Original languageEnglish
Pages (from-to)1118-1124
Number of pages7
JournalJournal of Nutrition, Health and Aging
Volume21
Issue number10
DOIs
Publication statusPublished - 2017

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Sleep
Life Style
Feeding Behavior
Mediterranean Islands
Odds Ratio
Confidence Intervals
Exercise
Diet
Greece
Energy Intake
Habits
Observational Studies
Cluster Analysis
Cross-Sectional Studies
Adenosine Triphosphate
Smoking
Carbohydrates
Research
Population

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Georgousopoulou, E. N. ; Naumovski, N. ; Mellor, D. D. ; Tyrovolas, S. ; Piscopo, S. ; Valacchi, G. ; Tsakountakis, N. ; Zeimbekis, A. ; Bountziouka, V. ; Gotsis, E. ; Metallinos, G. ; Tyrovola, D. ; Kellett, J. ; Foscolou, A. ; Tur, J. A. ; Matalas, A. L. ; Lionis, C. ; Polychronopoulos, E. ; Sidossis, L. ; Panagiotakos, Demosthenes B. ; The Medis Study Group, Medis Study Group. / Association between siesta (daytime sleep), dietary patterns and the presence of metabolic syndrome in elderly living in Mediterranean area (MEDIS study) : The moderating effect of gender. In: Journal of Nutrition, Health and Aging. 2017 ; Vol. 21, No. 10. pp. 1118-1124.
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abstract = "Objectives: Several lifestyle parameters including diet, physical activity and sleep were associated in isolation with the presence of Metabolic Syndrome (MetS) in adults, to date there is a paucity of studies which evaluated their combined role aging populations and especially with respect to gender. Therefore, the aim of the present study was to provide a global consideration of the lifestyle factors associated with MetS among elderly individuals. Design: Cross-sectional observational study. Setting: 21 Mediterranean islands and the rural Mani region (Peloponnesus) of Greece. Participants: during 2005-2015, 2749 older (aged 65-100 years) from were voluntarily enrolled in the study. Measurements: Dietary habits, energy intake, physical activity status, sociodemographic characteristics, lifestyle parameters (sleeping and smoking habits) and clinical profile aspects were derived through standard procedures. The presence of MetS was defined using the definition provided by NCEP ATP III (revised) and cluster analysis was used to identify overall dietary habit patterns. Results: The overall prevalence of MetS in the study sample was 36.2{\%}, but occurred more frequently in females (40.0{\%} vs. 31.8{\%}, respectively, p=0.03). Individuals with MetS were more likely to sleep during the day (89.4{\%} vs. 76.8{\%} respectively, p=0.039) and frequent ‘siesta’ was positively linked to the odds of MetS presence in females (Odds Ratio (OR) =3.43, 95{\%} Confidence Intervals (CI): 1.08-10.9), but not for men (p=0.999). The lower carbohydrate (i.e., 45.2{\%} of total daily energy, 120±16gr/day) dietary cluster was inversely associated with the odds for MetS presence, but only for men (OR=0.094, 95{\%}CI: 0.010-0.883). Conclusions: Lifestyle parameters including sleep and diet quality are strongly associated with the presence of MetS in elderly cohort, but different their level of influence appears to be different, depending on gender. Further research is needed to better consider the role of lifestyle characteristics in the management of MetS in clinical practice.",
keywords = "diet, elderly, lifestyle, MEDIS, mediterranean-type diet, Metabolic syndrome, siesta, sleep",
author = "Georgousopoulou, {E. N.} and N. Naumovski and Mellor, {D. D.} and S. Tyrovolas and S. Piscopo and G. Valacchi and N. Tsakountakis and A. Zeimbekis and V. Bountziouka and E. Gotsis and G. Metallinos and D. Tyrovola and J. Kellett and A. Foscolou and Tur, {J. A.} and Matalas, {A. L.} and C. Lionis and E. Polychronopoulos and L. Sidossis and Panagiotakos, {Demosthenes B.} and {The Medis Study Group}, {Medis Study Group}",
year = "2017",
doi = "10.1007/s12603-016-0865-0",
language = "English",
volume = "21",
pages = "1118--1124",
journal = "Journal of Nutrition, Health and Aging",
issn = "1760-4788",
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Georgousopoulou, EN, Naumovski, N, Mellor, DD, Tyrovolas, S, Piscopo, S, Valacchi, G, Tsakountakis, N, Zeimbekis, A, Bountziouka, V, Gotsis, E, Metallinos, G, Tyrovola, D, Kellett, J, Foscolou, A, Tur, JA, Matalas, AL, Lionis, C, Polychronopoulos, E, Sidossis, L, Panagiotakos, DB & The Medis Study Group, MSG 2017, 'Association between siesta (daytime sleep), dietary patterns and the presence of metabolic syndrome in elderly living in Mediterranean area (MEDIS study): The moderating effect of gender', Journal of Nutrition, Health and Aging, vol. 21, no. 10, pp. 1118-1124. https://doi.org/10.1007/s12603-016-0865-0

Association between siesta (daytime sleep), dietary patterns and the presence of metabolic syndrome in elderly living in Mediterranean area (MEDIS study) : The moderating effect of gender. / Georgousopoulou, E. N.; Naumovski, N.; Mellor, D. D.; Tyrovolas, S.; Piscopo, S.; Valacchi, G.; Tsakountakis, N.; Zeimbekis, A.; Bountziouka, V.; Gotsis, E.; Metallinos, G.; Tyrovola, D.; Kellett, J.; Foscolou, A.; Tur, J. A.; Matalas, A. L.; Lionis, C.; Polychronopoulos, E.; Sidossis, L.; Panagiotakos, Demosthenes B.; The Medis Study Group, Medis Study Group.

In: Journal of Nutrition, Health and Aging, Vol. 21, No. 10, 2017, p. 1118-1124.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Association between siesta (daytime sleep), dietary patterns and the presence of metabolic syndrome in elderly living in Mediterranean area (MEDIS study)

T2 - The moderating effect of gender

AU - Georgousopoulou, E. N.

AU - Naumovski, N.

AU - Mellor, D. D.

AU - Tyrovolas, S.

AU - Piscopo, S.

AU - Valacchi, G.

AU - Tsakountakis, N.

AU - Zeimbekis, A.

AU - Bountziouka, V.

AU - Gotsis, E.

AU - Metallinos, G.

AU - Tyrovola, D.

AU - Kellett, J.

AU - Foscolou, A.

AU - Tur, J. A.

AU - Matalas, A. L.

AU - Lionis, C.

AU - Polychronopoulos, E.

AU - Sidossis, L.

AU - Panagiotakos, Demosthenes B.

AU - The Medis Study Group, Medis Study Group

PY - 2017

Y1 - 2017

N2 - Objectives: Several lifestyle parameters including diet, physical activity and sleep were associated in isolation with the presence of Metabolic Syndrome (MetS) in adults, to date there is a paucity of studies which evaluated their combined role aging populations and especially with respect to gender. Therefore, the aim of the present study was to provide a global consideration of the lifestyle factors associated with MetS among elderly individuals. Design: Cross-sectional observational study. Setting: 21 Mediterranean islands and the rural Mani region (Peloponnesus) of Greece. Participants: during 2005-2015, 2749 older (aged 65-100 years) from were voluntarily enrolled in the study. Measurements: Dietary habits, energy intake, physical activity status, sociodemographic characteristics, lifestyle parameters (sleeping and smoking habits) and clinical profile aspects were derived through standard procedures. The presence of MetS was defined using the definition provided by NCEP ATP III (revised) and cluster analysis was used to identify overall dietary habit patterns. Results: The overall prevalence of MetS in the study sample was 36.2%, but occurred more frequently in females (40.0% vs. 31.8%, respectively, p=0.03). Individuals with MetS were more likely to sleep during the day (89.4% vs. 76.8% respectively, p=0.039) and frequent ‘siesta’ was positively linked to the odds of MetS presence in females (Odds Ratio (OR) =3.43, 95% Confidence Intervals (CI): 1.08-10.9), but not for men (p=0.999). The lower carbohydrate (i.e., 45.2% of total daily energy, 120±16gr/day) dietary cluster was inversely associated with the odds for MetS presence, but only for men (OR=0.094, 95%CI: 0.010-0.883). Conclusions: Lifestyle parameters including sleep and diet quality are strongly associated with the presence of MetS in elderly cohort, but different their level of influence appears to be different, depending on gender. Further research is needed to better consider the role of lifestyle characteristics in the management of MetS in clinical practice.

AB - Objectives: Several lifestyle parameters including diet, physical activity and sleep were associated in isolation with the presence of Metabolic Syndrome (MetS) in adults, to date there is a paucity of studies which evaluated their combined role aging populations and especially with respect to gender. Therefore, the aim of the present study was to provide a global consideration of the lifestyle factors associated with MetS among elderly individuals. Design: Cross-sectional observational study. Setting: 21 Mediterranean islands and the rural Mani region (Peloponnesus) of Greece. Participants: during 2005-2015, 2749 older (aged 65-100 years) from were voluntarily enrolled in the study. Measurements: Dietary habits, energy intake, physical activity status, sociodemographic characteristics, lifestyle parameters (sleeping and smoking habits) and clinical profile aspects were derived through standard procedures. The presence of MetS was defined using the definition provided by NCEP ATP III (revised) and cluster analysis was used to identify overall dietary habit patterns. Results: The overall prevalence of MetS in the study sample was 36.2%, but occurred more frequently in females (40.0% vs. 31.8%, respectively, p=0.03). Individuals with MetS were more likely to sleep during the day (89.4% vs. 76.8% respectively, p=0.039) and frequent ‘siesta’ was positively linked to the odds of MetS presence in females (Odds Ratio (OR) =3.43, 95% Confidence Intervals (CI): 1.08-10.9), but not for men (p=0.999). The lower carbohydrate (i.e., 45.2% of total daily energy, 120±16gr/day) dietary cluster was inversely associated with the odds for MetS presence, but only for men (OR=0.094, 95%CI: 0.010-0.883). Conclusions: Lifestyle parameters including sleep and diet quality are strongly associated with the presence of MetS in elderly cohort, but different their level of influence appears to be different, depending on gender. Further research is needed to better consider the role of lifestyle characteristics in the management of MetS in clinical practice.

KW - diet

KW - elderly

KW - lifestyle

KW - MEDIS

KW - mediterranean-type diet

KW - Metabolic syndrome

KW - siesta

KW - sleep

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UR - http://www.mendeley.com/research/association-between-siesta-daytime-sleep-dietary-patterns-presence-metabolic-syndrome-elderly-living

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DO - 10.1007/s12603-016-0865-0

M3 - Article

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SP - 1118

EP - 1124

JO - Journal of Nutrition, Health and Aging

JF - Journal of Nutrition, Health and Aging

SN - 1760-4788

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ER -