TY - JOUR
T1 - Dietary patterns and cardiovascular disease in Greek adults
T2 - The Hellenic National Nutrition and Health Survey (HNNHS)
AU - HNNHS Contributors
AU - Karageorgou, Dimitra
AU - Magriplis, Emmanouella
AU - Bakogianni, Ioanna
AU - Mitsopoulou, Anastasia V.
AU - Dimakopoulos, Ioannis
AU - Micha, Renata
AU - Michas, George
AU - Ntouroupi, Triantafyllia
AU - Tsaniklidou, Sophia M.
AU - Argyri, Konstantina
AU - Chourdakis, Michail
AU - Panagiotakos, Demosthenes B.
AU - Zampelas, Antonis
AU - Fappa, E.
AU - Theodoraki, E. M.
AU - Trichia, I.
AU - Sialvera, T. E.
AU - Aggeliki Varytimiadi, A.
AU - Spyrelli, E.
AU - Koutelidakis, A.
AU - Karlis, G.
AU - Zacharia, S.
AU - Papageorgiou, A.
AU - Chrousos, G. P.
AU - Dedoussis, G.
AU - Dimitriadis, G.
AU - Manios, I.
AU - Roma, E.
N1 - Funding Information:
This work was supported by Greece and the European Union (European Social Fund) under the Operational Program ?Human Resources Development 2007?2013?.RM reports grants from NIH/NHLBI, grants from Unilever R&D, grants from Bill and Melinda Gates Foundation, personal fees from World Bank and personal fees from Bunge.
Funding Information:
This work was supported by Greece and the European Union (European Social Fund) under the Operational Program “Human Resources Development 2007–2013”.
Funding Information:
RM reports grants from NIH / NHLBI , grants from Unilever R&D , grants from Bill and Melinda Gates Foundation , personal fees from World Bank and personal fees from Bunge.
Publisher Copyright:
© 2019 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition, and the Department of Clinical Medicine and Surgery, Federico II University
Funding Information:
This work was supported by Greece and the European Union (European Social Fund) under the Operational Program “Human Resources Development 2007–2013”.
Funding Information:
RM reports grants from NIH / NHLBI , grants from Unilever R&D , grants from Bill and Melinda Gates Foundation , personal fees from World Bank and personal fees from Bunge.
Publisher Copyright:
© 2019 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition, and the Department of Clinical Medicine and Surgery, Federico II University
PY - 2020/2/10
Y1 - 2020/2/10
N2 - Background and aims: Empirically-derived dietary patterns have been shown to have both positive and adverse associations with cardiovascular disease (CVD). Yet, such associations remain unclear in the Greek population. The aim of this study was to investigate the association between empirically-derived dietary patterns and the presence of CVD and CVD-related medical conditions in a nationally representative sample of Greek adults. Methods and results: Adult participants (≥20 years old) of the Hellenic National Nutrition and Health Survey (HNNHS) were included (N = 3552; 41.2% men; 43.7 years, SD: 18.1). Dietary patterns were derived by principal component analysis using 24-h recall data. The presence of dyslipidemia (elevated cholesterol and/or triglycerides), hypertension, coronary heart disease, and total CVD, was defined according to the International Clinical Diagnosis (ICD)-10 codes. Odds ratios of CVD outcomes were estimated across dietary patterns using multivariable logistic regression analysis. Three dietary patterns -Traditional (proxy Mediterranean), Western, and Prudent-were identified explaining 16.5% of the total variance in consumption. Logistic regression analysis, adjusted for age, sex, total caloric intake, sociodemographic characteristics, and other CVD risk factors, showed an inverse association between the Traditional dietary pattern and CVD presence (OR: 0.53; 95% CI: 0.30–0.95), and a positive association between the Western pattern and dyslipidemia (1.52; 1.02–2.26). No association was found between the Prudent pattern and CVD outcomes. Conclusion: The variability of food intake combinations in the Greek population seem to be associated with the presence of CVD and CVD related conditions. Such findings are imperative for national monitoring and informed priority setting.
AB - Background and aims: Empirically-derived dietary patterns have been shown to have both positive and adverse associations with cardiovascular disease (CVD). Yet, such associations remain unclear in the Greek population. The aim of this study was to investigate the association between empirically-derived dietary patterns and the presence of CVD and CVD-related medical conditions in a nationally representative sample of Greek adults. Methods and results: Adult participants (≥20 years old) of the Hellenic National Nutrition and Health Survey (HNNHS) were included (N = 3552; 41.2% men; 43.7 years, SD: 18.1). Dietary patterns were derived by principal component analysis using 24-h recall data. The presence of dyslipidemia (elevated cholesterol and/or triglycerides), hypertension, coronary heart disease, and total CVD, was defined according to the International Clinical Diagnosis (ICD)-10 codes. Odds ratios of CVD outcomes were estimated across dietary patterns using multivariable logistic regression analysis. Three dietary patterns -Traditional (proxy Mediterranean), Western, and Prudent-were identified explaining 16.5% of the total variance in consumption. Logistic regression analysis, adjusted for age, sex, total caloric intake, sociodemographic characteristics, and other CVD risk factors, showed an inverse association between the Traditional dietary pattern and CVD presence (OR: 0.53; 95% CI: 0.30–0.95), and a positive association between the Western pattern and dyslipidemia (1.52; 1.02–2.26). No association was found between the Prudent pattern and CVD outcomes. Conclusion: The variability of food intake combinations in the Greek population seem to be associated with the presence of CVD and CVD related conditions. Such findings are imperative for national monitoring and informed priority setting.
KW - Cardiovascular disease
KW - Diet
KW - Intake
KW - Mediterranean diet
KW - National survey
KW - Pattern
KW - Risk factor
UR - http://www.scopus.com/inward/record.url?scp=85076580341&partnerID=8YFLogxK
U2 - 10.1016/j.numecd.2019.09.024
DO - 10.1016/j.numecd.2019.09.024
M3 - Article
C2 - 31761547
AN - SCOPUS:85076580341
SN - 0939-4753
VL - 30
SP - 201
EP - 213
JO - Nutrition, Metabolism and Cardiovascular Diseases
JF - Nutrition, Metabolism and Cardiovascular Diseases
IS - 2
ER -