Mediterranean lifestyle and cardiovascular disease prevention

Ekavi N. Georgousopoulou, Duane D. Mellor, Nenad Naumovski, Evangelos Polychronopoulos, Stefanos Tyrovolas, Suzanne Piscopo, Giuseppe Valacchi, Foteini Anastasiou, Akis Zeimbekis, Vassiliki Bountziouka, Efthimios Gotsis, George Metallinos, Dimitra Tyrovola, Alexandra Foscolou, Josep Antoni Tur, Antonia Leda Matalas, Christos Lionis, Labros Sidossis, Demosthenes Panagiotakos

Research output: Contribution to journalArticle

10 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)S39-S47
JournalCardiovascular Diagnosis and Therapy
Volume7
DOIs
Publication statusPublished - 1 Apr 2017

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Life Style
Cardiovascular Diseases
Odds Ratio
Confidence Intervals
Sleep
Hypercholesterolemia
Geriatrics
Habits
Mediterranean Islands
Depression
Hypertension
Educational Status
Greece
Feeding Behavior
Type 2 Diabetes Mellitus
Diabetes Mellitus
Body Mass Index
Smoking
Demography
Exercise

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Georgousopoulou, E. N., Mellor, D. D., Naumovski, N., Polychronopoulos, E., Tyrovolas, S., Piscopo, S., ... Panagiotakos, D. (2017). Mediterranean lifestyle and cardiovascular disease prevention. Cardiovascular Diagnosis and Therapy, 7, S39-S47. https://doi.org/10.21037/cdt.2017.03.11
Georgousopoulou, Ekavi N. ; Mellor, Duane D. ; Naumovski, Nenad ; Polychronopoulos, Evangelos ; Tyrovolas, Stefanos ; Piscopo, Suzanne ; Valacchi, Giuseppe ; Anastasiou, Foteini ; Zeimbekis, Akis ; Bountziouka, Vassiliki ; Gotsis, Efthimios ; Metallinos, George ; Tyrovola, Dimitra ; Foscolou, Alexandra ; Tur, Josep Antoni ; Matalas, Antonia Leda ; Lionis, Christos ; Sidossis, Labros ; Panagiotakos, Demosthenes. / Mediterranean lifestyle and cardiovascular disease prevention. In: Cardiovascular Diagnosis and Therapy. 2017 ; Vol. 7. pp. S39-S47.
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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.",
keywords = "Cardiovascular disease (CVD), Elderly, Mediterranean lifestyle, Prevention",
author = "Georgousopoulou, {Ekavi N.} and Mellor, {Duane D.} and Nenad Naumovski and Evangelos Polychronopoulos and Stefanos Tyrovolas and Suzanne Piscopo and Giuseppe Valacchi and Foteini Anastasiou and Akis Zeimbekis and Vassiliki Bountziouka and Efthimios Gotsis and George Metallinos and Dimitra Tyrovola and Alexandra Foscolou and Tur, {Josep Antoni} and Matalas, {Antonia Leda} and Christos Lionis and Labros Sidossis and Demosthenes Panagiotakos",
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Georgousopoulou, EN, Mellor, DD, Naumovski, N, Polychronopoulos, E, Tyrovolas, S, Piscopo, S, Valacchi, G, Anastasiou, F, Zeimbekis, A, Bountziouka, V, Gotsis, E, Metallinos, G, Tyrovola, D, Foscolou, A, Tur, JA, Matalas, AL, Lionis, C, Sidossis, L & Panagiotakos, D 2017, 'Mediterranean lifestyle and cardiovascular disease prevention', Cardiovascular Diagnosis and Therapy, vol. 7, pp. S39-S47. https://doi.org/10.21037/cdt.2017.03.11

Mediterranean lifestyle and cardiovascular disease prevention. / Georgousopoulou, Ekavi N.; Mellor, Duane D.; Naumovski, Nenad; Polychronopoulos, Evangelos; Tyrovolas, Stefanos; Piscopo, Suzanne; Valacchi, Giuseppe; Anastasiou, Foteini; Zeimbekis, Akis; Bountziouka, Vassiliki; Gotsis, Efthimios; Metallinos, George; Tyrovola, Dimitra; Foscolou, Alexandra; Tur, Josep Antoni; Matalas, Antonia Leda; Lionis, Christos; Sidossis, Labros; Panagiotakos, Demosthenes.

In: Cardiovascular Diagnosis and Therapy, Vol. 7, 01.04.2017, p. S39-S47.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Mediterranean lifestyle and cardiovascular disease prevention

AU - Georgousopoulou, Ekavi N.

AU - Mellor, Duane D.

AU - Naumovski, Nenad

AU - Polychronopoulos, Evangelos

AU - Tyrovolas, Stefanos

AU - Piscopo, Suzanne

AU - Valacchi, Giuseppe

AU - Anastasiou, Foteini

AU - Zeimbekis, Akis

AU - Bountziouka, Vassiliki

AU - Gotsis, Efthimios

AU - Metallinos, George

AU - Tyrovola, Dimitra

AU - Foscolou, Alexandra

AU - Tur, Josep Antoni

AU - Matalas, Antonia Leda

AU - Lionis, Christos

AU - Sidossis, Labros

AU - Panagiotakos, Demosthenes

PY - 2017/4/1

Y1 - 2017/4/1

N2 - 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.

AB - 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.

KW - Cardiovascular disease (CVD)

KW - Elderly

KW - Mediterranean lifestyle

KW - Prevention

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U2 - 10.21037/cdt.2017.03.11

DO - 10.21037/cdt.2017.03.11

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JO - Cardiovascular Diagnosis and Therapy

JF - Cardiovascular Diagnosis and Therapy

SN - 2223-3652

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Georgousopoulou EN, Mellor DD, Naumovski N, Polychronopoulos E, Tyrovolas S, Piscopo S et al. Mediterranean lifestyle and cardiovascular disease prevention. Cardiovascular Diagnosis and Therapy. 2017 Apr 1;7:S39-S47. https://doi.org/10.21037/cdt.2017.03.11