TY - JOUR
T1 - Prevalence of hyperlipidaemia in adults and its relation to the Mediterranean diet
T2 - the Hellenic National Nutrition and Health Survey (HNNHS)
AU - Magriplis, Emmanuella
AU - Panagiotakos, Demosthenes
AU - Mitsopoulou, Anastasia Vasiliki
AU - Karageorgou, Dimitra
AU - Bakogianni, Ioanna
AU - Dimakopoulos, Ioannis
AU - Micha, Renata
AU - Michas, George
AU - Chourdakis, Michail
AU - Chrousos, George P.
AU - Roma, Eleftheria
AU - Zampelas, Antonis
N1 - Funding Information:
Renata Micha and Dimitra Kerageorgou: present address: Friedman School of Nutrition Science and Policy, Tufts University, Boston, USA; George Michas: present address: Department of Cardiology, ?Elpis? General Hospital of Athens, Greece. Special thanks to all the fieldworkers. Contributors: Evangelia Fappa, Eleni-Maria Theodoraki, Eirini Trichia, Theodora-Eirini Sialvera, Aggeliki Varytimiadi, Eleni Spyreli, Antonis Koutelidakis, George Karlis, Stauroula Zacharia, Anna Papageorgiou, Triantafyllia Ntouroupi, Sophia-Maria Tsaniklidou, Kostantina Argyri (all Department of Food Science and Human Nutrition, Agricultural University of Athens, Greece, except Antonis Koutelidakis: Department of Food Science and Nutrition, University of Aegean, Mytilini, Greece). Advisory Committee: Georgios Dedoussis (Department of Nutrition and Dietetics, School of Health Science and Education Harokopio University, Athens, Greece), George Dimitriadis (2nd Department of Internal Medicine, Research Institute and Diabetes Centre, National and Kapodistrian University of Athens, ?Attikon? University Hospital, Haidari, Greece), Yannis Manios (Department of Nutrition and Dietetics, School of Health Science and Education Harokopio University, Athens, Greece), George P Chrousos, Eleftheria Roma (both First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, Greece).
Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: the study was co-funded by Greece (Ministry of Health) and the European Union (European Social Fund) under the Operational Program ‘Human Resources Development 2007–2013’.
Publisher Copyright:
© The European Society of Cardiology 2019.
PY - 2019/12/1
Y1 - 2019/12/1
N2 - Objectives: A long-term abnormal blood lipid profile increases the risk of cardiovascular disease (CVD). A probable protective role may be played by the Mediterranean diet. The aim of this study was to assess prevalence of dyslipidaemia, assess blood lipid status and treatment and examine the association between blood lipids, dyslipidaemia and Mediterranean diet. Methods: Data were from the Hellenic National Nutrition and Health Survey (HNNHS). Data from 3775 adults (40.8% males) were obtained by trained personnel and disease status was categorized according to the International Classification of Diseases codes (10th version). Blood lipid measurements were obtained from a subsample (N = 1080, mean age 40.1 years; 37.8% male). The Mediterranean diet score (MedDiet score) was calculated from 24-h recalls. The relationships between higher MedDiet score (>23), lipid levels and status were examined using linearized multiple linear and logistic regressions, respectively. Results: In total, 20.7% of the population was dyslipidaemic, with 59.0% (no sex differences) receiving treatment, and 46.6% of the treated having a normal lipid profile. Lipid status awareness was 35.5% (64.5% unaware). Males aged 19–39 had higher total cholesterol, low-density lipoprotein cholesterol and triglycerides, and lower high-density lipoprotein cholesterol levels than females (in mg/dl; p for all <0.05); these were significantly higher in overweight and obese individuals in all age groups, except high-density lipoprotein cholesterol (p for all <0.001). Higher MedDiet score was associated with significantly lower low-density lipoprotein cholesterol in the pooled sample (−6.39 mg/dl; 95% confidence interval (CI): −12.60, 0.17), in all males (−10.61 mg/dl; 95% CI: −19.89, −1.34) and in overweight and obese males (−15.6 mg/dl; 95% CI: −29.25, –1.94). Conclusion: This study underlines the abnormal lipid profile in the young, mostly male, population who are highly unaware and under-treated.
AB - Objectives: A long-term abnormal blood lipid profile increases the risk of cardiovascular disease (CVD). A probable protective role may be played by the Mediterranean diet. The aim of this study was to assess prevalence of dyslipidaemia, assess blood lipid status and treatment and examine the association between blood lipids, dyslipidaemia and Mediterranean diet. Methods: Data were from the Hellenic National Nutrition and Health Survey (HNNHS). Data from 3775 adults (40.8% males) were obtained by trained personnel and disease status was categorized according to the International Classification of Diseases codes (10th version). Blood lipid measurements were obtained from a subsample (N = 1080, mean age 40.1 years; 37.8% male). The Mediterranean diet score (MedDiet score) was calculated from 24-h recalls. The relationships between higher MedDiet score (>23), lipid levels and status were examined using linearized multiple linear and logistic regressions, respectively. Results: In total, 20.7% of the population was dyslipidaemic, with 59.0% (no sex differences) receiving treatment, and 46.6% of the treated having a normal lipid profile. Lipid status awareness was 35.5% (64.5% unaware). Males aged 19–39 had higher total cholesterol, low-density lipoprotein cholesterol and triglycerides, and lower high-density lipoprotein cholesterol levels than females (in mg/dl; p for all <0.05); these were significantly higher in overweight and obese individuals in all age groups, except high-density lipoprotein cholesterol (p for all <0.001). Higher MedDiet score was associated with significantly lower low-density lipoprotein cholesterol in the pooled sample (−6.39 mg/dl; 95% confidence interval (CI): −12.60, 0.17), in all males (−10.61 mg/dl; 95% CI: −19.89, −1.34) and in overweight and obese males (−15.6 mg/dl; 95% CI: −29.25, –1.94). Conclusion: This study underlines the abnormal lipid profile in the young, mostly male, population who are highly unaware and under-treated.
KW - Hyperlipidaemia
KW - Mediterranean diet
KW - risk factors
UR - http://www.scopus.com/inward/record.url?scp=85070257502&partnerID=8YFLogxK
U2 - 10.1177/2047487319866023
DO - 10.1177/2047487319866023
M3 - Article
C2 - 31349779
AN - SCOPUS:85070257502
SN - 2047-4873
VL - 26
SP - 1957
EP - 1967
JO - European Journal of Preventive Cardiology
JF - European Journal of Preventive Cardiology
IS - 18
ER -