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Demosthenes Panagiotakos,Vassiliki Bountziouka,Akis Zeimbekis,Ioanna Vlachou,Evangelos Polychronopoulos 한국식품영양과학회 2007 Journal of medicinal food Vol.10 No.4
The effect of various foods on the development of cardiovascular disease (CVD) has already been investigated.prevalence of CVD risk factors among elderly people from Mediterranean islands (the MEDIS study). During 20052006,300 men and women from Cyprus, 142 from Mitilini, 100 from Samothraki, and 104 from Kefalonia islands (65100 yearsold) were enrolled. CVD risk factors (i.e., hypertension, diabetes, hypercholesterolemia, and obesity) were assessed throughstandard procedures. All participants were asked about their usual frequency of consumption of various foods through a semi-quantitative food frequency questionnaire, and food pattern analysis using the principal components analysis (PCA) methodi.e., a foodpattern (component 1) that was loaded mainly on low-fat products, a high glycemic index and high-fat pattern (component2), a pattern that included consumption of cereals and sweets (component 3), a pattern that was characterized by the intakeof dairy products and fruits (component 4), and a pattern that was characterized by the consumption of alcoholic beverages(component 5). Ordinal logistic regression analysis revealed that component 1, component 3, and component 5 were associ-ated with lower likelihood of having increased burden of CVD (P. .01), irrespective of various potential confounders. Foodburden of CVD risk factors among these people.
Alexandra Foscolou,Stefanos Tyrovolas,George Soulis,Anargiros Mariolis,Suzanne Piscopo,Giuseppe Valacchi,Foteini Anastasiou,Christos Lionis,Akis Zeimbekis,Josep-Antoni Tur,Vassiliki Bountziouka,Dimitr 대한예방의학회 2017 Journal of Preventive Medicine and Public Health Vol.50 No.1
Objectives: By the end of the 2000s, the economic situation in many European countries started to deteriorate, generating financial uncertainty, social insecurity and worse health status. The aim of the present study was to investigate how the recent financial crisis has affected the lifestyle health determinants and behaviours of older adults living in the Mediterranean islands. Methods: From 2005 to 2015, a population-based, multi-stage convenience sampling method was used to voluntarily enrol 2749 older adults (50% men) from 20 Mediterranean islands and the rural area of the Mani peninsula. Lifestyle status was evaluated as the cumulative score of four components (range, 0 to 6), that is, smoking habits, diet quality (MedDietScore), depression status (Geriatric Depression Scale) and physical activity. Results: Older Mediterranean people enrolled in the study from 2009 onwards showed social isolation and increased smoking, were more prone to depressive symptoms, and adopted less healthy dietary habits, as compared to their counterparts participating earlier in the study (p<0.05), irrespective of age, gender, several clinical characteristics, or socioeconomic status of the participants (an almost 50% adjusted increase in the lifestyle score from before 2009 to after 2009, p<0.001). Conclusions: A shift towards less healthy behaviours was noticeable after the economic crisis had commenced. Public health interventions should focus on older adults, particularly of lower socioeconomic levels, in order to effectively reduce the burden of cardiometabolic disease at the population level.