Lifestyle and health determinants of cardiovascular disease among Greek older adults living in Eastern Aegean Islands: An adventure within the MEDIS study

Objective: The aim of the present study was to evaluate lifestyle and health determinants of cardiovascular disease (CVD) risk among Greek elderly residents living in Eastern Aegean islands, in both Greece and Turkey. Methods: Under the context of the MEDIS study, 724 older adults (aged 65 to 100 ye...

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Main Authors: Alexandra Foscolou, Evangelos Polychronopoulos, Efstratia Paka, Stefanos Tyrovolas, Vassiliki Bountziouka, Akis Zeimbekis, Dimitra Tyrovola, Dilek Ural, Demosthenes Panagiotakos
Format: Article
Language:English
Published: Elsevier 2016-11-01
Series:Hellenic Journal of Cardiology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1109966616303025
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author Alexandra Foscolou
Evangelos Polychronopoulos
Efstratia Paka
Stefanos Tyrovolas
Vassiliki Bountziouka
Akis Zeimbekis
Dimitra Tyrovola
Dilek Ural
Demosthenes Panagiotakos
author_facet Alexandra Foscolou
Evangelos Polychronopoulos
Efstratia Paka
Stefanos Tyrovolas
Vassiliki Bountziouka
Akis Zeimbekis
Dimitra Tyrovola
Dilek Ural
Demosthenes Panagiotakos
author_sort Alexandra Foscolou
collection DOAJ
description Objective: The aim of the present study was to evaluate lifestyle and health determinants of cardiovascular disease (CVD) risk among Greek elderly residents living in Eastern Aegean islands, in both Greece and Turkey. Methods: Under the context of the MEDIS study, 724 older adults (aged 65 to 100 years) from 8 Eastern Aegean Sea Greek islands (n = 100 living in Samothrace, 142 in Lesvos, 150 in Limnos, 76 in Ikaria, 52 in Kassos, 149 in Rhodes and Karpathos) and from Turkey (n = 55 older adults of Greek origin living on Gökçeada Island) were voluntarily recruited. Overall cardiometabolic risk was measured as the sum (range 0-4) of four common CVD risk factors (hypertension, diabetes, dyslipidemia and obesity). Results: Greek islanders had higher CVD scores compared to Greeks of Gökçeada (1.9±1.1 vs 1.4±1.0 risk factors / participant, p<0.001). Further analysis revealed that the diet of Greek islanders was similar to the traditional Mediterranean diet; however, these individuals demonstrated 2-times higher odds (95% CI, 1.04–3.87) for having hypertension, 1.53-times higher odds (95% CI, 0.66–3.54) for having diabetes, 3.29-times higher odds (95% CI, 1.58–6.81) for having hypercholesterolemia; whereas they had 0.78-times lower odds (95% CI, 0.40–1.52) for being obese, compared to elderly Greek adults living on Gökçeada. Conclusions: Overall, CVD risk seems to be low among Eastern Aegean Islanders; certain differences in CVD risk factors exist between Greek islanders and their counterparts living in Gökçeada, and those differences may be attributed to various environmental, cultural and lifestyle factors.
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spelling doaj.art-060e641c68624e1283b274fb6e7aa1e72022-12-22T01:40:07ZengElsevierHellenic Journal of Cardiology1109-96662016-11-0157640741410.1016/j.hjc.2016.11.021Lifestyle and health determinants of cardiovascular disease among Greek older adults living in Eastern Aegean Islands: An adventure within the MEDIS studyAlexandra Foscolou0Evangelos Polychronopoulos1Efstratia Paka2Stefanos Tyrovolas3Vassiliki Bountziouka4Akis Zeimbekis5Dimitra Tyrovola6Dilek Ural7Demosthenes Panagiotakos8Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, GreeceDepartment of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, GreeceDepartment of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, GreeceDepartment of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, GreeceDepartment of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, GreeceHealth Center of Kalloni, General Hospital of Mitilini, Mitilini, GreeceDepartment of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, GreeceKoc University School of Medicine, Istanbul, TurkeyDepartment of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, GreeceObjective: The aim of the present study was to evaluate lifestyle and health determinants of cardiovascular disease (CVD) risk among Greek elderly residents living in Eastern Aegean islands, in both Greece and Turkey. Methods: Under the context of the MEDIS study, 724 older adults (aged 65 to 100 years) from 8 Eastern Aegean Sea Greek islands (n = 100 living in Samothrace, 142 in Lesvos, 150 in Limnos, 76 in Ikaria, 52 in Kassos, 149 in Rhodes and Karpathos) and from Turkey (n = 55 older adults of Greek origin living on Gökçeada Island) were voluntarily recruited. Overall cardiometabolic risk was measured as the sum (range 0-4) of four common CVD risk factors (hypertension, diabetes, dyslipidemia and obesity). Results: Greek islanders had higher CVD scores compared to Greeks of Gökçeada (1.9±1.1 vs 1.4±1.0 risk factors / participant, p<0.001). Further analysis revealed that the diet of Greek islanders was similar to the traditional Mediterranean diet; however, these individuals demonstrated 2-times higher odds (95% CI, 1.04–3.87) for having hypertension, 1.53-times higher odds (95% CI, 0.66–3.54) for having diabetes, 3.29-times higher odds (95% CI, 1.58–6.81) for having hypercholesterolemia; whereas they had 0.78-times lower odds (95% CI, 0.40–1.52) for being obese, compared to elderly Greek adults living on Gökçeada. Conclusions: Overall, CVD risk seems to be low among Eastern Aegean Islanders; certain differences in CVD risk factors exist between Greek islanders and their counterparts living in Gökçeada, and those differences may be attributed to various environmental, cultural and lifestyle factors.http://www.sciencedirect.com/science/article/pii/S1109966616303025Eastern Aegean islandsGökçeadaCardiometabolic riskOlder adults
spellingShingle Alexandra Foscolou
Evangelos Polychronopoulos
Efstratia Paka
Stefanos Tyrovolas
Vassiliki Bountziouka
Akis Zeimbekis
Dimitra Tyrovola
Dilek Ural
Demosthenes Panagiotakos
Lifestyle and health determinants of cardiovascular disease among Greek older adults living in Eastern Aegean Islands: An adventure within the MEDIS study
Hellenic Journal of Cardiology
Eastern Aegean islands
Gökçeada
Cardiometabolic risk
Older adults
title Lifestyle and health determinants of cardiovascular disease among Greek older adults living in Eastern Aegean Islands: An adventure within the MEDIS study
title_full Lifestyle and health determinants of cardiovascular disease among Greek older adults living in Eastern Aegean Islands: An adventure within the MEDIS study
title_fullStr Lifestyle and health determinants of cardiovascular disease among Greek older adults living in Eastern Aegean Islands: An adventure within the MEDIS study
title_full_unstemmed Lifestyle and health determinants of cardiovascular disease among Greek older adults living in Eastern Aegean Islands: An adventure within the MEDIS study
title_short Lifestyle and health determinants of cardiovascular disease among Greek older adults living in Eastern Aegean Islands: An adventure within the MEDIS study
title_sort lifestyle and health determinants of cardiovascular disease among greek older adults living in eastern aegean islands an adventure within the medis study
topic Eastern Aegean islands
Gökçeada
Cardiometabolic risk
Older adults
url http://www.sciencedirect.com/science/article/pii/S1109966616303025
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