The Impact of the Financial Crisis on Lifestyle Health Determinants Among Older Adults Living in the Mediterranean Region: The Multinational MEDIS Study (2005-2015)
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...
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Korean Society for Preventive Medicine
2017-01-01
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| Series: | Journal of Preventive Medicine and Public Health |
| Subjects: | |
| Online Access: | http://www.jpmph.org/upload/pdf/jpmph-50-1-1.pdf |
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| author | Alexandra Foscolou Stefanos Tyrovolas George Soulis Anargiros Mariolis Suzanne Piscopo Giuseppe Valacchi Foteini Anastasiou Christos Lionis Akis Zeimbekis Josep-Antoni Tur Vassiliki Bountziouka Dimitra Tyrovola Efthimios Gotsis George Metallinos Antonia-Leda Matalas Evangelos Polychronopoulos Labros Sidossis Demosthenes B. Panagiotakos |
| author_facet | Alexandra Foscolou Stefanos Tyrovolas George Soulis Anargiros Mariolis Suzanne Piscopo Giuseppe Valacchi Foteini Anastasiou Christos Lionis Akis Zeimbekis Josep-Antoni Tur Vassiliki Bountziouka Dimitra Tyrovola Efthimios Gotsis George Metallinos Antonia-Leda Matalas Evangelos Polychronopoulos Labros Sidossis Demosthenes B. Panagiotakos |
| author_sort | Alexandra Foscolou |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-23T20:07:37Z |
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| id | doaj.art-c72d535910e94aa793ee491d33f77b71 |
| institution | Directory Open Access Journal |
| issn | 1975-8375 2233-4521 |
| language | English |
| last_indexed | 2024-12-23T20:07:37Z |
| publishDate | 2017-01-01 |
| publisher | Korean Society for Preventive Medicine |
| record_format | Article |
| series | Journal of Preventive Medicine and Public Health |
| spelling | doaj.art-c72d535910e94aa793ee491d33f77b712022-12-21T17:32:53ZengKorean Society for Preventive MedicineJournal of Preventive Medicine and Public Health1975-83752233-45212017-01-015011910.3961/jpmph.16.1011895The Impact of the Financial Crisis on Lifestyle Health Determinants Among Older Adults Living in the Mediterranean Region: The Multinational MEDIS Study (2005-2015)Alexandra Foscolou0Stefanos Tyrovolas1George Soulis2Anargiros Mariolis3Suzanne Piscopo4Giuseppe Valacchi5Foteini Anastasiou6Christos Lionis7Akis Zeimbekis8Josep-Antoni Tur9Vassiliki Bountziouka10Dimitra Tyrovola11Efthimios Gotsis12George Metallinos13Antonia-Leda Matalas14Evangelos Polychronopoulos15Labros Sidossis16Demosthenes B. Panagiotakos17 Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece Health Center of Areopolis, General Hospital of Sparta, Areopolis, Greece University of Malta, Nutrition, Family and Consumer Studies Office, Msida, Republic of Malta Department of Life Sciences and Biotechnology, University of Ferrara, Ferrara, Italy Clinic of Social and Family Medicine, School of Medicine, University of Crete, Heraklion Clinic of Social and Family Medicine, School of Medicine, University of Crete, Heraklion Health Center of Kalloni, General Hospital of Mitilini, Mitilini, Greece Research Group on Community Nutrition and Oxidative Stress, Universitat de les Illes Balears & CIBEROBN, Guillem Colom Bldg, Campus, Palma de Mallorca, Spain Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, GreeceObjectives 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.http://www.jpmph.org/upload/pdf/jpmph-50-1-1.pdfFinancial crisisLifestyle health determinant indexSocioeconomic statusHealth statusOlder adultsMediterranean islands |
| spellingShingle | Alexandra Foscolou Stefanos Tyrovolas George Soulis Anargiros Mariolis Suzanne Piscopo Giuseppe Valacchi Foteini Anastasiou Christos Lionis Akis Zeimbekis Josep-Antoni Tur Vassiliki Bountziouka Dimitra Tyrovola Efthimios Gotsis George Metallinos Antonia-Leda Matalas Evangelos Polychronopoulos Labros Sidossis Demosthenes B. Panagiotakos The Impact of the Financial Crisis on Lifestyle Health Determinants Among Older Adults Living in the Mediterranean Region: The Multinational MEDIS Study (2005-2015) Journal of Preventive Medicine and Public Health Financial crisis Lifestyle health determinant index Socioeconomic status Health status Older adults Mediterranean islands |
| title | The Impact of the Financial Crisis on Lifestyle Health Determinants Among Older Adults Living in the Mediterranean Region: The Multinational MEDIS Study (2005-2015) |
| title_full | The Impact of the Financial Crisis on Lifestyle Health Determinants Among Older Adults Living in the Mediterranean Region: The Multinational MEDIS Study (2005-2015) |
| title_fullStr | The Impact of the Financial Crisis on Lifestyle Health Determinants Among Older Adults Living in the Mediterranean Region: The Multinational MEDIS Study (2005-2015) |
| title_full_unstemmed | The Impact of the Financial Crisis on Lifestyle Health Determinants Among Older Adults Living in the Mediterranean Region: The Multinational MEDIS Study (2005-2015) |
| title_short | The Impact of the Financial Crisis on Lifestyle Health Determinants Among Older Adults Living in the Mediterranean Region: The Multinational MEDIS Study (2005-2015) |
| title_sort | impact of the financial crisis on lifestyle health determinants among older adults living in the mediterranean region the multinational medis study 2005 2015 |
| topic | Financial crisis Lifestyle health determinant index Socioeconomic status Health status Older adults Mediterranean islands |
| url | http://www.jpmph.org/upload/pdf/jpmph-50-1-1.pdf |
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