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Vogiatzi G, Lazaros G, Oikonomou E, Kostakis M, Kypritidou Z, Christoforatou E, Theofilis P, Argyraki A, Thomaidis N, Tousoulis D. Impact of drinking water hardness on carotid atherosclerosis and arterial stiffness: Insights from the "Corinthia" study. Hellenic J Cardiol 2023; 74:32-38. [PMID: 37121519 DOI: 10.1016/j.hjc.2023.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 04/17/2023] [Accepted: 04/17/2023] [Indexed: 05/02/2023] Open
Abstract
BACKGROUND Several investigations have highlighted the role of water quality in cardiovascular health. In the present study, we have investigated the effects of drinking water hardness on atherosclerotic burden in carotid arteries and arterial stiffness. METHODS "Corinthia" study was conducted in the homonym region in Greece from 2015 to 2017. Carotid atherosclerosis was assessed by intima-media thickness (IMT). Pulse wave velocity (PWV) was used to evaluate arterial stiffness. Tap-water samples were collected from the study area and analyzed for a variety of elements, as well as pH and total hardness. RESULTS Individuals living in lower drinking water hardness areas (Area 1) versus individuals living in higher water hardness areas (Area 2) had lower max IMT (p = 0.004) and were less susceptible to carotid plaque formation (p = 0.004). Interestingly, individuals over 65 years from Area 1 had lower mean IMT, max IMT, and less plaque formation (p < 0.001 for all). The mean value of PWV in the overall study population was below the 10 m/s cutoff, which defines arterial stiffness (9.15 ± 2.79 m/s). Nevertheless, a marginally higher rate of vascular stiffening was noted in Area 2 vs. Area 1 (16.2% and 12.8%, respectively, p = 0.048). CONCLUSIONS According to this cross-sectional study's findings, a positive association between extra hard water and carotid atherosclerotic burden was found. However, the association with arterial stiffness is unclear and should be investigated further.
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Affiliation(s)
- Georgia Vogiatzi
- 1(st) Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.
| | - George Lazaros
- 1(st) Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Evangelos Oikonomou
- 1(st) Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Marios Kostakis
- Laboratory of Analytical Chemistry, Department of Chemistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Zacharenia Kypritidou
- Section of Economic Geology and Geochemistry, Department of Geology and Geoenvironment, National and Kapodistrian University of Athens, Athens, Greece
| | - Evangelia Christoforatou
- 1(st) Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Panagiotis Theofilis
- 1(st) Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Ariadne Argyraki
- Section of Economic Geology and Geochemistry, Department of Geology and Geoenvironment, National and Kapodistrian University of Athens, Athens, Greece
| | - Nikolaos Thomaidis
- Laboratory of Analytical Chemistry, Department of Chemistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Dimitris Tousoulis
- 1(st) Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
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Basdeki ED, Argyris AA, Efthymiou O, Athanasopoulou E, Sfikakis PP, Protogerou AD, Karatzi K. Systematic Breakfast Consumption of Medium-Quantity and High-Quality Food Choices Is Associated with Better Vascular Health in Individuals with Cardiovascular Disease Risk Factors. Nutrients 2023; 15:nu15041025. [PMID: 36839387 PMCID: PMC9967081 DOI: 10.3390/nu15041025] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Revised: 02/15/2023] [Accepted: 02/16/2023] [Indexed: 02/22/2023] Open
Abstract
BACKGROUND Breakfast consumption has been associated with the improvement of many cardiovascular disease (CVD) risk factors, yet data regarding its association with subclinical vascular damage, which precedes the onset of CVD, are scarce. The aim of this study is to investigate this association in a large sample of adults with CVD risk factors. METHODS Anthropometric measurements, vascular biomarkers and dietary intake with two 24-h dietary recalls, focusing on breakfast frequency and its quantity and content, were assessed in 902 adults (45.2% males). Breakfast quality was assessed by identifying a posteriori breakfast dietary pattern (DP) by using principal component analysis (PCA). RESULTS Systematic breakfast consumption (SBC) was inversely associated with central systolic blood pressure (b: -3.28, 95% C.I.: -5.7 to -0.86), diastolic blood pressure (b: -1.85, 95% C.I.: -3.34 to -0.36), augmentation index (b: -3.17, 95% C.I.:-4.98 to 1.35) and left carotid intima media thickness (b: -0.03, 95% C.I.:-0.06 to -0.01) compared to breakfast skipping independently of age, sex, hypertension, diabetes, dyslipidemia, smoking, and BMI. SBC of 10-20% of daily total energy intake (dTEI) was inversely associated with Aix (b: -2.31, 95% C.I.:-4.05 to -0.57) compared to <10% dTEI after adjustment for the aforementioned confounders. DP1 (high coffee and sugar consumption, low consumption of low- and full-fat dairy products, fruits, and fresh juices) was positively associated with Aix (b: 1.19, 95% C.I.: 0.48 to 1.90). CONCLUSION SBC comprised of medium-energy density and high-nutrient content food items may be a simple daily habit associated with better vascular health.
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Affiliation(s)
- Eirini D. Basdeki
- Cardiovascular Prevention & Research Unit, Clinic & Laboratory of Pathophysiology, Department of Medicine, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Antonios A. Argyris
- Cardiovascular Prevention & Research Unit, Clinic & Laboratory of Pathophysiology, Department of Medicine, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Olga Efthymiou
- Department of Life Sciences, School of Sciences, European University of Cyprus, Nicosia 22006, Cyprus
| | - Elpida Athanasopoulou
- Cardiovascular Prevention & Research Unit, Clinic & Laboratory of Pathophysiology, Department of Medicine, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Petros P. Sfikakis
- 1st Department of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Athanase D. Protogerou
- Cardiovascular Prevention & Research Unit, Clinic & Laboratory of Pathophysiology, Department of Medicine, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Kalliopi Karatzi
- Laboratory of Dietetics and Quality of Life, Department of Food Science & Human Nutrition, Agricultural University of Athens, 75 Iera Odos, 11855 Athens, Greece
- Correspondence:
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Nizami H, Su L, Jain R, Jain R. Effects of chronically skipping meals on atrial fibrillation risk. Future Cardiol 2022; 18:497-506. [PMID: 35360935 DOI: 10.2217/fca-2021-0086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Atrial fibrillation is the most common form of arrhythmia and can result in significant morbidity and mortality. While there are many potential causes of atrial fibrillation that have been well studied, this work considers the potential effect of chronically skipping meals on the development of atrial fibrillation. The authors discuss the various processes that skipping meals initiates in the body that may ultimately result in atrial fibrillation. Through a better understanding of the various disease pathophysiologies that can contribute to the development of atrial fibrillation, this narrative review may help lead to more advanced therapeutic and preventive approaches.
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Affiliation(s)
- Hamasah Nizami
- School of Medicine, American University of Integrative Sciences, #9 5th Avenue Belleville, St. Michael, Barbados
| | - Lilly Su
- School of Medicine, Pennsylvania State College of Medicine, 700 HMC Crescent Road, Hershey, PA 17033, USA
| | - Rahul Jain
- University Hospital, 1 Hospital drive, Columbia, MO 65212, USA
| | - Rohit Jain
- Penn State Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033, USA
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Inflammatory Mediators of Platelet Activation: Focus on Atherosclerosis and COVID-19. Int J Mol Sci 2021; 22:ijms222011170. [PMID: 34681830 PMCID: PMC8539848 DOI: 10.3390/ijms222011170] [Citation(s) in RCA: 32] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Revised: 10/09/2021] [Accepted: 10/15/2021] [Indexed: 12/16/2022] Open
Abstract
Background: Atherosclerotic cardiovascular diseases are characterized by a dysregulated inflammatory and thrombotic state, leading to devastating complications with increased morbidity and mortality rates. Summary: In this review article, we present the available evidence regarding the impact of inflammation on platelet activation in atherosclerosis. Key messages: In the context of a dysfunctional vascular endothelium, structural alterations by means of endothelial glycocalyx thinning or functional modifications through impaired NO bioavailability and increased levels of von Willebrand factor result in platelet activation. Moreover, neutrophil-derived mediators, as well as neutrophil extracellular traps formation, have been implicated in the process of platelet activation and platelet-leukocyte aggregation. The role of pro-inflammatory cytokines is also critical since their receptors are also situated in platelets while TNF-α has also been found to induce inflammatory, metabolic, and bone marrow changes. Additionally, important progress has been made towards novel concepts of the interaction between inflammation and platelet activation, such as the toll-like receptors, myeloperoxidase, and platelet factor-4. The accumulating evidence is especially important in the era of the coronavirus disease-19 pandemic, characterized by an excessive inflammatory burden leading to thrombotic complications, partially mediated by platelet activation. Lastly, recent advances in anti-inflammatory therapies point towards an anti-thrombotic effect secondary to diminished platelet activation.
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Chasikidis C, Oikonomou E, Lazaros G, Christoforatou E, Vogiatzi G, Chrysohoou C, Mystakidi VC, Vavouranaki G, Tousoulis D. Association of arterial stiffness with functional parameters in patients with systolic heart failure: Data from the Corinthia study. Hellenic J Cardiol 2021; 63:86-88. [PMID: 33965631 DOI: 10.1016/j.hjc.2021.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Revised: 03/22/2021] [Accepted: 04/20/2021] [Indexed: 11/17/2022] Open
Affiliation(s)
- Christos Chasikidis
- First Department of Cardiology, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
| | - Evangelos Oikonomou
- First Department of Cardiology, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece; Third Department of Cardiology, Thoracic Diseases General Hospital Sotiria, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
| | - George Lazaros
- First Department of Cardiology, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Evangelia Christoforatou
- First Department of Cardiology, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Georgia Vogiatzi
- First Department of Cardiology, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Christina Chrysohoou
- First Department of Cardiology, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Vasiliki Chara Mystakidi
- First Department of Cardiology, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Georgia Vavouranaki
- First Department of Cardiology, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Dimitris Tousoulis
- First Department of Cardiology, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
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Lasalvia P, Gianfagna F, Veronesi G, Franchin M, Tozzi M, Castelli P, Grandi AM, Zambon A, Iacoviello L, Ferrario MM. Identification of dietary patterns in a general population of North Italian adults and their association with arterial stiffness. The RoCAV study. Nutr Metab Cardiovasc Dis 2021; 31:44-51. [PMID: 32981800 DOI: 10.1016/j.numecd.2020.08.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Revised: 07/17/2020] [Accepted: 08/03/2020] [Indexed: 12/14/2022]
Abstract
BACKGROUND AND AIMS The aims of this study were to identify dietary patterns in a general population of North Italian adults and to investigate the cross-sectional association between prevalent dietary patterns and arterial stiffness. METHODS AND RESULTS Participants to the RoCAV study without chronic diseases at recruitment and with reliable dietary data were included. The food-frequency EPIC questionnaire was used to evaluate dietary habits. Dietary patterns were estimated using principal components analysis and Mediterranean diet adherence score (MedS). Carotid-femoral pulse wave velocity (cfPWV) was used as proxy of arterial stiffness. Basing on data from 2640 subjects (1608 men and 1032 women, mean ± SD 65.5 ± 6.7 years), four principal components (PC) were retained, explaining 24% of the overall variance. Considering 1284 subjects with cfPWV (mean ± SD 10.7 ± 2.5 m/s) data available, adherence to PC1 (Western-like dietary pattern) was associated with higher stiffness values (+0.29 m/s cfPWV for 1 SD increase of PC1, 95% CI:0.08,0.50; p = 0.007) in a multivariate model. Conversely, adherence to PC2 (Mediterranean-like) was not related to cfPWV values (-0.18, 95% CI: -0.36, 0.004; p = 0.06). Likewise, MedS and other PC patterns did not show any significant association with cfPWV. Mediation analysis showed that the association between Western-like dietary pattern and cfPWV is mediated by higher levels of leucocytes (9.2% of the effect, p = 0.047). CONCLUSIONS Our study in a Southern European population identified a Western-like dietary pattern associated with an increased cfPWV, a proxy of arterial stiffness. The association with cfPWV was in part mediated by inflammatory status.
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Affiliation(s)
- Paolo Lasalvia
- EPIMED Research Center, Department of Medicine and Surgery, University of Insubria, Varese, Italy
| | - Francesco Gianfagna
- EPIMED Research Center, Department of Medicine and Surgery, University of Insubria, Varese, Italy; Mediterranea Cardiocentro, Napoli, Italy.
| | - Giovanni Veronesi
- EPIMED Research Center, Department of Medicine and Surgery, University of Insubria, Varese, Italy
| | - Marco Franchin
- Vascular Surgery, Department of Medicine and Surgery, University of Insubria, Varese, Italy
| | - Matteo Tozzi
- Vascular Surgery, Department of Medicine and Surgery, University of Insubria, Varese, Italy
| | - Patrizio Castelli
- Vascular Surgery, Department of Medicine and Surgery, University of Insubria, Varese, Italy
| | - Anna M Grandi
- Internal Medicine, Department of Medicine and Surgery, University of Insubria, Varese, Italy
| | - Antonella Zambon
- Department of Statistics and Quantitative Methods, University of Milano-Bicocca, Milan, Italy; Istituto Auxologico Italiano, IRCCS, Biostatistic Unit, Milan, Italy
| | - Licia Iacoviello
- EPIMED Research Center, Department of Medicine and Surgery, University of Insubria, Varese, Italy; Department of Epidemiology and Prevention, IRCCS Neuromed, Pozzilli, Italy
| | - Marco M Ferrario
- EPIMED Research Center, Department of Medicine and Surgery, University of Insubria, Varese, Italy; Occupational, Preventive Medicine and Toxicology Unit, Varese University Hospital, Varese, Italy
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7
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Tomi R, Yamamoto R, Shinzawa M, Kimura Y, Fujii Y, Aoki K, Ozaki S, Yoshimura R, Taneike M, Nakanishi K, Nishida M, Yamauchi-Takihara K, Kudo T, Isaka Y, Moriyama T. Frequency of Breakfast, Lunch, and Dinner and Incidence of Proteinuria: A Retrospective Cohort Study. Nutrients 2020; 12:E3549. [PMID: 33228218 PMCID: PMC7699477 DOI: 10.3390/nu12113549] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Revised: 11/10/2020] [Accepted: 11/10/2020] [Indexed: 12/17/2022] Open
Abstract
Although multiple studies have revealed a close association of skipping breakfast with cardiometabolic diseases, few studies have reported its association with chronic kidney disease (CKD). Furthermore, there is scant reporting on the clinical impacts that skipping lunch and dinner has on cardiometabolic diseases and CKD. This retrospective cohort study, including 5439 female and 4674 male workers of a national university in Japan who underwent annual health checkups between January 2005 and March 2013, aimed to assess an association of frequencies of breakfast, lunch, and dinner with incidence of proteinuria (dipstick urinary protein ≥1+). The incidence of proteinuria was observed in 763 (14.0%) females and 617 (13.2%) males during the median 4.3 and 5.9 years of the observational period, respectively. In females, skipping breakfast as well as skipping dinner, but not lunch, were associated with the incidence of proteinuria (adjusted hazard ratios of breakfast frequency of "every day", "sometimes", and "rarely": 1.00 (reference), 1.35 (1.09-1.66), and 1.54 (1.22-1.94), respectively; those of dinner frequency of "every day" and "≤sometimes": 1.00 (reference) and 1.31 (1.00-1.72), respectively). However, no association was observed in male workers. Skipping breakfast and skipping dinner were identified as risk factors of proteinuria in females, but not in males.
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Affiliation(s)
- Ryohei Tomi
- Department of Nephrology, Osaka University Graduate School of Medicine, 2–2-D11 Yamadaoka, Suita, Osaka 565-0871, Japan; (R.T.); (M.S.); (Y.K.); (Y.F.); (K.A.); (S.O.); (R.Y.); (Y.I.); (T.M.)
| | - Ryohei Yamamoto
- Department of Nephrology, Osaka University Graduate School of Medicine, 2–2-D11 Yamadaoka, Suita, Osaka 565-0871, Japan; (R.T.); (M.S.); (Y.K.); (Y.F.); (K.A.); (S.O.); (R.Y.); (Y.I.); (T.M.)
- Health and Counseling Center, Osaka University, 1–17 Machikaneyamacho, Toyonaka, Osaka 560-0043, Japan; (M.T.); (K.N.); (M.N.); (K.Y.-T.); (T.K.)
- Health Promotion and Regulation, Department of Health Promotion Medicine, Osaka University Graduate School of Medicine, 1–17 Machikaneyamacho, Toyonaka, Osaka 560-0043, Japan
| | - Maki Shinzawa
- Department of Nephrology, Osaka University Graduate School of Medicine, 2–2-D11 Yamadaoka, Suita, Osaka 565-0871, Japan; (R.T.); (M.S.); (Y.K.); (Y.F.); (K.A.); (S.O.); (R.Y.); (Y.I.); (T.M.)
| | - Yoshiki Kimura
- Department of Nephrology, Osaka University Graduate School of Medicine, 2–2-D11 Yamadaoka, Suita, Osaka 565-0871, Japan; (R.T.); (M.S.); (Y.K.); (Y.F.); (K.A.); (S.O.); (R.Y.); (Y.I.); (T.M.)
| | - Yoshiyuki Fujii
- Department of Nephrology, Osaka University Graduate School of Medicine, 2–2-D11 Yamadaoka, Suita, Osaka 565-0871, Japan; (R.T.); (M.S.); (Y.K.); (Y.F.); (K.A.); (S.O.); (R.Y.); (Y.I.); (T.M.)
| | - Katsunori Aoki
- Department of Nephrology, Osaka University Graduate School of Medicine, 2–2-D11 Yamadaoka, Suita, Osaka 565-0871, Japan; (R.T.); (M.S.); (Y.K.); (Y.F.); (K.A.); (S.O.); (R.Y.); (Y.I.); (T.M.)
| | - Shingo Ozaki
- Department of Nephrology, Osaka University Graduate School of Medicine, 2–2-D11 Yamadaoka, Suita, Osaka 565-0871, Japan; (R.T.); (M.S.); (Y.K.); (Y.F.); (K.A.); (S.O.); (R.Y.); (Y.I.); (T.M.)
| | - Ryuichi Yoshimura
- Department of Nephrology, Osaka University Graduate School of Medicine, 2–2-D11 Yamadaoka, Suita, Osaka 565-0871, Japan; (R.T.); (M.S.); (Y.K.); (Y.F.); (K.A.); (S.O.); (R.Y.); (Y.I.); (T.M.)
| | - Manabu Taneike
- Health and Counseling Center, Osaka University, 1–17 Machikaneyamacho, Toyonaka, Osaka 560-0043, Japan; (M.T.); (K.N.); (M.N.); (K.Y.-T.); (T.K.)
| | - Kaori Nakanishi
- Health and Counseling Center, Osaka University, 1–17 Machikaneyamacho, Toyonaka, Osaka 560-0043, Japan; (M.T.); (K.N.); (M.N.); (K.Y.-T.); (T.K.)
| | - Makoto Nishida
- Health and Counseling Center, Osaka University, 1–17 Machikaneyamacho, Toyonaka, Osaka 560-0043, Japan; (M.T.); (K.N.); (M.N.); (K.Y.-T.); (T.K.)
| | - Keiko Yamauchi-Takihara
- Health and Counseling Center, Osaka University, 1–17 Machikaneyamacho, Toyonaka, Osaka 560-0043, Japan; (M.T.); (K.N.); (M.N.); (K.Y.-T.); (T.K.)
| | - Takashi Kudo
- Health and Counseling Center, Osaka University, 1–17 Machikaneyamacho, Toyonaka, Osaka 560-0043, Japan; (M.T.); (K.N.); (M.N.); (K.Y.-T.); (T.K.)
| | - Yoshitaka Isaka
- Department of Nephrology, Osaka University Graduate School of Medicine, 2–2-D11 Yamadaoka, Suita, Osaka 565-0871, Japan; (R.T.); (M.S.); (Y.K.); (Y.F.); (K.A.); (S.O.); (R.Y.); (Y.I.); (T.M.)
| | - Toshiki Moriyama
- Department of Nephrology, Osaka University Graduate School of Medicine, 2–2-D11 Yamadaoka, Suita, Osaka 565-0871, Japan; (R.T.); (M.S.); (Y.K.); (Y.F.); (K.A.); (S.O.); (R.Y.); (Y.I.); (T.M.)
- Health and Counseling Center, Osaka University, 1–17 Machikaneyamacho, Toyonaka, Osaka 560-0043, Japan; (M.T.); (K.N.); (M.N.); (K.Y.-T.); (T.K.)
- Health Promotion and Regulation, Department of Health Promotion Medicine, Osaka University Graduate School of Medicine, 1–17 Machikaneyamacho, Toyonaka, Osaka 560-0043, Japan
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8
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Vavouranaki G, Oikonomou E, Vavuranakis MA, Vavuranakis E, Vogiatzi G, Lazaros G, Tsalamandris S, Galiatsatos N, Theofilis P, Santouri M, Tousoulis D. Relationship between whole grain consumption and arterial stiffness. Results of the Corinthia cross-sectional study. Hellenic J Cardiol 2020; 62:219-220. [PMID: 32534110 DOI: 10.1016/j.hjc.2020.05.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2020] [Revised: 05/07/2020] [Accepted: 05/15/2020] [Indexed: 10/24/2022] Open
Affiliation(s)
- Georgia Vavouranaki
- 1st Department of Cardiology, 'Hippokration' Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Evangelos Oikonomou
- 1st Department of Cardiology, 'Hippokration' Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Michael Andrew Vavuranakis
- 1st Department of Cardiology, 'Hippokration' Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Emmanuel Vavuranakis
- 1st Department of Cardiology, 'Hippokration' Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Georgia Vogiatzi
- 1st Department of Cardiology, 'Hippokration' Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
| | - George Lazaros
- 1st Department of Cardiology, 'Hippokration' Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Sotirios Tsalamandris
- 1st Department of Cardiology, 'Hippokration' Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Nikolaos Galiatsatos
- 1st Department of Cardiology, 'Hippokration' Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Panagiotis Theofilis
- 1st Department of Cardiology, 'Hippokration' Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Mina Santouri
- 1st Department of Cardiology, 'Hippokration' Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Dimitris Tousoulis
- 1st Department of Cardiology, 'Hippokration' Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
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Tousoulis D. Novel risk factors in coronary artery disease: are they clinically relevant? Hellenic J Cardiol 2019; 60:149-151. [PMID: 31520726 DOI: 10.1016/j.hjc.2019.06.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2019] [Accepted: 06/23/2019] [Indexed: 10/26/2022] Open
Affiliation(s)
- Dimitris Tousoulis
- 1(st) Cardiology Department, National and Kapodistrian University of Athens University Medical School, Hippokration Hospital, Athens, Greece.
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10
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Ofori-Asenso R, Owen AJ, Liew D. Skipping Breakfast and the Risk of Cardiovascular Disease and Death: A Systematic Review of Prospective Cohort Studies in Primary Prevention Settings. J Cardiovasc Dev Dis 2019; 6:E30. [PMID: 31443394 PMCID: PMC6787634 DOI: 10.3390/jcdd6030030] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2019] [Revised: 08/07/2019] [Accepted: 08/19/2019] [Indexed: 12/13/2022] Open
Abstract
Several studies have associated skipping (not having) breakfast with cardiometabolic risk factors such as obesity, high blood pressure, unfavorable lipid profiles, diabetes, and metabolic syndrome. We examined the available evidence regarding the effect of skipping breakfast on cardiovascular morbidity and mortality, as well as all-cause mortality. Medline, Embase, and Web of Science were searched from inception until May 2019 to identify prospective cohort studies that examined the association between skipping breakfast and the risk of cardiovascular morbidity and mortality and all-cause death. Electronic searches were supplemented by manual screening of the references of retrieved studies. Out of 456 citations identified, four studies (from Japan and the US) were included. The included studies involved a total of 199,634 adults (aged ≥40 years; 48.5% female) without known cardiovascular disease (CVD) at baseline followed over a median duration of 17.4 years. The pooled data suggested that people who regularly skipped breakfast were about 21% more likely (hazard ratio (HR) 1.21, 95% confidence interval (CI) 1.08-1.35; I2 = 17.3%, p = 0.304) to experience incident CVD or die from it than people who regularly consumed breakfast. Also, the risk of all-cause death was 32% higher (HR 1.32, 95% CI 1.17-1.48; I2 = 7.6%, p = 0.339) in people who regularly skipped breakfast than in people who regularly consumed breakfast. However, the definition of skipping breakfast was heterogenous and adjustment for confounders varied significantly. Therefore, residual confounding could not be ruled out and caution is required in the interpretation of the findings. Hence, large prospective studies with a consistent definition of skipping breakfast, and conducted across different populations, are needed to provide more robust evidence of the health effects of skipping breakfast.
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Affiliation(s)
- Richard Ofori-Asenso
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, VIC 3004, Australia.
| | - Alice J Owen
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, VIC 3004, Australia
| | - Danny Liew
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, VIC 3004, Australia
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