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Katsiki N, Filippatos T, Vlachopoulos C, Panagiotakos D, Milionis H, Tselepis A, Garoufi A, Rallidis L, Richter D, Nomikos T, Kolovou G, Kypreos K, Chrysohoou C, Tziomalos K, Skoumas I, Koutagiar I, Attilakos A, Papagianni M, Boutari C, Kotsis V, Pitsavos C, Elisaf M, Tsioufis K, Liberopoulos E. Executive summary of the Hellenic Atherosclerosis Society guidelines for the diagnosis and treatment of dyslipidemias - 2023. Atheroscler Plus 2024; 55:74-92. [PMID: 38425675 PMCID: PMC10901915 DOI: 10.1016/j.athplu.2024.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Revised: 12/20/2023] [Accepted: 01/29/2024] [Indexed: 03/02/2024]
Abstract
Atherosclerotic cardiovascular disease (ASCVD) remains the main cause of death worldwide, and thus its prevention, early diagnosis and treatment is of paramount importance. Dyslipidemia represents a major ASCVD risk factor that should be adequately managed at different clinical settings. 2023 guidelines of the Hellenic Atherosclerosis Society focus on the assessment of ASCVD risk, laboratory evaluation of dyslipidemias, new and emerging lipid-lowering drugs, as well as diagnosis and treatment of lipid disorders in women, the elderly and in patients with familial hypercholesterolemia, acute coronary syndromes, heart failure, stroke, chronic kidney disease, diabetes, autoimmune diseases, and non-alcoholic fatty liver disease. Statin intolerance is also discussed.
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Affiliation(s)
- N Katsiki
- Department of Nutritional Sciences and Dietetics, International Hellenic University, Thessaloniki, Greece
- School of Medicine, European University Cyprus, Nicosia, Cyprus
| | - Td Filippatos
- Department of Internal Medicine, School of Medicine, University of Crete, Crete, Greece
| | - C Vlachopoulos
- Cardiology Department, First Cardiology Clinic, Athens Medical School, Hippokration Hospital, Athens, Greece
| | - D Panagiotakos
- Department of Nutrition and Dietetics, School of Health Sciences & Education, Harokopio University, Athens, Greece
| | - H Milionis
- Department of Internal Medicine, School of Health Sciences, Faculty of Medicine, University of Ioannina, Ioannina, Greece
| | - A Tselepis
- Atherothrombosis Research Centre, University of Ioannina, Ioannina, Greece
| | - A Garoufi
- 2nd Department of Pediatrics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - L Rallidis
- 2nd Department of Cardiology, Medical School, National and Kapodistrian University of Athens, University General Hospital ATTIKON, Athens, Greece
| | - D Richter
- Head of Cardiac Department, Euroclinic Hospital, Athens, Greece
| | - T Nomikos
- Department of Nutrition and Dietetics, School of Health Sciences & Education, Harokopio University, Athens, Greece
| | - G Kolovou
- Metropolitan Hospital, Cardiometabolic Center, Lipoprotein Apheresis and Lipid Disorders Clinic, Athens, Greece
| | - K Kypreos
- School of Medicine, European University Cyprus, Nicosia, Cyprus
- University of Patras, School of Health Science, Department of Medicine, Pharmacology Laboratory, Patras, 26500, Greece
| | - C Chrysohoou
- 1st Cardiology Clinic National and Kapodistrian University of Athens, Hippokration Hospital, Athens, Greece
| | - K Tziomalos
- First Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece
| | - I Skoumas
- 1st Department of Cardiology, National & Kapodistrian University of Athens, Athens, Greece
| | - I Koutagiar
- 1st Cardiology Department, Hygeia Hospital, Athens, Greece
| | - A Attilakos
- 3rd Department of Pediatrics, School of Medicine, National and Kapodistrian University of Athens, Attikon General Hospital, Athens, Greece
| | - M Papagianni
- Third Department of Pediatrics, Aristotle University of Thessaloniki, School of Medicine, “Hippokrateion" General Hospital of Thessaloniki, Thessaloniki, Greece
| | - C Boutari
- Second Propedeutic Department of Internal Medicine, Hippocration Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - V Kotsis
- 3rd Department of Internal Medicine, Papageorgiou Hospital, Aristotle University Thessaloniki, Greece
| | - C Pitsavos
- First Cardiology Clinic, School of Medicine, University of Athens, Greece
| | - M Elisaf
- Department of Internal Medicine, Faculty of Medicine, University Hospital of Ioannina, 45110, Ioannina, Greece
| | - K Tsioufis
- 1st Department of Cardiology, National and Kapodistrian University of Athens, Hippocration Hospital, Greece
| | - E Liberopoulos
- 1st Department of Propedeutic Medicine, School of Medicine, National and Kapodistrian University of Athens, Laiko General Hospital, Athens, Greece
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Abstract
Prevalence of Alzheimer's Disease and other forms of dementia is increasing in accordance with the increase of life expectancy and the resulting world population aging, while an effective pharmaceutical treatment is pending. These facts underline the need for development of targeted interventions that could decrease the incidence of dementia. Dietary supplementation, especially sources of ω-3 fatty acids and polyphenols such as fish oil and blueberries respectively, have been reported to have a beneficial effect on cognitive functioning. The aim of this review is to summarize the most recent findings of clinical studies investigating the effect of dietary supplementation on cognitive performance and identify potential effective interventions. For this purpose, PubMed, Scopus and Google Scholar research was conducted and a total of ten studies met the selection criteria. Four of these studies investigated the effect of ω-3 fatty acid supplementation. Two of these presented significant benefits in certain domains of cognitive functions (such as working memory, space imagery efficiency perceptual speed), in full scale IQ as well as prevention of hippocampal atrophy while the remaining two did not report any improvements. Two more studies investigated the effect of polyphenol supplementation and reported minor benefits in spatial memory as well as enhanced stimulation of certain brain regions. One study compared the effect of fish oil and blueberry supplementation as well as their combination and presented cognitive benefits for both fish oil and blueberries but not for their simultaneous administration. Finally, three more studies investigated the effect of DW 2009 soybean, ashwagandha and a nutraceutical formulation and reported cognitive benefits in attention, memory and global cognition respectively for their intervention groups. In total, eight studies investigated interventions on people with Mild Cognitive Impairment or Subjective Cognitive Impairment and all of them reported significant cognitive benefits in some cognitive domains. On the contrary, the remaining two studies included individuals with diagnosed dementia reported minimal to hardly any benefits. Conclusively, the interventions of the studies reviewed seem promising for individuals at risk of dementia, but not for those who are already diagnosed with dementia. However, further research is required to validate their effect as well as determine recommended doses.
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Affiliation(s)
- V Gkotzamanis
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece
| | - D Panagiotakos
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece.,Faculty of Health, University of Canberra, Canberra, Australia
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Tsiampalis T, Faka A, Psaltopoulou T, Pitsavos C, Chalkias C, Panagiotakos D. A spatial analysis of behavioral risk factors for cardiovascular diseases, in the context of the Attica epidemiological study in Greece. Atherosclerosis 2021. [DOI: 10.1016/j.atherosclerosis.2021.06.588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Magriplis E, Panagiotakos D, Papakonstantinou E, Mitsopoulou AV, Karageorgou D, Dimakopoulos I, Bakogianni I, Chourdakis M, Micha R, Michas G, Ntouroupi T, Tsaniklidou SM, Argyri K, Dimitriadis G, Zampelas A. Prevalence of type 2 diabetes mellitus in a representative sample of Greek adults and its association with modifiable risk factors: results from the Hellenic National Nutrition and Health Survey. Public Health 2021; 197:75-82. [PMID: 33478772 DOI: 10.1016/j.puhe.2020.10.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2020] [Revised: 08/31/2020] [Accepted: 10/03/2020] [Indexed: 01/04/2023]
Abstract
OBJECTIVE Diabetes mellitus is a disease associated with many complications leading to premature death. The aim of this study was to estimate prevalence of type 2 diabetes (T2D), and the proportion of the population unaware of the condition, in association with modifiable risk factors. STUDY DESIGN Data from the Hellenic National Nutrition and Health Survey were used (n = 3773 adults, 40.8% men) and were obtained by trained personnel. METHODS Diabetes mellitus disease status was categorized as per the International Classification of Diseases codes (10th version). A subsample from the two main metropolitan areas was used to assess T2D and impaired fasting glucose (IFG) (n = 990; 38.2% men) from plasma analysis. RESULTS The prevalence of T2D in the population was 5.2% in total, reaching 13.7% in adults aged >60 years (no sex differences). IFG was observed in 27.3% of adults in the two metropolitan areas, and 40% were unaware of having T2D in this subsample. The likelihood of having T2D significantly increased with age and body weight, whereas it decreased with higher educational level and physical activity (P for all <0.001). CONCLUSION The high T2D prevalence in adults, especially among the older age-groups, suggests a major public health problem in Greece.
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Affiliation(s)
- E Magriplis
- Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55, Athens, Greece
| | - D Panagiotakos
- Department of Nutrition and Dietetics, School of Health Science and Education Harokopio University, Eleftheriou Venizelou 70, 176 76, Athens, Greece
| | - E Papakonstantinou
- Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55, Athens, Greece
| | - A-V Mitsopoulou
- Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55, Athens, Greece
| | - D Karageorgou
- Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55, Athens, Greece
| | - I Dimakopoulos
- Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55, Athens, Greece
| | - I Bakogianni
- Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55, Athens, Greece
| | - M Chourdakis
- Laboratory of Hygiene, Social & Preventive Medicine and Medical Statistics, Department of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, University Campus, 54 124, Thessaloniki, Greece
| | - R Micha
- Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55, Athens, Greece
| | - G Michas
- Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55, Athens, Greece
| | - T Ntouroupi
- Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55, Athens, Greece
| | - S-M Tsaniklidou
- Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55, Athens, Greece
| | - K Argyri
- Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55, Athens, Greece
| | - G Dimitriadis
- 2nd Department of Internal Medicine, Research Institute and Diabetes Center, National and Kapodistrian University of Athens, "Attikon" University Hospital, Haidari, Greece
| | - A Zampelas
- Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55, Athens, Greece.
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Tsiampalis T, Faka A, Psaltopoulou T, Pitsavos C, Chalkias C, Panagiotakos D. Socio-economic and environmental determinants of diabetes mellitus in the Athens metropolitan area: A spatial analysis in the context of the Attica epidemiological study. Atherosclerosis 2021. [DOI: 10.1016/j.atherosclerosis.2021.06.591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Tsiampalis T, Faka A, Psaltopoulou T, Pitsavos C, Chalkias C, Panagiotakos D. Implications of supermarket and street markets access for the metabolic syndrome in the Athens metropolitan area. Atherosclerosis 2021. [DOI: 10.1016/j.atherosclerosis.2021.06.592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Tsiampalis T, Faka A, Psaltopoulou T, Pitsavos C, Chalkias C, Panagiotakos D. The spatial variability of the sex and age- specific 10-year incidence of cardiovascular diseases and its medical risk factors in athens metropolitan area. Atherosclerosis 2021. [DOI: 10.1016/j.atherosclerosis.2021.06.448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Baskini M, Brugger P, Fragkiadoulakis P, Keramydas C, Panagiotakos D, Proios H. Body mass index and flanker size: Does (over)weight modulate the Baldwin illusion? Cogent Psychology 2020. [DOI: 10.1080/23311908.2020.1823634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- M. Baskini
- Department of Education and Social Policy, University of Macedonia, Thessaloniki, Greece
| | - P. Brugger
- Department of Psychiatry, PUK University Hospital Zurich, Zurich, Switzerland
- Rehabilitation Center Valens, Valens, Switzerland
| | - P. Fragkiadoulakis
- Department of Mechanical Engineering, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - C. Keramydas
- Department of Supply Chain Management, International Hellenic University, Thessaloniki, Greece
| | - D. Panagiotakos
- Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
| | - H. Proios
- Department of Psychiatry, PUK University Hospital Zurich, Zurich, Switzerland
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Foscolou A, Critselis E, Tyrovolas S, Chrysohoou C, Rallidis L, Matalas AL, Sidossis L, Panagiotakos D. Plant and animal protein consumption, cardiometabolic risk and healthy aging: Attica and medis epidemiological studies. Atherosclerosis 2020. [DOI: 10.1016/j.atherosclerosis.2020.10.310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Foscolou A, Tyrovolas S, Matalas AL, Polychronopoulos E, Rallidis L, Sidossis L, Panagiotakos D. Siesta and healthy aging in older mediterranean people: The medis epidemiological study. Atherosclerosis 2020. [DOI: 10.1016/j.atherosclerosis.2020.10.252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Kyprianidou M, Panagiotakos D, Kambanaros M, Makris KC, Christophi CA. Multi-Morbidity and Mediterranean Diet in the Cypriot population. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.1015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Knowledge about factors associated with multi-morbidity in a given population has important implications for prevention, diagnosis, treatment, and prognosis strategies.
Objectives
To examine the association of Mediterranean diet with multi-morbidity in the adult general population of Cyprus.
Methods
A representative sample of n = 1142 Cypriots over 18 years old was recruited during 2018-2019. Multi-morbidity was assessed using a validated questionnaire and diseases were classified according to the International Classification of Diseases, 11th Revision (ICD-11). Mediterranean diet was evaluated using the MedDiet score tool which included the weekly consumption of non-refined cereals, fruit, vegetables, legumes, potatoes, fish, meat and meat products, poultry, full fat dairy products, as well as olive oil and alcohol intake.
Results
The average Mediterranean diet score was 15.5 ± 4.0 with males adhering more to the Mediterranean diet compared to females (p < 0.001). Being in the higher tertile of adherence to the Mediterranean diet was associated with lower odds of multi-morbidity at α = 0.10, even after adjusting for age, gender, educational status, smoking habits, and physical activity (OR = 0.72, 95% CI: 0.49, 1.06, p = 0.09), compared to the lower tertile.
Conclusions
To the best to our knowledge, this is the first study which provides evidence of an association between Mediterranean diet and multi-morbidity. Adherence to Mediterranean diet was associated with lower risk of multi-morbidity. Future prevention programs and practice guidelines in Cyprus and elsewhere should take into account the beneficial effects of a Mediterranean diet on multi-morbidity.
Key messages
This study provides the first evidence of an association between Mediterranean diet and multi-morbidity. health benefits in terms of multiple chronic diseases in an individual can be gained from Mediterranean diet pattern.
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Affiliation(s)
- M Kyprianidou
- Institute for Environmental and Public Health, Cyprus University of Technology, Nicosia, Cyprus
| | - D Panagiotakos
- Nutrition and Dietetics, Harokopio University, Athens, Greece
| | - M Kambanaros
- Rehabilitation Sciences, Cyprus University of Technology, Limassol, Cyprus
| | - K C Makris
- Institute for Environmental and Public Health, Cyprus University of Technology, Nicosia, Cyprus
| | - C A Christophi
- Institute for Environmental and Public Health, Cyprus University of Technology, Nicosia, Cyprus
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Foscolou A, Tyrovolas S, Chrysohoou C, Critselis E, Rallidis L, Panagiotakos D. Types Of Fats/Oils And Their Association With Healthy Ageing: A Combined Analysis Of The Attica And Medis Epidemiological Studies. Atherosclerosis 2019. [DOI: 10.1016/j.atherosclerosis.2019.06.095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Notara V, Kokkou S, Panagiotakos D. The impact of perinatal history in the occurrence of childhood obesity: a litera-ture review. Hippokratia 2018; 22:155-161. [PMID: 31695302 PMCID: PMC6825419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
BACKGROUND It is widely accepted, that the increased prevalence of childhood overweight and obesity poses an important public health problem since it increases the risk for early onset of non-communicable diseases with potentially increased health complications during adulthood. Childhood obesity prevention is therefore of primary importance; hence it is mandatory to understand its main causes and identify the mechanisms associated with weight gain. Although its etiology can be partly attributed to genetic and behavioral factors, evidence from existing literature indicates that the perinatal environment may also increase the risk of childhood obesity; the latter, however, has not been thoroughly investigated and discussed. METHODS A literature search was conducted in scientific databases (PubMed, Embase, Web of Science, and Scopus) in order to reveal recent epidemiologic studies, with emphasis on works from the last decade. Studies whose primary or secondary object was the association between type of delivery, breastfeeding and/or gestational diabetes mellitus with overweight and obesity in childhood and preadolescence were taken into account. Studies that did not meet the aim of the current review were excluded. RESULTS The retrieved information revealed that there is a noteworthy association between perinatal factors and childhood and preadolescence overweight/obesity occurrence, though the exact pathways still need to be elucidated. CONCLUSIONS Public health professionals should take into account perinatal determinants when estimating a child's risk of overweight and obesity development. HIPPOKRATIA 2018, 22(4): 155-161.
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Affiliation(s)
- V Notara
- Department of Public & Community Health, School of Public Health, University of West Attica Athens, Greece
- Department of Nutrition & Dietetics, School of Health Science & Education, Harokopio University, Athens, Greece
| | - S Kokkou
- Department of Nutrition & Dietetics, School of Health Science & Education, Harokopio University, Athens, Greece
| | - D Panagiotakos
- Department of Nutrition & Dietetics, School of Health Science & Education, Harokopio University, Athens, Greece
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Ntzouvani A, Nomikos T, Panagiotakos D, Fragopoulou E, Pitsavos C, McCann A, Ueland PM, Antonopoulou S. Amino acid profile and metabolic syndrome in a male Mediterranean population: A cross-sectional study. Nutr Metab Cardiovasc Dis 2017; 27:1021-1030. [PMID: 28958693 DOI: 10.1016/j.numecd.2017.07.006] [Citation(s) in RCA: 47] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2017] [Revised: 07/08/2017] [Accepted: 07/17/2017] [Indexed: 02/06/2023]
Abstract
BACKGROUND AND AIMS The metabolic syndrome (MetS) refers to a cluster of clinically relevant factors that increases the risk of cardiovascular diseases and all-cause mortality. Circulating levels of several amino acids and metabolites related to one-carbon metabolism have been associated with cardiometabolic risk factors and MetS. We aimed to identify the amino acid profile that is significantly associated with MetS among an all male Mediterranean population. METHODS AND RESULTS One hundred middle-aged men (54.6 ± 8.9 years) participated in a cross-sectional study carried out during 2011-2012. The International Diabetes Federation (IDF) criteria were used to define MetS. Fasting plasma levels of 20 common amino acids and 15 metabolites related to amino acid and one-carbon metabolism were measured using gas chromatography (GC-MS/MS) and liquid chromatography tandem mass spectrometry (LC-MS/MS). Principal components analysis was applied. Fifty-six participants fulfilled the IDF criteria for defining MetS. Five factors were extracted from the 35 measured metabolites. The branched-chain amino acids/aromatic amino acids (BCAA/AAA) related pattern and the glutamine/glycine/serine/asparagine (Gln/Gly/Ser/Asn) related pattern were significantly associated with MetS (odds ratio, 95% confidence interval; 6.41, 2.43-16.91, and 0.47, 0.23-0.96, respectively) after adjustment for age, current smoking status, physical activity level and medical treatment for hypertension, dyslipidaemia, type 2 diabetes mellitus. Further adjustment for liver function markers (i.e. glutamic oxaloacetic transaminase, glutamic pyruvic transaminase, and γ-glutamyltransferase), and plasma adiponectin levels did not significantly affect the associations. CONCLUSION The BCAA/AAA pattern was positively associated, while the Gln/Gly/Ser/Asn pattern was inversely associated with established cardiometabolic risk factors and MetS. Plasma adiponectin levels or markers of liver function did not significantly affect these associations.
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Affiliation(s)
- A Ntzouvani
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens 17671, Greece
| | - T Nomikos
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens 17671, Greece
| | - D Panagiotakos
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens 17671, Greece
| | - E Fragopoulou
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens 17671, Greece
| | - C Pitsavos
- First Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens 11527, Greece
| | | | - P M Ueland
- Department of Clinical Science, University of Bergen, Bergen 5020, Norway; Laboratory of Clinical Biochemistry, Haukeland University Hospital, Bergen 5020, Norway
| | - S Antonopoulou
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens 17671, Greece.
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Rallidis L, Panagiotakos D, Pavlakis G, Kotakos C, Liakos G, Moutsatsou P, Iliodromitis E. P641Lipoprotein (a) and premature myocardial infarction. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx501.p641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Panagiotakos D, Caballero F, Arndt H, Chatterji S, Soulis G, Prina M, Haro J. DEVELOPING A SINGLE METRIC OF HEALTH USING MODERN DATA ANALYTICAL METHODS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.4819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
| | | | | | | | - G. Soulis
- Harokopio University, Athens, Greece,
| | - M. Prina
- King’s College London, London, United Kingdom,
| | - J. Haro
- Parc Sanitari Sant Joan De Deu, Barcelona, Spain
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Kask J, Ramklint M, Kolia N, Panagiotakos D, Ekbom A, Ekselius L, Papadopoulos FC. Anorexia nervosa in males: excess mortality and psychiatric co-morbidity in 609 Swedish in-patients. Psychol Med 2017; 47:1489-1499. [PMID: 28162109 DOI: 10.1017/s0033291717000034] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
BACKGROUND Anorexia nervosa (AN) is a psychiatric disorder with high mortality. METHOD A retrospective register study of 609 males who received hospitalized care for AN in Sweden between 1973 and 2010 was performed. The standardized mortality ratios (SMRs) and Cox regression-derived hazard ratios (HRs) were calculated as measures of mortality. The incidence rate ratios (IRRs) were calculated to compare the mortality rates in patients with AN and controls both with and without psychiatric diagnoses. RESULTS The SMR for all causes of death was 4.1 [95% confidence interval (CI) 3.1-5.3]. For those patients with psychiatric co-morbidities, the SMR for all causes of death was 9.1 (95% CI 6.6-12.2), and for those without psychiatric co-morbidity, the SMR was 1.6 (95% CI 0.9-2.7). For the group of patients with alcohol use disorder, the SMR for natural causes of death was 11.5 (95% CI 5.0-22.7), and that for unnatural causes was 35.5 (95% CI 17.7-63.5). The HRs confirmed the increased mortality for AN patients with psychiatric co-morbidities, even after adjusting for confounders. The IRRs revealed no significant difference in mortality patterns between the AN patients with psychiatric co-morbidity and the controls with psychiatric diagnoses, with the exceptions of alcohol use disorder and neurotic, stress-related and somatoform disorders, which seemed to confer a negative synergistic effect on mortality. CONCLUSION Mortality in male AN patients was significantly elevated compared with the general population among only the patients with psychiatric co-morbidities. Specifically, the presence of alcohol and other substance use disorders was associated with more profound excess mortality.
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Affiliation(s)
- J Kask
- Department of Neuroscience, Psychiatry,University Hospital, Uppsala University,Uppsala,Sweden
| | - M Ramklint
- Department of Neuroscience, Psychiatry,University Hospital, Uppsala University,Uppsala,Sweden
| | - N Kolia
- Department of Nutrition and Dietetics,Harokopio University,Athens,Greece
| | - D Panagiotakos
- Department of Nutrition and Dietetics,Harokopio University,Athens,Greece
| | - A Ekbom
- Unit of Clinical Epidemiology, Department of Medicine,Karolinska Hospital,Karolinska Institute,Stockholm,Sweden
| | - L Ekselius
- Department of Neuroscience, Psychiatry,University Hospital, Uppsala University,Uppsala,Sweden
| | - F C Papadopoulos
- Department of Neuroscience, Psychiatry,University Hospital, Uppsala University,Uppsala,Sweden
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Georgousopoulou E, Naumovski N, Mellor D, Piscopo S, Valacchi G, Tyrovolas S, Bountziouka V, Panagiotakos D, Tur J, Polychronopoulos E. Adherence to Mediterranean diet; not olive oil consumption alone predicts hypercholesterolemia in elderly: the MEDIS study. Journal of Nutrition & Intermediary Metabolism 2017. [DOI: 10.1016/j.jnim.2017.04.215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Georgousopoulou E, Mellor D, Naumovski N, Panagiotakos D, Chrysohoou C, Skourlis N, Tousoulis D, Stefanadis C, Pitsavos C. Anxiety levels moderate the protective effect of dark chocolate polyphenol intake against metabolic syndrome: The ATTICA study. Journal of Nutrition & Intermediary Metabolism 2017. [DOI: 10.1016/j.jnim.2017.04.139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Georgousopoulou EN, Naumovski N, Mellor DD, Tyrovolas S, Piscopo S, Valacchi G, Tsakountakis N, Zeimbekis A, Bountziouka V, Gotsis E, Metallinos G, Tyrovola D, Kellett J, Foscolou A, Tur JA, Matalas AL, Lionis C, Polychronopoulos E, Sidossis L, Panagiotakos D. Association between Siesta (Daytime Sleep), Dietary Patterns and the Presence of Metabolic Syndrome in Elderly Living in Mediterranean Area (Medis Study): The Moderating Effect of Gender. J Nutr Health Aging 2017; 21:1118-1124. [PMID: 29188870 DOI: 10.1007/s12603-016-0865-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVES Several lifestyle parameters including diet, physical activity and sleep were associated in isolation with the presence of Metabolic Syndrome (MetS) in adults, to date there is a paucity of studies which evaluated their combined role aging populations and especially with respect to gender. Therefore, the aim of the present study was to provide a global consideration of the lifestyle factors associated with MetS among elderly individuals. DESIGN Cross-sectional observational study. SETTING 21 Mediterranean islands and the rural Mani region (Peloponnesus) of Greece. PARTICIPANTS during 2005-2015, 2749 older (aged 65-100 years) from were voluntarily enrolled in the study. MEASUREMENTS Dietary habits, energy intake, physical activity status, socio-demographic characteristics, lifestyle parameters (sleeping and smoking habits) and clinical profile aspects were derived through standard procedures. The presence of MetS was defined using the definition provided by NCEP ATP III (revised) and cluster analysis was used to identify overall dietary habit patterns. RESULTS The overall prevalence of MetS in the study sample was 36.2%, but occurred more frequently in females (40.0% vs. 31.8%, respectively, p=0.03). Individuals with MetS were more likely to sleep during the day (89.4% vs. 76.8% respectively, p=0.039) and frequent 'siesta' was positively linked to the odds of MetS presence in females (Odds Ratio (OR) =3.43, 95% Confidence Intervals (CI): 1.08-10.9), but not for men (p=0.999). The lower carbohydrate (i.e., 45.2% of total daily energy, 120±16gr/day) dietary cluster was inversely associated with the odds for MetS presence, but only for men (OR=0.094, 95%CI: 0.010-0.883). CONCLUSIONS Lifestyle parameters including sleep and diet quality are strongly associated with the presence of MetS in elderly cohort, but different their level of influence appears to be different, depending on gender. Further research is needed to better consider the role of lifestyle characteristics in the management of MetS in clinical practice.
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Affiliation(s)
- E N Georgousopoulou
- Prof Demosthenes B Panagiotakos, 46 Paleon Polemiston St. Glyfada, Attica, 166 74, Greece, Tel. +30 210-9549332 - +30 210-9600719 (Fax),
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Chourdakis M, Kontogianni M, Poulia K, Bersimis F, Schindler K, Kosak S, Panagiotakos D, Hiesmayr M. MON-P193: Institutional Factors Affecting Food Consumption during Hospitalization. Preliminary Results from Analyzing Nutritionday's Database (2006-13). Clin Nutr 2016. [DOI: 10.1016/s0261-5614(16)30827-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Georgousopoulou E, Panagiotakos D, Chrysohoou C, Skoumas I, Laskaris A, Stefanadis C, Pitsavos C. Fasting insulin levels predict fatal cardiovascular (CVD) events more accurately than any other marker of glucose metabolism. The 10-year follow-up of the ATTICA study (2002–2012). Atherosclerosis 2016. [DOI: 10.1016/j.atherosclerosis.2016.07.690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Georgousopoulou E, Pitsavos C, Panagiotakos D, Chrysohoou C, Skoumas I, Chatzigeorgiou M, Tousoulis D, Stefanadis C. Glomerular filtration rate (GFR) moderates the protective effect of mediterranean diet against cardiovascular incidence: 10-year follow-up (2002–12) of the ATTICA study. Atherosclerosis 2016. [DOI: 10.1016/j.atherosclerosis.2016.07.272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Magriplis E, Farajian P, Risvas G, Panagiotakos D, Zampelas A. Newly derived children-based food index. An index that may detect childhood overweight and obesity. Int J Food Sci Nutr 2015; 66:623-32. [PMID: 26186030 DOI: 10.3109/09637486.2015.1056109] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
A food index (FI) based on a priory knowledge was developed to assess the role of diet on overweight (OW) and obesity (OB) in school-aged children. This included «positive» and «negative» foods based on research evidence and food guidelines, with scores set accordingly. Statistical tests were used to strengthen the sensitivity of the index. The FI was validated using data from the GRECO study. The score ranged from 17 to 53.5 (mean 34.8 ± 5.01) and was inversely associated with body mass index (BMI) (-0.057 ± 0.02; 95% CI -0.098, -0.017) and waist circumference (WC) (-0.08 ± 0.03, 95% CI: -0.137, -0.022). Associations remained significant upon adjusting for age, gender and physical-inactivity (p = 0.02 ad 0.013, respectively). When stratified by gender, the association between FI and WC was not significant for boys (p = 0.08). The association with BMI remained significant for females and males (p = 0.047 and 0.037, respectively). The derived FI seems a valuable tool in detecting OW in children.
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Affiliation(s)
- E Magriplis
- a Department of Food Science and Human Nutrition, Unit of Human Nutrition , Agricultural University of Athens , Athens , Greece
| | - P Farajian
- a Department of Food Science and Human Nutrition, Unit of Human Nutrition , Agricultural University of Athens , Athens , Greece
| | - G Risvas
- a Department of Food Science and Human Nutrition, Unit of Human Nutrition , Agricultural University of Athens , Athens , Greece
| | - D Panagiotakos
- b Department of Science and Dietetics-Nutrition , Harokopio University , Athens , Greece , and
| | - A Zampelas
- a Department of Food Science and Human Nutrition, Unit of Human Nutrition , Agricultural University of Athens , Athens , Greece .,c Department of Nutrition and Health , College of Food and Agriculture, United Arab Emirates University , Al Ain , United Arab Emirates
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Chrysohoou C, Pitsavos C, Skoumas J, Metaxa V, Zaromytidou M, Zisimos C, Lazaros G, Panagiotakos D, Stefanadis C. Mediterranean diet seems to deteriorate aortic functional capacity in elderly diabetic individuals: Ikaria study. Atherosclerosis 2014. [DOI: 10.1016/j.atherosclerosis.2014.05.876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Chrysohoou C, Pitsavos D, Panagiotakos D, Oikonomou E, Lazaros G, Metaxa V, Vogiatzi G, Zaromytidou M, Galiatsatos N, Marinos G, Stefanadis C. Low testosterone levels are associated with metabolic syndrome, through triggering hypertriglyceridemia and low grade inflammation in elderly men. ikaria study. Atherosclerosis 2014. [DOI: 10.1016/j.atherosclerosis.2014.05.443] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Chrysohoou C, Pitsavos C, Panagiotakos D, Lazaros G, Oikonomou E, Metaxa V, Zaromytidou M, Striggou M, Skoumas J, Stefanadis C. Preserved cognitive function seems to be parallel with good aortic distensibility in elderly individuals: the ikaria study. Atherosclerosis 2014. [DOI: 10.1016/j.atherosclerosis.2014.05.214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Koti I, Weller K, Makris M, Tiligada E, Psaltopoulou T, Papageorgiou C, Baiardini I, Panagiotakos D, Braido F, Maurer M. Disease activity only moderately correlates with quality of life impairment in patients with chronic spontaneous urticaria. Dermatology 2013; 226:371-9. [PMID: 23942323 DOI: 10.1159/000351711] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2013] [Accepted: 04/19/2013] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND The impact of chronic spontaneous urticaria (CSU) on health-related quality of life (HRQoL) is widely held to be mainly influenced by disease activity and comorbidities. OBJECTIVE To assess the correlation between disease activity and HRQoL impairment by using validated disease-specific instruments. METHODS The Chronic Urticaria Quality of Life Questionnaire (CU-Q2oL) was translated into Greek and subsequently applied to 110 CSU patients along with the Dermatology Life Quality Index and the Urticaria Activity Score. After the validity and reliability of the Greek CU-Q2oL had been determined, we assessed the relation between disease activity and HRQoL impairment by computing correlations as well as by performing multiple regression analysis. RESULTS Exploratory factor analysis revealed a six-scale structure of the Greek CU-Q2oL that explained 67.9% of its total variance. The internal consistency was satisfactory with Cronbach's α >0.7. Disease activity was the only predictor of quality of life impairment, but it only moderately correlated with the CU-Q2oL total score (r = 0.40, p < 0.0001). CONCLUSION Our results suggest that there are additional factors to disease activity that are responsible for the pronounced reduction of HRQoL in CSU, and this supports the recommendation to assess and monitor both disease activity and quality of life in CSU patients.
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Affiliation(s)
- I Koti
- Allergy Unit 'D. Kalogeromitros', 2nd Department of Dermatology and Venereology, Attikon University Hospital, Athens, Greece
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Chrysohoou C, Pitsavos C, Panagiotakos D, Siasos G, Oikonomou E, Galiatsatos N, Metaxa V, Zaromytidou M, Lazaros G, Stefanadis C. Low testosterone levels are associated with metabolic syndrome, in elderly men: the role of body weight, lipids, insulin resistance and inflammation; the Ikaria study. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht309.p4295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Chrysohoou C, Tsitsinakis G, Tsiachris D, Vogiatzis J, Tsantilas A, Dimopoulos D, Panagiotakos D, Pitsavos C, Koulouris N, Stefanadis C. High intensity, interval exercise improves the Quality of Life and psychological status of patients with chronic heart failure: a phase III randomized clinical trial. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht309.3748] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Panagiotakos D. 40 WHAT IS THE OPTIMAL DIET FOR LONGEVITY? Maturitas 2012. [DOI: 10.1016/s0378-5122(12)70044-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Vallianou N, Bountziouka V, Evangelopoulos A, Bonou M, Katsagoni C, Barbetseas J, Avgerinos P, Vogiatzakis E, Panagiotakos D. 692 HIGH FULL FAT DAIRY PRODUCTS INTAKE IS ASSOCIATED WITH INCREASED BLOOD GLUCOSE LEVELS, AMONG HYPERTENSIVE PEOPLE. ATHEROSCLEROSIS SUPP 2011. [DOI: 10.1016/s1567-5688(11)70693-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Giotopoulou A, Bountziouka V, Evangelopoulos A, Vallianou N, Bonou M, Barbetseas J, Vogiatzakis E, Avgerinos P, Panagiotakos D. 693 CONSUMPTION OF STARCHY FOODS AND LEGUMES IS ASSOCIATED WITH INCREASED SERUM ALBUMIN LEVELS, AMONG HEALTHY ADULTS. ATHEROSCLEROSIS SUPP 2011. [DOI: 10.1016/s1567-5688(11)70694-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Bountziouka V, Evangelopoulos A, Giotopoulou A, Bonou M, Vallianou N, Avgerinos P, Vogiatzakis E, Barbetseas J, Panagiotakos D. 665 ALCOHOL AND STIMULANTS DIETARY PATTERN IN RELATION TO HAPTOGLOBIN LEVELS, AMONG APPARENTLY HEALTHY INDIVIDUALS. ATHEROSCLEROSIS SUPP 2011. [DOI: 10.1016/s1567-5688(11)70666-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Chrysohoou C, Kastorini CM, Kehagia I, Aggelopoulos P, Panagiotakos D, Pitsavos C, Stefanadis C. Reply to D Trichopoulos. Am J Clin Nutr 2010. [DOI: 10.3945/ajcn.110.007492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Chimonas T, Athyros V, Karagiannis A, Achimastos A, Pitsavos C, Elisaf M, Panagiotakos D. MS227 BLOOD PRESSURE LEVELS CONSTITUTE THE MOST IMPORTANT DETERMINANT OF THE METABOLIC SYNDROME, IN A GREEK SAMPLE. ATHEROSCLEROSIS SUPP 2010. [DOI: 10.1016/s1567-5688(10)70728-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Bountziouka V, Bonou M, Evangelopoulos A, Vallianou N, Politou D, Bathrellou E, Giotopoulou A, Panagiotakos D. MS486 HIERARCHICAL ANALYSIS OF BIOMARKERS' LEVELS, IN RELATION TO HYPERTENSION STATUS AMONG APPARENTLY HEALTHY PEOPLE. ATHEROSCLEROSIS SUPP 2010. [DOI: 10.1016/s1567-5688(10)70987-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Chimonas T, Petrikos P, Kostopoulos E, Fanouraki E, Panagiotakos D, Chimonas E, Elisaf M. MS224 AGE, SEX AND SOCIOECONOMIC STATUS LARGELY DETERMINE SMOKING-RISK AWARENESS. ATHEROSCLEROSIS SUPP 2010. [DOI: 10.1016/s1567-5688(10)70725-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Chimonas T, Athyros V, Ganotakis E, Nicolaou V, Panagiotakos D, Elisaf M. MS268 GENDER DIFFERENCES IN THE PREVALENCE OF CARDIOVASCULAR DISEASE RISK FACTORS AND CORRESPONDING 10-YEAR CARDIOVASCULAR RISK, AMONG SUBJECTS WITH METABOLIC SYNDROME. ATHEROSCLEROSIS SUPP 2010. [DOI: 10.1016/s1567-5688(10)70769-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Mamplekou E, Bountziouka V, Psaltopoulou T, Zeimbekis A, Tsakoundakis N, Papaerakleous N, Gotsis E, Metallinos G, Pounis G, Polychronopoulos E, Lionis C, Panagiotakos D. Urban environment, physical inactivity and unhealthy dietary habits correlate to depression among elderly living in eastern Mediterranean islands: the MEDIS (MEDiterranean ISlands Elderly) study. J Nutr Health Aging 2010; 14:449-55. [PMID: 20617287 DOI: 10.1007/s12603-010-0091-0] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
AIMS To evaluate factors associated with depression in elderly. METHODS During 2005-2007, 553 men and 637 women (aged 65 to 100 yrs) living in various Greek islands and in Cyprus participated in the study. The sampling was random and multistage (according to age sex distribution of the referent population). Depressive symptoms were evaluated using the Geriatric Depression Scale (GDS). RESULTS Twenty five per cent of men and 35% of women were classified in the highest GDS category (i.e. GDS score > 10), indicating intense depressive symptoms, while 54% of men and 70% of women scored above the depression cut-off (i.e. GDS score > 5) indicating mild-to-severe depressive symptoms. Among the investigated characteristics, living in urban environment, physical inactivity and history of hypertension were correlated with the presence of depressive symptoms (p < 0.05), after adjusting for various confounders. Moreover, the consumption of fish, vegetables and cereals is more prevalent among people with low or moderate depression (p < 0.05). CONCLUSIONS The prevalence of depression is quite high between elderly people living in Greek islands and Cyprus. Urban environment that may also interact with sedentarism and unhealthy dietary habits seems to promote depression in the studied population. Efforts to lower the prevalence of depression in the elderly should target on the aforementioned factors that employ functional impairment, social environment and dietary habits.
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Affiliation(s)
- E Mamplekou
- Department of Nutrition Science-Dietetics, Harokopio University, Athens, Greece
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Chimonas T, Petrikos P, Kostopoulos E, Fanouraki E, Panagiotakos D, Chimonas E, Elisaf M. MS226 TOBACCO USE AND RISK AWARENESS AMONG A MOSTLY YOUNG ADULT POPULATION. ATHEROSCLEROSIS SUPP 2010. [DOI: 10.1016/s1567-5688(10)70727-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Letsiou S, Nomikos T, Panagiotakos D, Pergantis SA, Fragopoulou E, Antonopoulou S, Pitsavos C, Stefanadis C. Dietary habits of Greek adults and serum total selenium concentration: the ATTICA study. Eur J Nutr 2010; 49:465-72. [PMID: 20386916 DOI: 10.1007/s00394-010-0105-z] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2009] [Accepted: 03/24/2010] [Indexed: 11/25/2022]
Abstract
PURPOSE The trace element selenium is an essential micronutrient for human health, and its low levels in serum are implicated in the pathogenesis of several chronic diseases. The determination of total serum selenium levels may contribute to the assessment of the health status of all populations. Since the serum selenium levels are highly affected by diet, we assessed its association with the dietary habits of Greek adults. METHODS Serum selenium levels were determined with inductively coupled plasma mass spectrometry in a cohort of 506 participants (men: 296, women: 210) aged 18-75 from the ATTICA study. Food consumption was evaluated with a validated food-frequency questionnaire. RESULTS Evaluation of the relationship between serum total selenium with major food groups and beverages by multi-adjusted analysis revealed that serum selenium was positively correlated with the consumption of red meat (2.37 ± 0.91, p = 0.01) while the consumption of other selenium-containing foods (i.e., fish, cereals, dairy products, vegetables) did not demonstrate such a relationship. Moreover, principal component analysis revealed that the adoption of a vegetarian type of diet is inversely correlated with total selenium (-3.94 ± 2.28, p = 0.08). CONCLUSIONS Among the dietary habits that were examined, red meat seems to be the major determinant of serum selenium in Greek adults.
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Affiliation(s)
- S Letsiou
- Department of Science of Nutrition-Dietetics, Harokopio University, Athens, Greece
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Tsioufis C, Kyvelou S, Tsiachris D, Tolis P, Hararis G, Koufakis N, Psaltopoulou T, Panagiotakos D, Kokkinos P, Stefanadis C. Relation between physical activity and blood pressure levels in young Greek adolescents: The Leontio Lyceum Study. Eur J Public Health 2010; 21:63-8. [DOI: 10.1093/eurpub/ckq006] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Kastorini CM, Chrysohoou C, Aggelopoulos P, Panagiotakos D, Pitsavos C, Stefanadis C. Moderate Fish Consumption is Associated with Lower Likelihood of Developing Left Ventricular Systolic Dysfunction in Acute Coronary Syndrome Patients. J Food Sci 2010; 75:H24-9. [DOI: 10.1111/j.1750-3841.2009.01425.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Mavrogeni S, Manoussakis MN, Karagiorga TC, Douskou M, Panagiotakos D, Bournia V, Cokkinos DV, Moutsopoulos HM. Detection of coronary artery lesions and myocardial necrosis by magnetic resonance in systemic necrotizing vasculitides. ACTA ACUST UNITED AC 2009; 61:1121-9. [PMID: 19644909 DOI: 10.1002/art.24695] [Citation(s) in RCA: 75] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
OBJECTIVE Myocardium and coronary arteries can occasionally be affected in patients with systemic necrotizing vasculitides; however, such involvement has not been systematically assessed using cardiovascular magnetic resonance imaging (MRI). METHODS Magnetic resonance angiography and contrast-enhanced MRI were applied for the assessment of coronary arteries (the left anterior descending [LAD], left circumflex [LCx], and right coronary artery [RCA]) and myocardium, respectively, in 39 patients with vasculitis who were asymptomatic for cardiac disease (16 with microscopic polyangiitis [MPA], 11 with Wegener's granulomatosis [WG], 9 with Churg-Strauss syndrome [CSS], and 3 with polyarteritis nodosa [PAN]). Data were compared with age-matched disease-control patients with rheumatoid arthritis (n = 20) or systemic lupus erythematosus (n = 13), and with healthy control individuals with normal coronaries (n = 40). RESULTS Patients with MPA, WG, and PAN (but not with CSS) were found to display significantly increased maximal diameters of coronary arteries compared with healthy controls (for MPA and WG; P < 0.001 for LAD and RCA, and P < 0.01 for LCx) and with both disease-control groups (for only MPA; P < 0.01 for LAD and RCA, and P < 0.05 for LCx). Fusiform coronary aneurysms were detected in patients with MPA (4/16) and PAN (2/3), whereas coronary ectasias were evident in patients with MPA (14/16) and WG (2/11). The presence of myocardial necrosis (by assessment of late gadolinium-enhanced images) was identified only in patients with MPA (2/16) and CSS (3/8 studied). CONCLUSION Cardiovascular MRI assessment of patients with systemic vasculitis revealed coronary ectatic disease in the majority of patients with MPA and PAN, as well as in several patients with WG. Myocardial necrosis can be detected in MPA and CSS.
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Affiliation(s)
- S Mavrogeni
- Onassis Cardiac Surgery Center, Athens, Greece.
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Kastorini CM, Chrysohoou C, Panagiotakos D, Aggelopoulos P, Liontou C, Skoumas I, Pitsavos C, Stefanadis C. Abstract: P1168 EXCLUSIVE OLIVE OIL CONSUMPTION IS ASSOCIATED WITH LOWER LIKELIHOOD OF DEVELOPING LEFT VENTRICULAR SYSTOLIC DYSFUNCTION IN ACUTE CORONARY SYNDROME PATIENTS. ATHEROSCLEROSIS SUPP 2009. [DOI: 10.1016/s1567-5688(09)71161-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Panagiotakos D, Chrysohoou C, Pitsavos C, Skoumas Y, Stefanadis C. Abstract: P337 DIETARY HABITS EVALUATION INCREASES ACCURACY AND REDUCES ESTIMATING BIAS IN CARDIOVASCULAR DISEASE RISK PREDICTION MODELS. ATHEROSCLEROSIS SUPP 2009. [DOI: 10.1016/s1567-5688(09)70632-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Detopoulou P, Panagiotakos D, Chrysohoou C, Fragopoulou E, Antonopoulou S, Pitsavos C, Stefanadis C. Abstract: S1-22 DIETARY ANTIOXIDANT CAPACITY IS POSITIVELY RELATED TO CONCENTRATION OF ADIPONECTIN IN HEALTHY ADULTS: THE ATTICA STUDY. ATHEROSCLEROSIS SUPP 2009. [DOI: 10.1016/s1567-5688(09)71461-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Panagiotakos D, Pitsavos C, Chrysohoou C, Palliou K, Lentzas I, Skoumas I, Stefanadis C. Dietary patterns and 5-year incidence of cardiovascular disease: a multivariate analysis of the ATTICA study. Nutr Metab Cardiovasc Dis 2009; 19:253-263. [PMID: 18722096 DOI: 10.1016/j.numecd.2008.06.005] [Citation(s) in RCA: 65] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2008] [Revised: 05/20/2008] [Accepted: 06/04/2008] [Indexed: 11/16/2022]
Abstract
BACKGROUND AND AIMS The 5-year incidence of cardiovascular disease (CVD) in relation to dietary habits, among men and women from Greece, was evaluated. METHODS AND RESULTS From May 2001 to December 2002, 1514 men and 1528 women (>18 years) without any clinical evidence of CVD, living in the Attica area, Greece, were enrolled in the ATTICA study. In 2006, a group of experts performed the 5-year follow-up (941 of the 3042 participants were lost). Development of CVD (coronary heart disease, acute coronary syndromes, stroke, or other CVD) during the follow-up period was defined according to WHO ICD-10 criteria. Principal components analysis was applied, and 15 dietary patterns were extracted (71% of total information explained) from 26 foods or food groups. The 5-year incidence of CVD was 11.0% in men and 6.1% in women (p<0.001); the case fatality rate was 1.6%. Multi-adjusted analysis revealed that the dietary pattern that was mainly characterized by cereals, small fish, hardtack and olive oil intake, was associated with lower CVD risk (HR per 1 unit=0.72, 95% CI 0.52-1.00); the pattern that was characterized by fruits, vegetables intake and olive oil use in daily cooking was associated with lower CVD risk (HR per 1 unit=0.80, 95% CI 0.66-0.97); while patterns that were mainly characterized by sweets, red meat, margarine, salty nuts intake, and hard cheese, as well as alcohol intake, were associated with higher CVD risk (HR per 1 unit=1.26, 95% CI 1.01-1.56, and HR per 1 unit=1.32, 95% CI 1.05-1.66, respectively). CONCLUSIONS Multivariate statistical methods revealed dietary patterns based on empirical epidemiological data which were associated with the development of CVD.
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Affiliation(s)
- D Panagiotakos
- Department of Dietetics-Nutrition, Harokopio University, Athens, Athens, Greece.
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Koliaki C, Sanidas E, Dalianis N, Votteas V, Kolovou I, Panagiotakos D, Katsilambros N. Der prädiktive Wert von Diabetes mellitus (DM) für die Präsenz und anatomische Schwere der angiographisch dokumentierten Koronaren Herzerkrankung (KHK) und Korrelation mit spezifischen koronarangiographischen Aspekten. DIABETOL STOFFWECHS 2009. [DOI: 10.1055/s-0029-1222071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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