Dietary patterns and cardiovascular disease in Greek adults: The Hellenic National Nutrition and Health Survey (HNNHS)
Autor: | Antonis Zampelas, Konstantina Argyri, Anna Papageorgiou, Anastasia Vasiliki Mitsopoulou, Ioannis Dimakopoulos, Ioanna Bakogianni, Emmanouella Magriplis, George Michas, Michail Chourdakis, Stauroula Zacharia, I. Manios, Sophia M. Tsaniklidou, Demosthenes B. Panagiotakos, I. Trichia, Eleftheria Roma, George P. Chrousos, Evangelia Fappa, Triantafyllia Ntouroupi, E. Spyrelli, Eleni-Maria Theodoraki, Dimitra Karageorgou, T.E. Sialvera, George Karlis, Aggeliki Varytimiadi, Antonios E. Koutelidakis, G. Dedoussis, George Dimitriadis, Renata Micha |
---|---|
Rok vydání: | 2019 |
Předmět: |
Adult
Male Inverse Association Mediterranean diet Endocrinology Diabetes and Metabolism Medicine (miscellaneous) 030209 endocrinology & metabolism Disease 030204 cardiovascular system & hematology Logistic regression Diet Mediterranean Recommended Dietary Allowances Risk Assessment 03 medical and health sciences Young Adult 0302 clinical medicine Risk Factors Environmental health medicine Prevalence Humans Dyslipidemias Nutrition and Dietetics Greece business.industry Odds ratio Feeding Behavior Middle Aged Protective Factors medicine.disease Nutrition Surveys Cross-Sectional Studies Cardiovascular Diseases Diet Western Clinical diagnosis Hypertension Health survey Female Diet Healthy Cardiology and Cardiovascular Medicine business Energy Intake Nutritive Value Risk Reduction Behavior Dyslipidemia |
Zdroj: | Nutrition, metabolism, and cardiovascular diseases : NMCD. 30(2) |
ISSN: | 1590-3729 |
Popis: | Background and aims Empirically-derived dietary patterns have been shown to have both positive and adverse associations with cardiovascular disease (CVD). Yet, such associations remain unclear in the Greek population. The aim of this study was to investigate the association between empirically-derived dietary patterns and the presence of CVD and CVD-related medical conditions in a nationally representative sample of Greek adults. Methods and results Adult participants (≥20 years old) of the Hellenic National Nutrition and Health Survey (HNNHS) were included (N = 3552; 41.2% men; 43.7 years, SD: 18.1). Dietary patterns were derived by principal component analysis using 24-h recall data. The presence of dyslipidemia (elevated cholesterol and/or triglycerides), hypertension, coronary heart disease, and total CVD, was defined according to the International Clinical Diagnosis (ICD)-10 codes. Odds ratios of CVD outcomes were estimated across dietary patterns using multivariable logistic regression analysis. Three dietary patterns -Traditional (proxy Mediterranean), Western, and Prudent-were identified explaining 16.5% of the total variance in consumption. Logistic regression analysis, adjusted for age, sex, total caloric intake, sociodemographic characteristics, and other CVD risk factors, showed an inverse association between the Traditional dietary pattern and CVD presence (OR: 0.53; 95% CI: 0.30–0.95), and a positive association between the Western pattern and dyslipidemia (1.52; 1.02–2.26). No association was found between the Prudent pattern and CVD outcomes. Conclusion The variability of food intake combinations in the Greek population seem to be associated with the presence of CVD and CVD related conditions. Such findings are imperative for national monitoring and informed priority setting. |
Databáze: | OpenAIRE |
Externí odkaz: |