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