A high prevalence of diabetes mellitus in a municipality of rural Crete, Greece

Lionis, Christos; Bathianaki, Maria; Antonakis, Nikos; Papavasiliou, Stathis; Philalithis, Αnastas

doi:10.1046/j.1464-5491.2001.00526.x

Cited by 20 publications

(19 citation statements)

References 7 publications

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“…The Cretan study reported similar results among elderly people (i.e. 28.8% of males and 30.3% females) [5]. A previous report from the Cypriot cohort of the MEDIS study reported that the prevalence of diabetes was 26% in males and 18% in females [4].…”

Section: Discussionsupporting

confidence: 66%

“…Previous results from the MEDIS study, where the focus was on an elderly Cypriot population only, indicated that the prevalence of diabetes mellitus was 26% in men and 18% in women [4]. Furthermore, Lionis et al reported in 2001 that diabetes mellitus was prevalent in roughly 27% of the total population aged 65 yr and over, living in a rural community in Crete [5].…”

Section: Introductionmentioning

confidence: 99%

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Factors Associated with the Prevalence of Diabetes Mellitus Among Elderly Men and Women Living in Mediterranean Islands: The MEDIS Study

Tyrovolas

Zeimbekis²,

Bountziouka

et al. 2009

Rev Diabet Stud

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■ AbstractBACKGROUND: The aim of the present work was to evaluate the relationships between socio-demographic, clinical, lifestyle and psychological characteristics and the presence of diabetes mellitus, among elderly individuals without known cardiovascular disease. METHODS: During 2005-2007, 1190 elderly (aged 65 to 100 years) men and women (from Cyprus, Mitilini, Samothraki, Cephalonia, Crete, Lemnos, Corfu and Zakynthos) were enrolled. Sociodemographic, clinical and lifestyle factors were assessed using standard procedures. Diabetes mellitus was defined as fasting blood glucose >125 mg/dl or use of special medication. RESULTS: 21% of males and 23% of females had diabetes. Only 70% of diabetic participants were on a special diet and 76% were receiving pharmaceutical treatment. Diabetic individuals had higher prevalence of hypertension (80% vs. 64%, p < 0.001) and hypercholesterolemia (63% vs. 51%, p < 0.001) and reported lower physical activity status (p < 0.001), compared with non-diabetic participants. After adjusting for various confounders, hypertension and hypercholesterolemia were associated with a 144% (95% CI, 1.37-4.35) and 83% (95% CI, 1.13-2.94) higher likelihood of having diabetes, while moderate and vigorous exercise correlated with a 82% (95% CI, 0.09-0.81) and 67% (95% CI, 0.11-0.97) lower likelihood of diabetes. CONCLUSIONS: A considerable proportion of our elderly sample had diabetes and other metabolic disorders, almost 25% of which were untreated. Promotion of physical activities, even in the elderly, may contribute to reducing their burden of diabetes and provide them with a better quality of living.

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Section: Discussionsupporting

confidence: 66%

Section: Introductionmentioning

confidence: 99%

Factors Associated with the Prevalence of Diabetes Mellitus Among Elderly Men and Women Living in Mediterranean Islands: The MEDIS Study

Tyrovolas

Zeimbekis²,

Bountziouka

et al. 2009

Rev Diabet Stud

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“…The development of type 2 DM is influenced by attained age and has been demonstrated in previous studies. [16][17][18][19][20][21][23][24][25][26] With regard to the association between excess body weight and type 2 DM, we found that both overweight and obesity were associated with higher prevalence of DM in univariate analysis. However, multivariate analysis demonstrated that only obesity and not overweight status was associated with higher risk of type 2 DM.…”

Section: Discussionmentioning

confidence: 85%

“…However, screening of selected groups of the general population and the non-random, non-populationbased nature of most relevant studies have given rise to wide variations of the reported DM prevalence in Greece in previous studies. [16][17][18][19][20][21] The strengths of the present study are: i) a large number of subjects was evaluated in a door-to-door manner by experienced physicians who visited, interviewed, and collected data at their homes; ii) the participants were representative of the total adult target population of the studied areas and, most importantly, of the Greek adult population; iii) a high participation rate was achieved. On the other hand, this study is not without limitations.…”

Section: Discussionmentioning

confidence: 99%

Type 2 diabetes mellitus is associated with obesity, smoking and low socioeconomic status in large and representative samples of rural, urban, and suburban adult Greek populations

Tentolouris¹,

Andrianakos²,

Karanikolas³

et al. 2012

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OBJEcTIVE: In this cross-sectional epidemiologic study we examined the association between type 2 diabetes mellitus and demographic, clinical, and socioeconomic parameters in large rural, urban and suburban populations of adult Greeks. DEsIGN: Of the total target adult population (≥19 years, n=14233) in nine selected geographical regions covering rural, suburban, and urban areas of Greece, 10,647 subjects were included in the study. Data were collected by physicians who interviewed subjects at their homes between 1996 and 1999. rEsULTs: A total of 8740 subjects participated (response rate 82.1%). Among participants there were 360 subjects with type 2 diabetes. Multivariate logistic regression analysis after adjustment for factors associated with type 2 DM in univariate analyses including occupation, education level, place of residence, and number of persons living together demonstrated that advancing age, obesity-but not overweight status-and smoking in the past were associated with higher odds of type 2 diabetes. Moreover, low socioeconomic status was associated with type 2 diabetes independently of the effects of age, obesity, and smoking. cONcLUsIONs: In large representative rural, urban, and suburban populations of adult Greeks, type 2 Diabetes was associated with advancing age, obesity, exposure to smoke, and low socioeconomic status.

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“…Furthermore, the increasing prevalence of diabetes, both in urban [23,24] and rural [25,26] areas in Greece, has been shown. However, there is only a small amount of information on the association of sociodemographic and disease-specific factors with the HRQOL of Greek Type II DM patients.…”

Section: Introductionmentioning

confidence: 99%

Predictors of health-related quality of life in type II diabetic patients in Greece

et al. 2007

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A high prevalence of diabetes mellitus in a municipality of rural Crete, Greece

Cited by 20 publications

References 7 publications

Factors Associated with the Prevalence of Diabetes Mellitus Among Elderly Men and Women Living in Mediterranean Islands: The MEDIS Study

Factors Associated with the Prevalence of Diabetes Mellitus Among Elderly Men and Women Living in Mediterranean Islands: The MEDIS Study

Type 2 diabetes mellitus is associated with obesity, smoking and low socioeconomic status in large and representative samples of rural, urban, and suburban adult Greek populations

Predictors of health-related quality of life in type II diabetic patients in Greece

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